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Management is directed based on underlying etiology, but consider fluid resuscitation, antipyretics, and antibiotics as indicated. BioMed Research International, 2020, 1-10. Disposition is based on overall clinical presentation, inciting etiology, and consultant evaluation. Journal of Blood Medicine, Volume 13, 243-253. link] Fan, L.,
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.
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.
She appears pale and dehydrated , and her level of alertness fluctuates. She receives fluid resuscitation, and you organise some tests to find out why she is so tired. Pay specific attention to fluid status, looking for evidence of dehydration. Manage hydration Children may be dehydrated or present with signs of fluid overload.
9 There is no role for Tranexamic acid in upper GI bleeding and its use is harmful to patients 11 Escalate to a senior early for consideration of a higher level of care Refer for early endoscopy after resuscitation with haemodynamic stability. 2020 Mar;5(3):245-66. doi: 10.1136/gutjnl-2020-321790. Epub 2020 Oct 16.
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. As with soldiers in war, we know that as soon as we stop doing, we will start feeling.”
Management ED management should focus on appropriate resuscitation of the patient and early referral to the surgical team. 2020) Imaging in gynecological disease (20): clinical and ultrasound characteristics of adnexal torsion Ultrasound in Obstetrics & Gynecology, 56 (6): p934-943. Ensure appropriate bay allocation in ED.
Evaporative cooling is the preferred method to actively reduce body temperature in the emergency department , as it can be performed with ongoing resuscitation efforts. Ice water immersion and iced peritoneal lavage are additional methods used to lower temperature but are more invasive or can prevent additional resuscitative efforts.
2020 Feb 12;10(1):2470. 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
For patients who are elderly, orthostasis is an unreliable clinical finding and may be present in the absence of dehydration. For patients who are elderly, orthostasis is an unreliable clinical finding and may be present in the absence of dehydration. 9 In terms of assessing volume status in general, Joseph et al. Andrews et al.
Additional Treatments for Severe Electrolyte Derangements Severe Hyperuricemia If uric acid 8 mg/dL or 25% increase from baseline develops, then rasburicase should be administered in addition to IV fluid resuscitation. McGraw-Hill Education; 2020:962-963. original document created by author of post. Accessed January 21, 2025.
92 Refugee patients with SAM, dehydration, or shock should be admitted for further management. doi:10.1136/bmjgh-2020-002694 WHO Guideline on Control and Elimination of Human Schistosomiasis. ED Evaluation Transport to the ED from the refugee reception center takes 1 hour. link] Petrova V, Kristiansen P, Norheim G, Yimer SA.
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