Remove 2022 Remove Dehydration Remove Shock
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Food Protein Induced Enterocolitis Syndrome (FPIES)

Pediatric EM Morsels

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?!

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But Can You Just PO?

Taming the SRU

Other conditions that lead to intravascular fluid depletion include but are not limited to starvation/dehydration, vomiting, diarrhea, burns/trauma, hyperglycemia, and hemorrhage. Contraindications to ORT include evidence of severe dehydration which is defined as a volume loss greater than 10%. AtherlyJohn et al.

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Diabetic Ketoacidosis in Paediatrics

Mind The Bleep

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

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Travel-Related Illnesses in Children

Pediatric EM Morsels

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.

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End of Life Care in the ED

Northwestern EM Blog

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.

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Grand Rounds Recap 4.5.23

Taming the SRU

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.

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Rebaked: Inborn Errors of Metabolism presenting in the ED

Pediatric EM Morsels

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.