Pediatric EM Morsels

JULY 28, 2023

The exact mechanism is not known… It was previously believed that it was due to rapid changes in serum osmolality during initial fluid resuscitation. ISPAD Clinical Practice Consensus Guidelines 2022: Diabetic ketoacidosis and hyperglycemic hyperosmolar state. 2022; 23( 7): 835- 856. Lesson = treat early!

Fluid Resuscitation 245

Fluid Resuscitation Pediatrics Resuscitation Research 245

ACEP Now

OCTOBER 3, 2023

This document is an update of guidelines first published in 2000, and then updated in 2007. Confounders to the GCS such as seizure and post-ictal phase, ingestions and drug overdose, as well as medications administered in the prehospital setting that impact GCS score should be documented. Accessed 2022, [link]. J Safety Res.

Documentation/Coding 98

Documentation/Coding Fluid Resuscitation Resuscitation EMS 98

ACEP Now

MARCH 14, 2024

Treatment for burns should focus on fluid resuscitation as appropriate based on your institution’s burn protocol per Brooke, Parkland, Rule of 10s etc. Documentation with coronary arteriography within 12 1/2 hours of the onset of symptoms in two cases (three episodes). Emerg Med Pract. 2018 Nov;20(11):1-20. Am J Cardiol.

Burns 52

Burns Fluid Resuscitation EKG/ECG EMS 52

Mind The Bleep

FEBRUARY 27, 2024

There could be any number of reasons for this but some examples are: they have severe D&V and aren’t keeping fluids down, or because they are pre or post-op, or have presented very unwell and need fluid resuscitation. saline + 5% dextrose or plasma-lyte 148 + 5% dextrose.

Fluid Resuscitation 96

Fluid Resuscitation Hospitals Dehydration Research 96

ACEP Now

FEBRUARY 11, 2024

There have been documented cases of overdose, and of note, there is no known antidote. Management of symptoms is the same for all of these, relying upon fluid resuscitation, antiemetics, and electrolyte repletion. Updated December 11, 2022. Bansal AB, Al Khalili Y. In: StatPearls [Internet]. Published January 2023.

Seizures 52

Seizures Fluid Resuscitation Poisoning EKG/ECG 52