Don't Forget the Bubbles

JANUARY 17, 2024

2021 A plain abdominal X-ray shows multiple dilated loops of bo wel. Other symptoms, such as constipation, abdominal pain and dehydration, were also be seen. 2021 These beads, once hydrated inside the body, reached considerable sizes. He had vomited up one water bead and it was considerably bigger than when it went in.

Pediatrics 111

Pediatrics Poisoning Ultrasounds Dehydration 111

Pediatric Emergency Playbook

JANUARY 1, 2022

Early presentation from 3 to 5 weeks of age: projectile vomiting Later presentation up to 12 weeks: dehydration, failure to thrive, possibly the elusive olive Labs may show hypOchloremic, hypOkalemic metabOlic acidosis: “ all the Os ” Watch out for hyperbilirubinemia, the “icteropyloric syndrome”: unconjugated hyperbilirubinemia from dehydration.

Dehydration 52

Dehydration Pediatrics Ultrasounds 52

Taming the SRU

AUGUST 27, 2024

Mortality rates related to bullous skin lesions are typically related to disruption of the skin barrier and include subsequent dehydration, electrolyte imbalances, hypothermia, increased metabolic needs, and secondary infection leading to bacteremia and/or sepsis. J Am Acad Dermatol 2021; 84:1782. Nature 2004; 428:486. MRCP (n.d.).

Emergency Department 83

Emergency Department Dehydration Burns Sepsis 83

Don't Forget the Bubbles

MARCH 18, 2024

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. 2021 [cited 2023 Nov 30]. She is apyrexial, tachycardic and normotensive. Rch.org.au.

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Dehydration Infectious Diseases Seizures Pediatrics 59

Mind The Bleep

FEBRUARY 27, 2024

This is a child who is clearly dehydrated and unable to tolerate oral fluids therefore IV fluids are the best option. Once cardiovascular status has improved start maintenance fluids at 38ml/hr, monitor urine output closely, liaise with your local paediatric renal team. Answers (1) [B] is the correct answer.

Fluid Resuscitation 96

Fluid Resuscitation Dehydration Hospitals Research 96

Mind The Bleep

MAY 12, 2023

These include infection & sepsis, GI bleeding, dehydration, AKI, alcohol consumption, constipation, and certain medications. 2021 Jan;70(1):9-29. On Day 3 (i.e. 48 hours later) albumin is administered at 1g/kg. 9 Encephalopathy Look closely for a precipitant and treat accordingly! Child CG, Turcotte JG. Major Probl Clin Surg.

Fluid Resuscitation 52

Fluid Resuscitation Dehydration Resuscitation Administration 52

Don't Forget the Bubbles

JANUARY 10, 2024

These were presented as hazard ratios and included fever at presentation, previous transfusion ever, haemoglobinuria, malaria, sickle cell disease on enrolment, HIV, evidence of sepsis, malnutrition, shock, hypothermia, and dehydration. 29842 Global status report on blood safety and availability 2021: World Health Organization.

Blood Transfusions 78

Blood Transfusions Research Outcomes Hospitals 78

EMDocs

DECEMBER 16, 2023

Temps greater than 41.5C per minute) 1,4 Body bag may be utilized if no immersion tank available 3 Evaporative cooling (DT 0.1C Determine and treat underlying cause , consider multiple etiologies. C., & Mathai, D. Predictors of multi-organ dysfunction in heatstroke. Emergency medicine journal : EMJ , 22 (3), 185–187. link] Jang, S.

Hyperthermia / Hypothermia 96

Hyperthermia / Hypothermia EMS Stroke Seizures 96

Pediatric EM Morsels

FEBRUARY 2, 2024

Abdel-Haq 2021). Travel dates can help to exclude certain infections by their incubation periods (Abdel-Haq 2021) Physical examination can sometimes reveal concerning features including hepatomegaly , jaundice or a rash that may guide differential. A study of swiss tourists found they compromised 53.4%

Infectious Diseases 164

Infectious Diseases Pediatrics Sepsis Documentation/Coding 164

EMDocs

JUNE 27, 2024

2021 Sep;194(5):899-907. Epub 2021 Jul 15. 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 Br J Haematol.

Pediatrics 98

Pediatrics Dehydration EMS Hospitals 98

EMDocs

NOVEMBER 4, 2024

2021 Apr;28(4):444-454. Epub 2021 Jan 2. 2021 Feb;60(2):165-174. 2021 Feb;60(2):165-174. Effects of hydration and dehydration on blood rheology in sickle cell trait carriers during exercise. Sep 2015;66(3):222-229.e1. doi:10.1016/j.annemergmed.2015.03.004 2015.03.004 Balzer N, McLeod SL, Walsh C, Grewal K.

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Emergency Department Fractures Burns EMS 105

Don't Forget the Bubbles

JANUARY 1, 2024

Data collected from 2002 to 2021 revealed a 72% decline in IPD incidence among children (<18 years), with continued reductions after the transition from PCV7 to PCV13. During the COVID-19 pandemic (2020-2021), the incidence of IPD reached its lowest level in 20 years. You will find the list is broken down into four sections: 1.Reviews

Pediatrics 98

Pediatrics Ultrasounds Blood Transfusions Sepsis 98

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

EMDocs

APRIL 1, 2025

Aseptic causes (less common): thrombophilia, maxillofacial/ocular surgery or trauma, dehydration, systemic disease including sepsis or autoimmune disease, intracranial tumors, and medications, though these are less common. thrombophilia, head/neck operation or trauma, dehydration, etc.) 2021 Nov-Dec;66(6):1021-1030.

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Dehydration Sepsis Seizures Resuscitation 97

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? Carle, A.C.,

Pediatrics 52

Pediatrics Fractures Dehydration Sepsis 52

EMDocs

MARCH 11, 2024

As the disease progress the patients will experience profound dehydration and start to develops signs and symptoms such as: Rapid heart rate Loss of skin elasticity Dry mucous membranes Low blood pressure If left untreated, severe dehydration may lead to kidney failure, shock, coma, and death within hours. Accessed March 5, 2024.

Dehydration 111

Dehydration CDC Rapid Diagnostic Testing Fluid Resuscitation 111

EMDocs

DECEMBER 9, 2024

Source: By Dr Graham Beards – Own work, CC BY-SA 4.0, [link] Less common physical exam findings associated with mpox complications can include secondary skin infections, proctitis, bronchopneumonia, diarrhea and dehydration, eye-related issues, and, in very rare cases, encephalitis. Microbes Infect Chemother. 2022;2:e1353.

CDC 75

CDC Documentation/Coding Infectious Diseases Dehydration 75

EMDocs

JANUARY 6, 2025

92 Refugee patients with SAM, dehydration, or shock should be admitted for further management. 2021-0784 Long B, MacDonald A, Liang SY, et al. Published online July 1, 2021. MUAC < 115 mm is indicative of severe acute malnutrition (SAM) and indicates the need for admission. Leptospirosis Fact Sheet for Clinicians.

Infectious Diseases 75

Infectious Diseases CDC PPE Rapid Diagnostic Testing 75