Remove 2017 Remove Dehydration Remove Resuscitation
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EM@3AM: Leukopenia

EMDocs

Management is directed based on underlying etiology, but consider fluid resuscitation, antipyretics, and antibiotics as indicated. Approach to leukopenia in the ED should be focused on identifying the inciting etiology with emphasis on evaluation for infection, malignancy, and/or toxin/drug mediated effect. Najivash, P., Khatami, M.

EMS 95
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Haemolytic Uraemic Syndrome

Don't Forget the Bubbles

She appears pale and dehydrated , and her level of alertness fluctuates. She receives fluid resuscitation, and you organise some tests to find out why she is so tired. Pay specific attention to fluid status, looking for evidence of dehydration. Manage hydration Children may be dehydrated or present with signs of fluid overload.

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Managing a patient with decompensated liver cirrhosis

Mind The Bleep

9 There is no role for Tranexamic acid in upper GI bleeding and its use is harmful to patients 11 Escalate to a senior early for consideration of a higher level of care Refer for early endoscopy after resuscitation with haemodynamic stability. GBD 2017 Cirrhosis Collaborators. On Day 3 (i.e. On Day 3 (i.e. Bull World Health Organ.

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

RebelEM

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. PMID: 36115743 Panchal, Ashish R., Circulation , 5 Nov. 2018, PMID: 30571262 Gritsenko, Diana, et al. 2, 2018, pp.

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

EB Medicine

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.

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Ovarian Torsion: Don’t get your knickers in a twist!

Don't Forget the Bubbles

Management ED management should focus on appropriate resuscitation of the patient and early referral to the surgical team. 2017) Pediatric Ovarian Torsion, Surg Clin North Am, 97(1):209-221. Ensure appropriate bay allocation in ED. How unstable is this patient? Do they need to be in the bay in front of your nursing station or in resus?

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EM@3AM: Hyperthermia

EMDocs

Evaporative cooling is the preferred method to actively reduce body temperature in the emergency department , as it can be performed with ongoing resuscitation efforts. Ice water immersion and iced peritoneal lavage are additional methods used to lower temperature but are more invasive or can prevent additional resuscitative efforts.