Remove 2017 Remove Dehydration Remove Emergency Department
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Food Protein Induced Enterocolitis Syndrome (FPIES)

Pediatric EM Morsels

Today we are talking about a rare disease called FPIES (food protein induced enterocolitis syndrome) and how you might encounter these patients in the Pediatric Emergency Department. Patients with FPIES can have marked dehydration due to vomiting and diarrhea, even to the point of hypotension! 2017 Jun 27;10:197-207.

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EM@3AM: Leukopenia

EMDocs

A 45-year-old outdoor enthusiast presents to the emergency department with fever, headache, myalgias, and malaise. Management is directed based on underlying etiology, but consider fluid resuscitation, antipyretics, and antibiotics as indicated. No rash is identified. F1000Research 2024, 13:241 ( [link] ) Jafari, A., Najivash, P.,

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Amiodarone Versus Digoxin for Acute Rate Control of Atrial Fibrillation in the Emergency Department

RebelEM

Background Information: Atrial fibrillation with rapid ventricular rate (RVR) is one of the many tachydysrhythmias we encounter in the Emergency Department (ED). Amiodarone versus digoxin for acute rate control of atrial fibrillation in the emergency department. Am J Emerg Med. Am J Emerg Med. 2022 Sep 7.

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Episode 33 - Acute Bronchiolitis: Assessment and Management in the Emergency Department (Pharmacology CME)

EB Medicine

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. All were UTIs.

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Episode 36 - Diagnosis and Management of Acute Gastroenteritis in the Emergency Department

EB Medicine

No 1996 AAP guidelines, 2016 ACG guidelines, and 2017 IDSA guidelines all note diarrhea illness but may be vomiting predominant. Laboratory Testing and Imaging: Dehydration is the biggest contributor to mortality, especially in the very young and elderly. Lab evaluation for dehydration is recommended in these populations.

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The Perception of Risk

Don't Forget the Bubbles

They may present to the emergency department with a cough, cold or fever. Some may need admission to the paediatric short-stay unit, a unit in the emergency department where patients can stay for up to 24 hours. Explain these signs, and perhaps show the parents so can present to the emergency department if needed.

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Episode 30 - Emergency Department Management of Patients With Complications of Bariatric Surgery

EB Medicine

This month, we are sticking in the abdomen for another round of evidence-based medicine, focusing on Emergency Department Management of Patients With Complications of Bariatric Surgery. In 2017, these were performed 60%, 18%, and 3% of the time. I hope everybody enjoyed a fantastic conference. At 6 to 8 mL/kg.