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The parents of 18-month-old Susie brought her to the EmergencyDepartment after she had a seizure at home. 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.
After Meshram et al, 2020 When Orbeez are exposed to water, the water molecules diffuse into the polymer network through osmosis. Curious Ken is brought into your emergencydepartment. Other symptoms, such as constipation, abdominal pain and dehydration, were also be seen. What are the risks of water beads? Zamora et al.,
A 75-year-old male with past history of HTN, CVA, DM II presents to the emergencydepartment with right facial swelling since last night. WikEM, The Global Emergency Medicine Wiki. September 9, 2020. Emergency Medicine Residents’ Association; 2022. We’ll keep it short, while you keep that EM brain sharp.
A 45-year-old outdoor enthusiast presents to the emergencydepartment with fever, headache, myalgias, and malaise. BioMed Research International, 2020, 1-10. Management is directed based on underlying etiology, but consider fluid resuscitation, antipyretics, and antibiotics as indicated. No rash is identified. link] Fan, L.,
Written by Bobby Nicholson MD, with edits by Meyers, Smith, Grauer A woman in her early 40s presented to the emergencydepartment for evaluation of palpitations. ie, dehydration, periods of increased stress or anxiety, stimulants such as caffeine, alcohol, recreational drugs, etc.); How often she gets it? —
Let’s take the humble blood transfusion – used in emergencydepartments across the globe and playing a key role in critical care. In 2020, the TRACT investigators shared their results with key stakeholders at a meeting with paediatric and blood transfusion groups from Africa. Groups were well matched at baseline.
Diarrhea is one of the most common complaints in the pediatric emergencydepartment, especially in the summer and early fall. Considering HUS and treating dehydration early has been shown to help keep the dialysis machine away! Protect the Kidneys! References: Glatstein M, Miller E, Garcia-Bournissen F, Scolnik D. Bergmann, K.,
We dont often cover gynaecological presentations in the emergencydepartment and most chronic gynaecological problems go through the primary care referral pathway. However, CT scans remain largely more obtainable in a time critical case, in an emergencydepartment setting. Childress K.J, Dietrich J.E doi: 10.1016/j.suc.2016.08.008.
An 18-month-old boy presents to the emergencydepartment with loss of consciousness. Evaporative cooling is the preferred method to actively reduce body temperature in the emergencydepartment , as it can be performed with ongoing resuscitation efforts. Temps greater than 41.5C M., & Lipman, G. link] Douma, Aves, T.,
2020 Feb 12;10(1):2470. Intranasal fentanyl and discharge from the emergencydepartment among children with sickle cell disease and vaso-occlusive pain: A multicenter pediatric emergency medicine perspective. C or 100.4 mg/kg, max 4 mg per dose q20-30min) or hydromorphone (0.01-0.02 mg/kg, max 0.4 Annu Rev Pathol.
Internationally Acquired Severe Systemic Infections in Febrile Pediatric Travelers Presenting to the EmergencyDepartment. Pediatr Emerg Care. Hospitalization for travel-related illness are around 10% for both VFR and tourists (Leuthard 2015) Multiple studies have reported the most common travel infections in various countries.
2023 Jun 1;76(6):731-736 The Association Between Media-Based Exposure to Nonsuicidal Self-Injury and EmergencyDepartment Visits for Self-Harm. coli urine tract infections in children treated in primary care and emergencydepartment. Trends in Reasons for Human Papillomavirus Vaccine Hesitancy: 2010-2020.
The Treatment of Acute Pain in the EmergencyDepartment: A White Paper Position Statement Prepared for the American Academy of Emergency Medicine. J Emerg Med. Intravenous Subdissociative-Dose Ketamine Versus Morphine for Analgesia in the EmergencyDepartment: A Randomized Controlled Trial. Acad Emerg Med.
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.,
You are working in the paediatric emergencydepartment of a busy District General Hospital. These centres have a close relationship with their patients, but this does not mean they may not turn up at your emergencydepartment! How does your differential diagnosis change? What about your diagnostic workup? Callender, G.,
Work-up and Diagnosis in the EmergencyDepartment Initial presentation of TLS typically includes generalized symptoms such as gastrointestinal distress, decreased appetite, muscle cramping, palpitations, hematuria / oliguria, and altered mental status. Tintinallis Emergency Medicine: A Comprehensive Study Guide.
92 Refugee patients with SAM, dehydration, or shock should be admitted for further management. HIV Prevention and Treatment: The Evolving Role of the EmergencyDepartment. Ann Emerg Med. doi:10.1136/bmjgh-2020-002694 WHO Guideline on Control and Elimination of Human Schistosomiasis. Int J Environ Res Public Health.
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