Remove 2018 Remove Burns Remove Dehydration
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Found comatose with prehospital ECG showing "bigeminal PVCs" and "Tachycardia at a rate of 156"

Dr. Smith's ECG Blog

The patient had a glucose of 1400, was severely dehydrated, and after receiving 4 liters of fluid, albuterol, and insulin, the K had dropped precipitously to 5.8 Comment by K EN G RAUER, MD ( 12/11/2018 ): = I love this case — because it brings home 3 of my favorite teaching points about electrolyte disorders and ECG interpretation.

EKG/ECG 52
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Pediatric Diarrhea with Dr. Jay Larmon

Downeast Emergency Medicine

Illustrated below is a dehydration scale from Pediatric Dehydration to help guide management (Vega et al).[1,7] 1,7] From Vega RM, Avner JR: A prospective study of the usefulness of clinical and laboratory parameters for predicting percentage of dehydration in children. Look for red flags of severe dehydration (i.e.

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Pain Management of Common Chief Complaints in the ED

EMDocs

21 Case: A 40-year-old male presents to the ED with a burning epigastric pain that has been worsening over the past week. Pain can be gnawing, aching, burning, and located in the upper abdomen. 2018 Nov;19(6):952-960. Epub 2018 Sep 10. The pain is worse after meals and at night, but improves with antacids. 2018.8.37875.

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IV fluids in the ED: When do we really need them?

EMDocs

For patients who are elderly, orthostasis is an unreliable clinical finding and may be present in the absence of dehydration. 2018 30 attempted to study this in the United Kingdom (UK) and Ireland; in a feasibility trial, they were able to enroll only 75 patients in 9 months across 13 medical centers. 11 A study by Stephan et al.

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ED care of refugee populations from sub-Saharan Africa

EMDocs

92 Refugee patients with SAM, dehydration, or shock should be admitted for further management. doi:10.1136/bmjgh-2018-001114 Okesanya OJ, Olatunji GD, Kokori E, et al. Published online January 30, 2018. Physical injuries and burns among refugees in Lebanon: implications for programs and policies. BMJ Glob Health.