Mind The Bleep

DECEMBER 19, 2023

Common stressors in children and adolescents include: Infections: urinary tract infections, gastroenteritis, pneumonias, Poor compliance to insulin therapy, Dehydration, Fasting state, Heatstroke Trauma. or HCO3 10-15 mmol/L: mild DKA (5% dehydration) pH < 7.2 or HCO3 5-10 mmol/L: moderate DKA (5% dehydration) pH < 7.1

Dehydration 98

Dehydration Fluid Resuscitation Shock Resuscitation 98

Pediatric EM Morsels

MARCH 29, 2024

Dehydration Surgery Pregnancy ( If we don’t ask we don’t know ) Many important IEM are included in the Newborn Screen. Pediatr Rev (2022) 43 (7): 371–383. For milder forms of IEM, children can compensate until the body is under stress and may recover after stress (leading to delayed diagnosis). Pediatrics. 2000; 105:e 10. Samantha A.

Dehydration 289

Dehydration Pediatrics Sepsis EMS 289

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. 2022 Jun:56:113-116.

Infectious Diseases 161

Infectious Diseases Pediatrics Sepsis Documentation/Coding 161

EMDocs

JUNE 27, 2024

2022 Jul 5;328(1):57-68. 2022 Aug;58:235244. Epub 2022 Jun 11. 2022 Aug;58:235-244. Epub 2022 Jun 11. 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 mg/kg, max 4 mg per dose q20-30min) or hydromorphone (0.01-0.02

Pediatrics 75

Pediatrics EMS Dehydration Hospitals 75

Northwestern EM Blog

FEBRUARY 21, 2022

Emergency doctors know intuitively what trajectory patients are on, a chronically ill elderly patient presenting with shock requiring pressors have an extremely high mortality risk and we should be clear with families about that. 2022, Feb 21). Reassure and validate at every opportunity. End of Life Care in the ED.

Dehydration 52

Dehydration Shock Hospitals Wellness 52

Pediatric EM Morsels

JUNE 2, 2023

Patients with FPIES can have marked dehydration due to vomiting and diarrhea, even to the point of hypotension! – As always, treat symptoms and dehydration based on severity. Allergy Asthma Clin Immunol 18, 54 (2022). It may sound silly (“FPIES”), but it can be serious! Volume Status?!

Dehydration 189

Dehydration Shock Pediatrics Emergency Department 189

EMDocs

MARCH 11, 2024

The clinical picture of this patient was consistent with hypovolemic shock secondary to acute cholera infection. 2 As of 2022 cholera was estimated to be responsible for over 4 million cases and 143,000 deaths each year, with a case fatality rate of 50% without timely and appropriate treatment. cholerae in stool samples before culture.

Dehydration 90

Dehydration CDC Rapid Diagnostic Testing Fluid Resuscitation 90