Northwestern EM Blog

FEBRUARY 21, 2022

VitalTalk, 9 May 2019, www.vitaltalk.org/guides/transitionsgoals-of-care Expert Commentary This is a nice review of the steps of what can be a very difficult conversation from Drs. We’ve all seen an end-of-life situation generate a second patient with dehydration mediated syncopal episode at the bedside, let’s try to prevent that.

Dehydration 52

Dehydration Shock Hospitals Wellness 52

Pediatric Education

SEPTEMBER 3, 2023

With your sickle cell trait you usually shouldn’t have any problems, but dehydration could cause problems for you. Actually dehydration can cause problems for everyone, so just take an extra ounce or two than everyone else to really stay hydrated,” he counseled.

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Dehydration Hyperthermia / Hypothermia Pediatrics Military 40

RebelEM

FEBRUARY 2, 2023

Based on 2019 American Heart Association (AHA) guidelines, amiodarone and digoxin have been suggested as alternative options in controlling ventricular rate refractory to first-line BBs and non-DHP CCBs. Sepsis, hyperthyroidism, dehydration, heart failure, ACS, etc).

Emergency Department 52

Emergency Department Administration EMS Dehydration 52

Mind The Bleep

MAY 12, 2023

These include infection & sepsis, GI bleeding, dehydration, AKI, alcohol consumption, constipation, and certain medications. 12 References The British Liver Trust (2019). On Day 3 (i.e. 48 hours later) albumin is administered at 1g/kg. 9 Encephalopathy Look closely for a precipitant and treat accordingly! Bull World Health Organ.

Fluid Resuscitation 52

Fluid Resuscitation Dehydration Resuscitation Administration 52

Dr. Smith's ECG Blog

MARCH 15, 2023

IF the Patient is Younger and Athletic: The mechanism of AFib in younger, athletic individuals is often heavily influenced by increased vagal tone ( Rao and Shipon — ACC, 2019 — and — Calvo et al — Br J Sports Med, 2012 ). Ballatore et al — Medicina (Kaunas) 55(8): 497, 2019 — and — Page et al — Circulation 107:1141-1145, 2003 ).

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EKG/ECG Dehydration Stroke Shock 52

EB Medicine

DECEMBER 4, 2019

Nachi: As we are just about to see one of the busiest travel days of the year, that would be the Wednesday before Thanksgiving, we thought there would be no better time to discuss the September 2019 issue of EMP: Assisting With Air Travel Medical Emergencies: Responsibilities and Pitfalls. Nachi: So, I fly about 4 times a month for work.

Dehydration 40

Dehydration EMS Wellness Burns 40

EB Medicine

JULY 8, 2019

I’m Jeff Nusbaum and I’m back with Nachi Gupta for the 30 th episode of EMplify and the first Post-Ponte Vedra Episode of 2019. Consider IV access and early IV fluids in those at risk for dehydration and intra-abdominal infections. I hope everybody enjoyed a fantastic conference. At 6 to 8 mL/kg.

Emergency Department 40

Emergency Department Sepsis Operations Dehydration 40

Taming the SRU

MARCH 31, 2023

of emergency medicine residents report 1 or more dimensions of burnout (Lin Annals Emerg Med 2019) Moral Injury with COVID “We pushed aside our fear and frustration to focus on saving the patients in front of us; we kept our eyes open, and our feelings closed.

Allergic Reactions 40

Allergic Reactions Seizures Anaphylaxis Leadership 40

EB Medicine

AUGUST 1, 2018

Jeff: The hyperemetic phase lasts 24-48 hours and can lead to dehydration, electrolyte abnormalities, and weight loss. Be sure to look for and treat dehydration, acute renal failure, and rhabdo though. An RCT is underway in Canada on the use of ondansetron versus haloperidol with an estimated completion of July 2019.

Seizures 40

Seizures Hyperthermia / Hypothermia Administration Dehydration 40

EMDocs

DECEMBER 16, 2023

Wilderness Medical Society Clinical Practice Guidelines for the Prevention and Treatment of Heat Illness: 2019 Update. Wilderness Medical Society Clinical Practice Guidelines for the Prevention and Treatment of Heat Illness: 2019 Update. Temps greater than 41.5C Determine and treat underlying cause , consider multiple etiologies.

Hyperthermia / Hypothermia 94

Hyperthermia / Hypothermia EMS Stroke Seizures 94

Don't Forget the Bubbles

MAY 15, 2023

His systemic examination is normal, apart from signs of dehydration. Hoboken: Wiley-Blackwell; 2019. A history of consanguinity is important to consider when looking at metabolic disorders. Physical examination: Joey is well-grown. He is lethargic but alert. There are no signs of hyperpigmentation or dysmorphic features. Hypoglycaemia.

Wellness 103

Wellness Seizures Hospitals Dehydration 103

EMDocs

JUNE 27, 2024

2019 Jan 24;14:263-292. 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 4 mg per dose q20-30min) or hydromorphone (0.01-0.02

Pediatrics 97

Pediatrics Dehydration EMS Hospitals 97

Don't Forget the Bubbles

JULY 17, 2023

2023 Jun 14;46:8-23 One-year survival and outcomes of infants born at 22 and 23 weeks of gestation in Sweden 2004-2007, 2014-2016 and 2017-2019. 2023 Jun;182(6):2735-2757 Point-of-care ultrasound to assess degree of dehydration in children: a systematic review with meta-analysis. Dhondt E, et al. Eur J Paediatr Neurol. N Engl J Med.

Pediatrics 98

Pediatrics Emergency Department Outcomes Fractures 98

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.

Blood Transfusions 126

Blood Transfusions Stroke Dehydration Sepsis 126

EMDocs

JANUARY 20, 2025

For patients who are elderly, orthostasis is an unreliable clinical finding and may be present in the absence of dehydration. 36-37 There is little evidence regarding oral rehydration in adults with gastroenteritis, though it seems reasonable that adults with mild dehydration could be safely hydrated orally. Modified from: Pringle, K.,

Dehydration 75

Dehydration Fluid Resuscitation Sepsis Resuscitation 75

Taming the SRU

JANUARY 5, 2025

2019; 44(2): 327-334. mg/kg initially followed by 1mg/kg q6hrs Disposition NMS can be very severe and usually requires ICU level care. Nguyen H, Pan A, Smollin C, Cantrell LF, Kearney T. An 11-year retrospective review of cyproheptadine use in serotonin syndrome cases reported to the California Poison Control System. J Clin Pharm Ther.

Hyperthermia / Hypothermia 97

Hyperthermia / Hypothermia Dehydration Psychiatric Poisoning 97

Taming the SRU

NOVEMBER 18, 2024

Prolonged hiccups can also cause a myriad of negative health consequences including sleep deprivation, exhaustion, malnutrition, dehydration, and depression. Cham: Springer; 2019. However, as hiccups become increasingly frequent or persistent, they can be distressing for patients and can be a sign of underlying disease.

Stroke 86

Stroke Administration COPD Dehydration 86

Don't Forget the Bubbles

SEPTEMBER 23, 2024

Inadequate fluid consumption, combined with factors like hot weather or strenuous physical activity, can lead to gradual dehydration with cumulative effects. Differential Diagnosis of Acute Issues Dehydration Every child will have a minimum daily fluid intake goal to achieve. Are they achieving their daily hydration goals? Peruzzi, L.,

Pediatrics 52

Pediatrics Fractures Dehydration Sepsis 52

EMDocs

MARCH 11, 2024

3 Between 1990 and 2019, there were approximately 3 million deaths due to cholera globally, indicating a significant public health issue. 10 In non-endemic regions, suspicion arises in patients with severe dehydration or death from acute watery diarrhea. About 10% of people with cholera will experience severe symptoms.

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Dehydration CDC Rapid Diagnostic Testing Fluid Resuscitation 111

EMDocs

JANUARY 6, 2025

92 Refugee patients with SAM, dehydration, or shock should be admitted for further management. MUAC < 115 mm is indicative of severe acute malnutrition (SAM) and indicates the need for admission. 91 SAM may also be identified based on end-organ manifestations. Can J Surg J Can Chir. 2006;49(1):51-57. Accessed October 14, 2024.

Infectious Diseases 75

Infectious Diseases CDC PPE Rapid Diagnostic Testing 75