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Journal Feed Weekly Wrap-Up

EMDocs

These results support CDC recommendations that vaginal swabs are the preferred sample modality when testing for STIs in women. 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.

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Failure to thrive

Don't Forget the Bubbles

CDC growth charts are commonly used for children two years or older. Are there signs of significant dehydration or malnutrition? If severely dehydrated or malnourished, then they require admission for close monitoring with rehydration and refeeding. Eur J Pediatr. First and foremost, do they look well or unwell?

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Travel-Related Illnesses in Children

Pediatric EM Morsels

Pediatric patients with recent travel and fever of unknown origin should be considered for admission if malaria is a possible diagnosis. Fever in the Returned Pediatric Traveler. Glob Pediatr Health. Curr Probl Pediatr Adolesc Health Care. Malaria requires 3 negative thick and thin smears over 12 hours to fully exclude.

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Pain Management of Common Chief Complaints in the ED

EMDocs

Eosinophils and mast cells as therapeutic targets in pediatric functional dyspepsia. CDC Guideline for Prescribing Opioids for Chronic Pain–United States, 2016. Effects of hydration and dehydration on blood rheology in sickle cell trait carriers during exercise. J Pain Manag. 2019;12(2):141-146. Nov 06 2013;4(4):86-96.

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Cholera: ED presentation, evaluation, and management

EMDocs

As the disease progress the patients will experience profound dehydration and start to develops signs and symptoms such as: Rapid heart rate Loss of skin elasticity Dry mucous membranes Low blood pressure If left untreated, severe dehydration may lead to kidney failure, shock, coma, and death within hours.

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ED care of refugee populations from sub-Saharan Africa

EMDocs

57 Emergency clinicians should strongly consider infectious disease (ID) consult or speaking with the Centers for Disease Control and Prevention (CDC) for treatment recommendations in cases of newly-diagnosed malaria given that malaria is not endemic in the US. In: CDC Yellow Book 2024. In: CDC Yellow Book 2024. 57 Table 2.