2022, Dehydration and Emergency Department

Food Protein Induced Enterocolitis Syndrome (FPIES)

Pediatric EM Morsels

JUNE 2, 2023

Today we are talking about a rare disease called FPIES (food protein induced enterocolitis syndrome) and how you might encounter these patients in the Pediatric Emergency Department. Patients with FPIES can have marked dehydration due to vomiting and diarrhea, even to the point of hypotension! Volume Status?!

Dehydration

Dehydration Shock Pediatrics Emergency Department

Travel-Related Illnesses in Children

Pediatric EM Morsels

FEBRUARY 2, 2024

In one ED study, ALL cases of missed travel-related illness did not have a documented travel history in their ED note , whereas 90% of the identified travel-related illnesses had a provider documented travel history (Greenky 2022) Those who are visiting friends and relatives (VFR) are typically at highest risk. Am J Emerg Med.

Infectious Diseases

Infectious Diseases Pediatrics Sepsis Documentation/Coding

Choosing Wisely – Investigations for seizures that have returned to baseline

Don't Forget the Bubbles

SEPTEMBER 13, 2023

The parents of 18-month-old Susie brought her to the Emergency Department after she had a seizure at home. An expert committee appraised the evidence behind recommendations to avoid imaging to inform the 2022 NICE guidance. Emergency management of the paediatric patient with convulsive status epilepticus. Pediatrics.

Seizures

Seizures Pediatrics Emergency Department Radiology

But Can You Just PO?

Taming the SRU

DECEMBER 17, 2024

Fluid management in the Emergency Department (ED) is crucial in the adequate resuscitation of the acutely ill and decompensating patient. Other conditions that lead to intravascular fluid depletion include but are not limited to starvation/dehydration, vomiting, diarrhea, burns/trauma, hyperglycemia, and hemorrhage.

Dehydration

Dehydration Fluid Resuscitation Administration Resuscitation

Amiodarone Versus Digoxin for Acute Rate Control of Atrial Fibrillation in the Emergency Department

RebelEM

FEBRUARY 2, 2023

Background Information: Atrial fibrillation with rapid ventricular rate (RVR) is one of the many tachydysrhythmias we encounter in the Emergency Department (ED). Amiodarone versus digoxin for acute rate control of atrial fibrillation in the emergency department. Am J Emerg Med. Am J Emerg Med. 2022 Sep 7.

Emergency Department

Emergency Department Administration EMS Dehydration

Bubble Wrap PLUS – July ’23

Don't Forget the Bubbles

JULY 17, 2023

2023 Jun 20:archdischild-2022-324884. 2023 Jun 5:archdischild-2022-325148. 2023 Jun 1;76(6):731-736 The Association Between Media-Based Exposure to Nonsuicidal Self-Injury and Emergency Department Visits for Self-Harm. 2023 Jun 12:archdischild-2022-325029. Jamaluddine Z, et al. Arch Dis Child. Selin S, et al.

Pediatrics

Pediatrics Emergency Department Outcomes Fractures

EM@3AM: Suppurative Parotitis

EMDocs

JULY 29, 2023

A 75-year-old male with past history of HTN, CVA, DM II presents to the emergency department with right facial swelling since last night. WikEM, The Global Emergency Medicine Wiki. Emergency Medicine Residents’ Association; 2022. We’ll keep it short, while you keep that EM brain sharp. RR 18, SpO2 97% on RA.

EMS

EMS Dehydration Ultrasounds Emergency Department

emDOCs Revamp – Acute Chest Syndrome

EMDocs

JUNE 27, 2024

2022 Jul 5;328(1):57-68. Am J Emerg Med. 2022 Aug;58:235244. Epub 2022 Jun 11. Am J Emerg Med. 2022 Aug;58:235-244. Epub 2022 Jun 11. 2022 Aug 29;13:796837. 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

Pediatrics

Pediatrics EMS Dehydration Hospitals

Don’t Forget the Orbeez!

Don't Forget the Bubbles

JANUARY 17, 2024

Curious Ken is brought into your emergency department. Other symptoms, such as constipation, abdominal pain and dehydration, were also be seen. Pediatric Emergency Care, 31 (8), pp.605-607. Journal of The Korean Society of Emergency Medicine , 33 (1), pp.134-138. What are the risks of water beads? Zamora et al.,

Pediatrics

Pediatrics Poisoning Ultrasounds Dehydration

Paediatric Constipation

Mind The Bleep

MAY 16, 2023

It is also sensible to advised to ensure good fluid intake throughout treatment to help avoid dehydration which can occur with laxatives. Harvey S, “ How to Use the Bristol Stool Chart in Childhood Constipation ,” Archives of Disease in Childhood: Education & Practice, 2022. [3] Available: [link]. [4]

Dehydration

Dehydration Best Practices Documentation/Coding Emergency Department

Grand Rounds Recap 4.5.23

Taming the SRU

APRIL 13, 2023

beta blockers decrease ability to dissipate heat through increase CO, diuretics predispose to dehydration, or anticholinergic agents can affect thermoregulation) Clinical Presentation: Temperature elevation, usually 40.5C EtOH, amphetamines, or cocaine) Prescription drugs (i.e. This showed no difference in Cormack-Lehane score.

Hyperthermia / Hypothermia

Hyperthermia / Hypothermia Poisoning EKG/ECG Seizures

Back to basics: what is this rhythm? What are your options for treating this patient?

Dr. Smith's ECG Blog

OCTOBER 25, 2022

Written by Bobby Nicholson MD, with edits by Meyers, Smith, Grauer A woman in her early 40s presented to the emergency department for evaluation of palpitations. ie, dehydration, periods of increased stress or anxiety, stimulants such as caffeine, alcohol, recreational drugs, etc.); She had an echocardiogram which was normal.

EKG/ECG

EKG/ECG Administration Dehydration Emergency Department

Cholera: ED presentation, evaluation, and management

EMDocs

MARCH 11, 2024

Louis) // Reviewed by: Joshua Lowe, MD (EM Staff Physician, USAF); Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) Case A 25-year-old woman presented to the emergency department (ED) in Uganda with acute encephalopathy. 11 The presentation of cholera on physical examination depends on the patient’s level of dehydration.

Dehydration

Dehydration CDC Rapid Diagnostic Testing Fluid Resuscitation

Caring for children after a kidney transplant

Don't Forget the Bubbles

SEPTEMBER 23, 2024

You are working in the paediatric emergency department 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 emergency department! How does your differential diagnosis change? What about your diagnostic workup? Winterberg, P.D.

Pediatrics

Pediatrics Fractures Dehydration Sepsis

EM@3AM: Hyperthermia

EMDocs

DECEMBER 16, 2023

An 18-month-old boy presents to the emergency department with loss of consciousness. Evaporative cooling is the preferred method to actively reduce body temperature in the emergency department , as it can be performed with ongoing resuscitation efforts. Updated 2022 Oct 24]. Temps greater than 41.5C

Hyperthermia / Hypothermia

Hyperthermia / Hypothermia EMS Stroke Seizures

Pain Management of Common Chief Complaints in the ED

EMDocs

NOVEMBER 4, 2024

The Treatment of Acute Pain in the Emergency Department: 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 Emergency Department: A Randomized Controlled Trial. Acad Emerg Med.

Emergency Department

Emergency Department Fractures Burns EMS

Mpox in adult patients: updates on diagnosis and clinical management in the ED

EMDocs

DECEMBER 9, 2024

Authors: Noah Kronk, MS-4 (University of Missouri-Columbia); Jessica Pelletier, DO, MHPE (APD, EM Attending Physician, University of Missouri-Columbia, USA) // Reviewed by: Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) Case A 30-year-old female presents to the emergency department (ED) with fever, fatigue, and an extensive rash.

CDC

CDC Documentation/Coding Infectious Diseases Dehydration

Emergency Care Today

Food Protein Induced Enterocolitis Syndrome (FPIES)

Travel-Related Illnesses in Children

Trending Sources

Choosing Wisely – Investigations for seizures that have returned to baseline

But Can You Just PO?

Amiodarone Versus Digoxin for Acute Rate Control of Atrial Fibrillation in the Emergency Department

Bubble Wrap PLUS – July ’23

EM@3AM: Suppurative Parotitis

emDOCs Revamp – Acute Chest Syndrome

Don’t Forget the Orbeez!

Paediatric Constipation

Grand Rounds Recap 4.5.23

Back to basics: what is this rhythm? What are your options for treating this patient?

Cholera: ED presentation, evaluation, and management

Caring for children after a kidney transplant

EM@3AM: Hyperthermia

Pain Management of Common Chief Complaints in the ED

Mpox in adult patients: updates on diagnosis and clinical management in the ED

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