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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%. Updated 2023 Oct 22].

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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. It may sound silly (“FPIES”), but it can be serious! Volume Status?!

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Navigating the Quademic: Clinical Differentiation of Influenza, RSV, COVID-19, and Norovirus in Pediatric Emergency Care

PEMBlog

Common Complications : Dehydration : The primary concern in children, particularly when diarrhea and vomiting are profuse. Risk Stratification : Infants and young children are particularly vulnerable to severe dehydration in the absence of timely rehydration therapy. Updated 2023 Jan 23]. Updated 2023 Jun 20].

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Journal Feed Weekly Wrap-Up

EMDocs

2023 Mar-Apr;21(2):172-179. 2023 May 11;emermed-2023-213119. doi: 10.1136/emermed-2023-213119. 3: Can Clinical or Lab Variables Predict Dehydration Severity in Children with DKA? Spoon Feed Most pediatric patients with diabetic ketoacidosis (DKA) have mild to moderate dehydration. Ann Fam Med. Emerg Med J.

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Morel-Lavallée Lesion in Children

Pediatric EM Morsels

Sometimes this can be used to our advantage, like when we need to give subcutaneous fluids to a dehydrated patient without an IV, or when we need to give SQ medications for things like Sulfonylurea overdose , Hereditary Angioedema , or DVTs. Available at: [link] (Accessed: 12 June 2023). Available at: [link] (Accessed: 12 June 2023).

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Cerebral Edema and Diabetic Ketoacidosis: Rebaked

Pediatric EM Morsels

Kids < 5 years of age New onset of diabetes at presentation Longer duration of symptoms Severity of acidosis Elevated BUN Greater degree of dehydration and hyperventilation Cerebral Edema and DKA: Diagnostic Considerations Early detection and treatment is the best means to prevent brain injury and death.

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EM@3AM: Leukopenia

EMDocs

0000000000000305 Kazumi Y (2023) The Epidemiology and Outcomes of Leukopenia in Different Populations and Regions. Updated 2023 Aug 23]. Dale DC, Bolyard AA. An update on the diagnosis and treatment of chronic idiopathic neutropenia. Curr Opin Hematol. 2017;24(1):46-53. doi:10.1097/MOH.0000000000000305 J Blood Disord Transfus.

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