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emDOCs Podcast – Episode 94: GLP-1 Agonist Complications

EMDocs

Severe diarrhea and vomiting may lead to volume loss, dehydration, and hypotension (not common). Hypersensitivity/dermatologic: GLP-1 agonists are synthetic peptides; may lead to antibody formation and allergic reaction/injection site reaction. There is an association with pancreatitis.

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Subcutaneous Rehydration

Pediatric Emergency Playbook

⇒ You have a stable child who just needs fluids, but no laboratory tests ⇒ You’ve tried PO hydration, to no avail, despite anti-emetics ⇒ You’re poking the stable, but dehydrated child repeatedly without success What now? Hypodermoclysis to treat dehydration: a review of the evidence. Everything else is just finesse.

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Grand Rounds Recap 3.15.23

Taming the SRU

of emergency medicine residents report 1 or more dimensions of burnout (Lin Annals Emerg Med 2019) Moral Injury with COVID “We pushed aside our fear and frustration to focus on saving the patients in front of us; we kept our eyes open, and our feelings closed.

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Episode 36 - Diagnosis and Management of Acute Gastroenteritis in the Emergency Department

EB Medicine

Laboratory Testing and Imaging: Dehydration is the biggest contributor to mortality, especially in the very young and elderly. Lab evaluation for dehydration is recommended in these populations. IV hydration for patients with severe dehydration, hypovolemic shock, septic shock, or failed oral rehydration. But PPV was only 24%.

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Episode 33 - Acute Bronchiolitis: Assessment and Management in the Emergency Department (Pharmacology CME)

EB Medicine

Emergency Department Treatment Oxygen Keep O2 saturation >90% Clinicians may choose not to use continuous pulse oximetry (weak recommendation due to low-level evidence and reasoning) 1 Fluids IV or NG administration of fluids to combat dehydration, until respiratory distress and tachypnea resolve.