Northwestern EM Blog

FEBRUARY 21, 2022

We’ve all seen an end-of-life situation generate a second patient with dehydration mediated syncopal episode at the bedside, let’s try to prevent that. Written by: Savannah Vogel, MD (NUEM ‘24) Edited by: Logan Wedel, MD (NUEM ‘22) Expert Commentary by : Matt Pirotte, MD References “Discussing Goals of Care.” SGIM Forum, vol.

Dehydration 52

Dehydration Shock Hospitals Wellness 52

EMDocs

JUNE 27, 2024

2017 Dec 1;30(4):191-201. smoke, high ozone levels, smog) Asthma/reactive airway disease (RAD) Diagnostic criteria 7,8 Respiratory symptoms +/- fever (at least 38.0 C or 100.4 2 mcg/kg, max 100 mcg) while obtaining IV access 20 IV/IM ketorolac (1 mg/kg, max 15 mg) Morphine (05-0.1 mg/kg, max 4 mg per dose q20-30min) or hydromorphone (0.01-0.02

Pediatrics 76

Pediatrics Dehydration EMS Hospitals 76

Mind The Bleep

MAY 12, 2023

These include infection & sepsis, GI bleeding, dehydration, AKI, alcohol consumption, constipation, and certain medications. GBD 2017 Cirrhosis Collaborators. On Day 3 (i.e. 48 hours later) albumin is administered at 1g/kg. 9 Encephalopathy Look closely for a precipitant and treat accordingly! Bull World Health Organ.

Fluid Resuscitation 52

Fluid Resuscitation Dehydration Resuscitation Administration 52

Don't Forget the Bubbles

SEPTEMBER 29, 2024

Let’s break it down: Less than 50% of normal fluid intake in a 24-hour period Children who are sick generally don’t eat or drink, so dehydration is a legitimate concern. Victoria: Victoria State Government – Health and Human Services; 2017. References Government VS. Guidelines for emergency department short stay units.

Emergency Department 52

Emergency Department Dehydration Hospitals Fractures 52

Mind The Bleep

JULY 23, 2023

Abnormal bicarbonate secretion due to CFTR mutation causes an acidic and dehydrated environment which results in thick, viscous mucous that forms thick meconium that can then obstruct the lumen. Sathe M, 2017) Barium enema in a neonate demonstrating a diffuse microcolon secondary to meconium ileus. Obtain chest and abdominal x-rays.

Sepsis 52

Sepsis Blood Transfusions Dehydration Wellness 52

RebelEM

FEBRUARY 2, 2023

Sepsis, hyperthyroidism, dehydration, heart failure, ACS, etc). Epub 2017 Jan 10. The delay in the onset of effect of digoxin could play a role in the poor rate control and overall success in the IV digoxin group. Journal of Emergency and Critical Care Medicine , vol. 2, 2018, pp. Link to Paper Here Shojaee M, et al. Emerg (Tehran).

Emergency Department 52

Emergency Department Administration EMS Dehydration 52

Don't Forget the Bubbles

JANUARY 10, 2024

3,950 children were recruited between September 2014 to May 2017. These were presented as hazard ratios and included fever at presentation, previous transfusion ever, haemoglobinuria, malaria, sickle cell disease on enrolment, HIV, evidence of sepsis, malnutrition, shock, hypothermia, and dehydration. Do you believe the results?

Blood Transfusions 78

Blood Transfusions Research Outcomes Hospitals 78

EB Medicine

JULY 8, 2019

Nachi: Taken all together, the rising rates of obesity and the rising success and availability of bariatric procedures has led to an increased number of bariatric procedures, with 228,000 performed in the US in 2017. In 2017, these were performed 60%, 18%, and 3% of the time. At 6 to 8 mL/kg.

Emergency Department 40

Emergency Department Sepsis Operations Dehydration 40

EMDocs

MARCH 11, 2024

As the disease progress the patients will experience profound dehydration and start to develops signs and symptoms such as: Rapid heart rate Loss of skin elasticity Dry mucous membranes Low blood pressure If left untreated, severe dehydration may lead to kidney failure, shock, coma, and death within hours.

Dehydration 90

Dehydration CDC Rapid Diagnostic Testing Fluid Resuscitation 90

EB Medicine

DECEMBER 30, 2019

Emergency Department Treatment Oxygen Keep O2 saturation >90% Clinicians may choose not to use continuous pulse oximetry (weak recommendation due to low-level evidence and reasoning) 1 Fluids IV or NG administration of fluids to combat dehydration, until respiratory distress and tachypnea resolve. Further study needed.

Emergency Department 40

Emergency Department Allergic Reactions Dehydration Pediatrics 40

EMDocs

DECEMBER 16, 2023

Temps greater than 41.5C per minute) 1,4 Body bag may be utilized if no immersion tank available 3 Evaporative cooling (DT 0.1C Determine and treat underlying cause , consider multiple etiologies. The New England journal of medicine , 352 (11), 1112–1120. link] Chava, R., Raghavan, M. Halperin, H., Maqbool, F., Geocadin, R., Quinones-Hinojosa, A.,

Hyperthermia / Hypothermia 68

Hyperthermia / Hypothermia EMS Stroke Seizures 68

EMDocs

NOVEMBER 4, 2024

million patient complaints in 2017, making it the second most common ED complaint. National Hospital Ambulatory Medical Care Survey (NHAMCS) 2017 Emergency Department Summary Tables (2017). doi:10.1136/emermed-2017-206944 Mokhtari A, Yip O, Alain J, Berthelot S. 2017 Apr 4;166(7):514-530. Epub 2017 Feb 14.

Emergency Department 99

Emergency Department Fractures Burns EMS 99

Dr. Smith's ECG Blog

APRIL 8, 2015

Also consider non-hemorrhagic volume depletion, dehydration : orthostatic vitals may uncover this [see Mendu et al. (3)]. Premonitory symptoms (Nausea, pallor, diaphoresis, flushing), or triggers (Valsalva, Pain, Emotion, Prolonged Standing, Dehydration) are very useful in making the diagnosis. Vasovagal syncope is generally benign.

Emergency Department 52

Emergency Department EKG/ECG Outcomes Seizures 52

Taming the SRU

JANUARY 5, 2025

2017 Feb;37(1):67-71. mg/kg initially followed by 1mg/kg q6hrs Disposition NMS can be very severe and usually requires ICU level care. Gurrera RJ, Mortillaro G, Velamoor V, Caroff SN. A Validation Study of the International Consensus Diagnostic Criteria for Neuroleptic Malignant Syndrome. J Clin Psychopharmacol. doi: 10.1097/JCP.0000000000000640.

Hyperthermia / Hypothermia 96

Hyperthermia / Hypothermia Dehydration Psychiatric Poisoning 96

EMDocs

JANUARY 6, 2025

92 Refugee patients with SAM, dehydration, or shock should be admitted for further management. MUAC < 115 mm is indicative of severe acute malnutrition (SAM) and indicates the need for admission. 91 SAM may also be identified based on end-organ manifestations. Lassa fever: epidemiology, clinical features, and social consequences.

Infectious Diseases 57

Infectious Diseases CDC PPE Rapid Diagnostic Testing 57