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emDOCs Podcast – Episode 93: BRASH Syndrome

EMDocs

An inciting event will typically push them over the edge into BRASH syndrome: Dehydration Hypotension from sepsis or another condition GI illness Dosage increase of a chronic medication (e.g., 2020 Aug;59(2):216-223. The key is a patient who is on an AV nodal blocker and who has some sort of risk factor for renal insufficiency.

Shock 106
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emDOCs Podcast – Episode 100: Acute Chest Syndrome Part 1

EMDocs

Other causes of sickling: acidosis, dehydration, inflammation, infection, fever, and blood stasis Sickling leads to vascular occlusion, end-organ ischemia, and decreased RBC lifespan, which, in turn, leads to pain crisis, acute anemia, sequestration, infection, and acute chest syndrome (ACS.) Published 2020 Feb 12. times maintenance.

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EM@3AM: Sialadenitis

EMDocs

Risk factors include oral neoplasms, sialolithiasis, advanced age, dehydration, ductal foreign bodies, concomitant tracheostomy, and recent receipt of an anesthetic agent. Cham: Springer International Publishing; 2020:387-395. Patients who are immunocompromised may experience infection related to gram-negative organisms (e.g.,

EMS 96
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emDOCs Podcast – Episode 101: Acute Chest Syndrome Part 2

EMDocs

Other causes of sickling: acidosis, dehydration, inflammation, infection, fever, and blood stasis. Fluid management Goal is euvolemia Dehydration – needs IV fluid resuscitation. American Society of Hematology 2020 guidelines for sickle cell disease: transfusion support. Published 2020 Feb 12. times maintenance.

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Choosing Wisely – Investigations for seizures that have returned to baseline

Don't Forget the Bubbles

This may include specific clinical findings such as evidence of diarrhoea or vomiting, dehydration , meningitic signs, a history of significant head trauma immediately preceding the seizure, or failure to return to baseline. Reaffirmed October 17, 2020 Jaffe M, Bar-Joseph G, Tirosh E. 2000; 55(5):616-623. Pediatrics. Afebrile Seizures.

Seizures 131
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Haemolytic Uraemic Syndrome

Don't Forget the Bubbles

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. Cited June 2020]; 4 (11): 1261-1287. Cited June 2020]; Available from: [link] Hughes D.

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Don’t Forget the Orbeez!

Don't Forget the Bubbles

After Meshram et al, 2020 When Orbeez are exposed to water, the water molecules diffuse into the polymer network through osmosis. Other symptoms, such as constipation, abdominal pain and dehydration, were also be seen. This network enables Orbeez to retain their structure and not dissolve in water, yet allows them to swell. Metro, D.C.,