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Sickle Cell Disease Module

Don't Forget the Bubbles

Vaccination: PCV13 (pneumococcal vaccination), meningococcal vaccines, and Hib conjugated vaccines are important to prevent life-threatening sepsis. Sickle cell patients also qualify to receive the annual influenza vaccine, since influenza virus infection predisposes to bacterial pneumonia and sepsis caused by S. Pneumococcal sepsis B.

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emDOCs Revamp – Acute Chest Syndrome

EMDocs

2018 Aug;46(3):144-151. Epub 2018 Oct 17. 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 0.4 C or 100.4

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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). 2018, PMID: 30571262 Gritsenko, Diana, et al. 2018, PMID: 30571262 Gritsenko, Diana, et al. 2, 2018, pp. 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. Emerg (Tehran).

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Maintenance Fluids in Critical Illness

Don't Forget the Bubbles

Jasmine, a hypothetical case Jasmine is a 5-year-old girl weighing 18kg admitted to PICU with suspected sepsis. 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). 2018 Apr;44(4):409-417.

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Bilious Vomiting in the Neonate

Mind The Bleep

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. Other risk factors include prolonged rupture of membranes, preterm and maternal sepsis. Retrieved from Medscape: [link] Kimura K, L.-B.

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Managing a patient with decompensated liver cirrhosis

Mind The Bleep

These include infection & sepsis, GI bleeding, dehydration, AKI, alcohol consumption, constipation, and certain medications. PMID: 33067334; PMCID: PMC7788190 NICE Technology Appraisal guidance – TA337 (March 2015; reviewed June 2018): Rifaximin for preventing episodes of overt hepatic encephalopathy. On Day 3 (i.e.

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Hypoglycaemia in the ED

Don't Forget the Bubbles

His systemic examination is normal, apart from signs of dehydration. Depending on the presenting symptoms, it may be misdiagnosed as a variety of conditions, including psychiatric disorders, e.g. anorexia nervosa , depression, viral illness, post-viral fatigue, acute abdomen, cardiovascular disorders and sepsis. Starship Child Health.

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