EMDocs

MAY 9, 2024

He has been ill for 3 days with abdominal pain, fever, diarrhea, and vomiting, and his father thinks his son is dehydrated. He reasoned that dehydration and orthostatic hypotension led to a syncopal episode with limb shaking. The elevated WBC could be due to dehydration. VS are normal with a temp of 97.3.

Seizures 104

Seizures Dehydration Documentation/Coding Infectious Diseases 104

Pediatric EM Morsels

JULY 28, 2023

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.

Fluid Resuscitation 246

Fluid Resuscitation Pediatrics Resuscitation Research 246

ALiEM

JULY 22, 2023

You have a severely dehydrated patient with a peripheral IV line, requiring urgent fluid resuscitation. However, the crystalloid fluids are not flowing freely. Multiple attempts were made to place this line with the latest having a flash of blood return and a smoothly flowing saline flush.

Fluid Resuscitation 96

Fluid Resuscitation Dehydration Emergency Department Resuscitation 96

EMDocs

DECEMBER 6, 2024

6 Can see subsequent electrolyte disturbances and dehydration related to severity of GI symptoms. Typically presents in the first few hours following ingestion. Children without vomiting within 6 hours of iron ingestion will almost never have significant toxic effects. In severe toxicity, hematemesis, melena, or hematochezia may occur.

Poisoning 97

Poisoning Fluid Resuscitation Seizures Resuscitation 97

EMDocs

MAY 25, 2024

Risk factors include oral neoplasms, sialolithiasis, advanced age, dehydration, ductal foreign bodies, concomitant tracheostomy, and recent receipt of an anesthetic agent. Patients who are immunocompromised may experience infection related to gram-negative organisms (e.g., Pseudomonas aeruginosa , Escherichia coli ).

EMS 98

EMS Dehydration Operations Hospitals 98

EMDocs

JANUARY 25, 2025

Splenomegaly Often vague, such as general malaise and fatigue Complete medication history Specifically chemotherapy medications such as carboplatin but also a variety of other medications such as chloramphenicol and clozapine Social history for nutritional deficiencies, exposures, etc Labs to evaluate for infection: CBC, CMP, urinalysis, blood cultures, (..)

EMS 94

EMS Infectious Diseases Allergic Reactions Fluid Resuscitation 94

EMergucate

AUGUST 21, 2024

But do you feel confident assessing levels of dehydration? Gastroenteritis One of the most common paediatric presentations. Do you know … Continue reading →

Dehydration 52

Dehydration 52

EMDocs

JANUARY 23, 2024

An inciting event will typically push them over the edge into BRASH syndrome: Dehydration Hypotension from sepsis or another condition GI illness Dosage increase of a chronic medication (e.g., The key is a patient who is on an AV nodal blocker and who has some sort of risk factor for renal insufficiency. beta blocker) New medication (e.g.,

Shock 113

Shock Dehydration Sepsis EKG/ECG 113

Ultrasound Gel

AUGUST 29, 2022

These authors looked at the Inferior Vena Cava collapse duration in children with dehydration. These authors looked at the Inferior Vena Cava collapse duration in children with dehydration. Will this novel measurement help with figuring out who needs IV fluids? link] [link] What do we do with IVC's in kids?!

Dehydration 52

Dehydration 52

Northwestern EM Blog

MARCH 27, 2025

Difficult stick, dehydrated patient, collapsible veins, USPIV is calling your name! Did you know that ultrasound-guided peripheral intravenous line (USPIV) is significantly more successful than blind EJ placement and furthermore can help decrease the need for central venous placement (1-4)?

Ultrasounds 52

Ultrasounds Dehydration Academics Hospitals 52

EMDocs

MAY 15, 2024

Other causes of sickling: acidosis, dehydration, inflammation, infection, fever, and blood stasis Sickling leads to vascular occlusion, end-organ ischemia, and decreased RBC lifespan, which, in turn, leads to pain crisis, acute anemia, sequestration, infection, and acute chest syndrome (ACS.) times maintenance.

Blood Transfusions 103

Blood Transfusions Fluid Resuscitation Dehydration Ultrasounds 103

Pediatric EM Morsels

JUNE 16, 2023

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. The subcutaneous space is a vast region of potential space where things can collect.

Soft Tissue Injuries 154

Soft Tissue Injuries Dehydration Fractures Operations 154

Ziqitza HealthCare Ltd

AUGUST 26, 2024

Rehydration Therapy When waterborne diseases of any kind bog down someone, they experience a significant loss of fluid from the body through vomiting and diarrhoea, which leads to dehydration. Oral Rehydration Solutions (ORS): ORS (Oral Rehydration Solution) is commonly used to treat dehydration.

Dehydration 52

Dehydration Ambulance Services 52

EMDocs

MAY 28, 2024

Other causes of sickling: acidosis, dehydration, inflammation, infection, fever, and blood stasis. Fluid management Goal is euvolemia Dehydration – needs IV fluid resuscitation. Episode 101: Acute Chest Syndrome Part 2 Background SCD is an autosomal recessive condition that results in the formation of hemoglobin S (HbS).

Blood Transfusions 97

Blood Transfusions Fluid Resuscitation Dehydration Ultrasounds 97

Ken Grauer, MD

AUGUST 18, 2023

Optimal management entails trying to "find and fix" the cause of these frequent PACs ( ie, stimulants including sympathomimetic drugs, cocaine, alcohol, excess caffeine — electrolyte disturbance — excess stress or anxiety — dehydration — inadequate sleep — anemia or other illness ).

EKG/ECG 195

EKG/ECG Dehydration Wellness 195

AED Leader

MARCH 27, 2023

Heart palpitations may come on after eating certain foods or you may have heart palpitations for another reason, such as dehydration, low electrolyte levels, pregnancy, anxiety, anemia, thyroid issues, or an underlying heart disease or arrhythmia like atrial fibrillation.

Dehydration 52

Dehydration 52

Dr. Smith's ECG Blog

OCTOBER 26, 2010

More often, tachycardia with ST segment abnormalities (elevation or depression) is due to an underlying illness (PE, sepsis, hemorrhage, dehydration, hypoxia, respiratory failure, etc.). The patient was suffering from severe dehydration, possibly with sepsis. Then ACS (STEMI) might be primary; this might be cardiogenic shock.

EKG/ECG 52

EKG/ECG Dehydration Fluid Resuscitation Sepsis 52

Pediatric Emergency Playbook

JANUARY 1, 2022

Early presentation from 3 to 5 weeks of age: projectile vomiting Later presentation up to 12 weeks: dehydration, failure to thrive, possibly the elusive olive Labs may show hypOchloremic, hypOkalemic metabOlic acidosis: “ all the Os ” Watch out for hyperbilirubinemia, the “icteropyloric syndrome”: unconjugated hyperbilirubinemia from dehydration.

Dehydration 52

Dehydration Pediatrics Ultrasounds 52

EMDocs

JULY 29, 2023

Other bacterial causes include anaerobic oral flora, Strep viridans, E.

EMS 96

EMS Dehydration Ultrasounds Emergency Department 96

Pediatric Emergency Playbook

MAY 1, 2017

They may get a little dehydrated, especially if mother’s milk is late to come in. Home care The neonate who is safe to go home is well appearing, and not dehydrated. Most babies with hyperbilirubinemia are dehydrated, which just exacerbates the problem. None of them became dehydrated or became sunburned. Bhutani et al.

Dehydration 52

Dehydration Pediatrics Wellness Seizures 52

Emergency Medicine Cases

OCTOBER 11, 2022

Rest of patient: is there a complication of pacemaker insertion related to the pocket (hematoma, infection), lead (pneumothorax, DVT), or heart (pericardial perforation), or is there an emergency unrelated to the pacemaker (eg dehydration, sepsis, GI bleed).

EKG/ECG 52

EKG/ECG Dehydration Sepsis EMS 52

Don't Forget the Bubbles

DECEMBER 13, 2023

Are there signs of significant dehydration or malnutrition? If severely dehydrated or malnourished, then they require admission for close monitoring with rehydration and refeeding. They have supportive parents who live nearby and a good friend network. Once you have completed your history, it’s time to examine the child.

Dehydration 98

Dehydration CDC Hospitals Wellness 98

PEMBlog

AUGUST 26, 2024

Also, AI images are weird and why did I end up with a picture of a Bruno mars look a like sitting on the toilet?

Dehydration 52

Dehydration Infectious Diseases 52

Don't Forget the Bubbles

MARCH 18, 2024

She appears pale and dehydrated , and her level of alertness fluctuates. Pay specific attention to fluid status, looking for evidence of dehydration. Manage hydration Children may be dehydrated or present with signs of fluid overload. Dehydration at admission increased the need for dialysis in hemolytic uremic syndrome children.

Dehydration 59

Dehydration Infectious Diseases Seizures Pediatrics 59

Taming the SRU

AUGUST 27, 2024

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. The first step is to determine what disease you are dealing with.

Emergency Department 83

Emergency Department Dehydration Burns Sepsis 83

EMergucate

JULY 13, 2015

A 61 year old female with evidence for sepsis, anaemia and dehydration 1. Microcytic hypochromic anaemia Fe deficiency with elevated … Continue reading →

Dehydration 40

Dehydration Sepsis EMS 40

EMergucate

SEPTEMBER 2, 2015

Abnormalities: Primary Respiratory alkalosis – Lactic acidosis – sepsis, dehydration … Continue reading → A 17 year old male presents potentially seriously unwell 1.

Dehydration 40

Dehydration Sepsis EMS 40

EMergucate

FEBRUARY 24, 2020

21 year old man presented with extreme lethargy and dehydration. His pulse rate was 132, Blood pressure was 96/58 and … Continue reading →

Dehydration 40

Dehydration 40

RebelEM

OCTOBER 5, 2022

mg/dL 10.5 – 12.0 mg/dL 10.5 – 12.0

Dehydration 52

Dehydration Psychiatric Administration EKG/ECG 52

Don't Forget the Bubbles

SEPTEMBER 13, 2023

This may include specific clinical findings such as evidence of diarrhoea or vomiting, dehydration , meningitic signs, a history of significant head trauma immediately preceding the seizure, or failure to return to baseline. Laboratory tests should be ordered based on the individual clinical manifestations of the child.

Seizures 131

Seizures Pediatrics Emergency Department Radiology 131

Dr. Smith's ECG Blog

JANUARY 29, 2013

With management of fever and dehydration, the heart rate normalized. This is typical of pediatric ECGs because the fetal circulation depends on the right ventricle. So these are normal findings in the ECG of an infant. Reminder: Never trust the computer read.

Dehydration 52

Dehydration Pediatrics EKG/ECG 52

Taming the SRU

NOVEMBER 21, 2023

Abdominal pain, nausea, vomiting, and dehydration are common. Management IVF resuscitation: will want to give at least 20 cc/kg bolus, however there has been some discussion about doing this in two 10 cc/kg boluses to avoid cerebral edema (as noted below, recent evidence has not supported this).

Pediatrics 91

Pediatrics EKG/ECG Resuscitation Dehydration 91

Core Ultrasound

SEPTEMBER 18, 2023

Pyloric stenosis is a relatively common condition in infants that can lead to severe vomiting, dehydration, and weight loss. Timely and accurate diagnosis is crucial for effective treatment. Bedside ultrasound has become a valuable tool for diagnosing pyloric stenosis quickly and non-invasively.

Dehydration 40

Dehydration Ultrasounds 40

American Medical Compliance

APRIL 17, 2024

Patients with dysphagia are also susceptible to dehydration and malnutrition, particularly if they are given thickened drinks or altered meals. The incidence of lung infection increased by 17% in patients with dysphagia (33% vs. 16%, respectively) compared to those without it, as determined by bedside clinical examination.

Stroke 52

Stroke Dehydration Outcomes 52

ACEP Now

OCTOBER 30, 2023

Oftentimes, it can be an indication of pain, infection, distress, anxiety, dehydration, or the first sign of sepsis. The inverse is also true; what’s normal for most may be significantly abnormal for that patient and be the first red flag. One commonly used example is tachycardia.

Sexual Assault 98

Sexual Assault Teamwork Dehydration Outcomes 98

ALiEM

AUGUST 28, 2023

Case Discussion Take-Home Points Dehydration, trauma, anticholinergics, and diuretics predispose to the formation of sialoliths, with 80-90% arising from the submandibular glands. The emergency physician made a single 1 cm incision over the calculus and a 0.5 cm sialolith was removed with minimal bleeding.

Dehydration 52

Dehydration Emergency Department Academics Hospitals 52

Ziqitza HealthCare Ltd

JUNE 13, 2024

Minor issues like dehydration and heat stroke could also show up with this symptom. Severe or persistent vomiting or diarrhea Prolonged episodes of severe vomiting or diarrhea can cause electrolyte imbalances and dehydration. Common reasons include infections, gastrointestinal issues, and food poisoning.

Burns 52

Burns Stroke Ambulance Services Seizures 52