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Food Protein Induced Enterocolitis Syndrome (FPIES)

Pediatric EM Morsels

Our patients have varied past medical histories that require us to be well-versed in even the most uncommon disorders (or know where to look things up in a pinch)! Patients with FPIES can have marked dehydration due to vomiting and diarrhea, even to the point of hypotension! Allergy Asthma Clin Immunol 18, 54 (2022).

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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. Out of 18 patients receiving ORT, 4 failed to respond well and were escalated to IV therapy. Oral intake is the most preferred method for receiving fluids.

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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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EM@3AM: Sialadenitis

EMDocs

Risk factors include oral neoplasms, sialolithiasis, advanced age, dehydration, ductal foreign bodies, concomitant tracheostomy, and recent receipt of an anesthetic agent. Treasure Island (FL): StatPearls Publishing; September 26, 2022. Updated 2022 Aug 8]. Pseudomonas aeruginosa , Escherichia coli ). In: StatPearls.

EMS 92
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EM@3AM: Leukopenia

EMDocs

Well keep it short, while you keep that EM brain sharp. A previously healthy 23-year-old male with no medical or surgical history presents to the ED with generalized malaise and no energy, progressively getting worse over the last six weeks. 10^9/L) Moderate (0.50.9 10^9/L) Severe (< 0.5 10^9/L) Generalized leukopenia (i.e.

EMS 80
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emDOCs Podcast – Episode 94: GLP-1 Agonist Complications

EMDocs

Multiple well-designed, multicenter, multinational studies suggest GLP-1 agonists are associated with improved glucose control in diabetes type 2 and approximately a 15% reduction in weight over 1-2 years (around 2/3s of patients regain weight if treatment is stopped). Last updated June 29, 2022. 2022 Dec 7;13:1043789.

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EQUAL: a Straightforward Approach To Caring for Disabled Patients

ACEP Now

Oftentimes, it can be an indication of pain, infection, distress, anxiety, dehydration, or the first sign of sepsis. If they are part of the Deaf community, ensure that they have an American Sign Language interpreter present, as well as an in-person interpreter to best communicate the emotion behind their speech. 2022; 14: 441–456.