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But Can You Just PO?

Taming the SRU

Fluid management in the Emergency Department (ED) is crucial in the adequate resuscitation of the acutely ill and decompensating patient. Other conditions that lead to intravascular fluid depletion include but are not limited to starvation/dehydration, vomiting, diarrhea, burns/trauma, hyperglycemia, and hemorrhage.

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Bullous Skin Lesions, Meet Emergency Medicine

Taming the SRU

Mortality rates related to bullous skin lesions are typically related to disruption of the skin barrier and include subsequent dehydration, electrolyte imbalances, hypothermia, increased metabolic needs, and secondary infection leading to bacteremia and/or sepsis. What can you do from the Emergency Department if suspected?

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Scope This! A Podcast on Gastroesophageal Reflux and Gastritis

PEMBlog

It’s a burning sensation in the chest or epigastrium, and that is the classic symptom in this age group. Now, in the pediatric emergency department, the diagnosis of reflux is primarily clinical. Maybe parents will have to thicken the feeds, but I do not recommend this in the emergency department.

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Pediatric Diarrhea with Dr. Jay Larmon

Downeast Emergency Medicine

OVERVIEW Diarrhea is a common complaint for our pediatric patients in the emergency department. Just like other patients in the emergency department, the child should be recognized as “sick” or “not sick.” Illustrated below is a dehydration scale from Pediatric Dehydration to help guide management (Vega et al).[1,7]

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Pain Management of Common Chief Complaints in the ED

EMDocs

21 Case: A 40-year-old male presents to the ED with a burning epigastric pain that has been worsening over the past week. Pain can be gnawing, aching, burning, and located in the upper abdomen. J Emerg Med. Low-dose Ketamine For Acute Pain Control in the Emergency Department: A Systematic Review and Meta-analysis.

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IV fluids in the ED: When do we really need them?

EMDocs

For patients who are elderly, orthostasis is an unreliable clinical finding and may be present in the absence of dehydration. 36-37 There is little evidence regarding oral rehydration in adults with gastroenteritis, though it seems reasonable that adults with mild dehydration could be safely hydrated orally. Modified from: Pringle, K.,

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ED care of refugee populations from sub-Saharan Africa

EMDocs

92 Refugee patients with SAM, dehydration, or shock should be admitted for further management. HIV Prevention and Treatment: The Evolving Role of the Emergency Department. Ann Emerg Med. Physical injuries and burns among refugees in Lebanon: implications for programs and policies. Int J Environ Res Public Health.