Pediatric EM Morsels
JUNE 16, 2023
Sometimes this can be used to our advantage, like when we need to give subcutaneous fluids to a dehydrated patient without an IV, or when we need to give SQ medications for things like Sulfonylurea overdose , Hereditary Angioedema , or DVTs. The subcutaneous space is a vast region of potential space where things can collect.
Mind The Bleep
DECEMBER 19, 2023
Common stressors in children and adolescents include: Infections: urinary tract infections, gastroenteritis, pneumonias, Poor compliance to insulin therapy, Dehydration, Fasting state, Heatstroke Trauma. or HCO3 10-15 mmol/L: mild DKA (5% dehydration) pH < 7.2 or HCO3 5-10 mmol/L: moderate DKA (5% dehydration) pH < 7.1
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EMDocs
MAY 25, 2024
Risk factors include oral neoplasms, sialolithiasis, advanced age, dehydration, ductal foreign bodies, concomitant tracheostomy, and recent receipt of an anesthetic agent. Published 2018 Nov 15. Patients who are immunocompromised may experience infection related to gram-negative organisms (e.g., J Clin Imaging Sci. 2020;64:87-104.
Don't Forget the Bubbles
JULY 5, 2023
Infections, fever, acidosis, hypoxia, dehydration and exposure to extreme temperatures can trigger VOC even though often no cause is identified. Home analgesia: Advise families at home to increase fluid intake to avoid dehydration (dehydration will prolong painful episodes). Rotavirus gastroenteritis and dehydration C.
Don't Forget the Bubbles
MARCH 18, 2024
She appears pale and dehydrated , and her level of alertness fluctuates. Pay specific attention to fluid status, looking for evidence of dehydration. Manage hydration Children may be dehydrated or present with signs of fluid overload. 2018 [cited 2023 Dec 3]. She is apyrexial, tachycardic and normotensive. Oct 30 2019.
Don't Forget the Bubbles
NOVEMBER 15, 2023
If the fractional excretion of sodium is <1%, you agree with your consultant that you will also ask the nurses to account for the replacement of 5% dehydration (900ml) over 48h (≈ 19ml/h). Given the present urine output of 0.3ml/kg/hr and no dehydration replacement, you estimate she will receive ~1mmol/kg/day of sodium.
The Skeptics' Guide to EM
SEPTEMBER 7, 2018
[display_podcast] Date: September 5th, 2018 Reference: Franklin et al. NEJM March 2018. display_podcast] Date: September 5th, 2018 Reference: Franklin et al. NEJM March 2018. She is not clinically dehydrated and has a temp of 38.2C A Randomized Trial of High-Flow Oxygen Therapy in Infants with Bronchiolitis.
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