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Clerking Patients: A few tips

Mind The Bleep

Have a proforma so you don’t miss things Save a proforma (if electronic documentation ) or print one out. If they are dehydrated: give fluids; if they are in pain: give analgesia ; if theres an infection of unknown source: do a thorough examination & take cultures and samples from everywhere you can.

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Failure to thrive

Don't Forget the Bubbles

Failure to thrive’ has many definitions We use standardized charts to document infant growth. Are there signs of significant dehydration or malnutrition? If severely dehydrated or malnourished, then they require admission for close monitoring with rehydration and refeeding. First and foremost, do they look well or unwell?

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Paediatric IV Fluid Prescribing

Mind The Bleep

This is a child who is clearly dehydrated and unable to tolerate oral fluids therefore IV fluids are the best option. Maintenance Fluids In 1957, Malcolm Holliday and William Segar published an article in the Journal of Paediatrics, which claimed to be a simple scheme that could be easily remembered to calculate fluid requirements.

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Paediatric Constipation

Mind The Bleep

It is also sensible to advised to ensure good fluid intake throughout treatment to help avoid dehydration which can occur with laxatives. When prescribing drugs off licence, ensure you explain this to the patient/career and gain and document verbal consent. [8] 8] To whom should I refer for further investigation?

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Episode 30 - Emergency Department Management of Patients With Complications of Bariatric Surgery

EB Medicine

Vitamin D, B12, Calcium, foate, iron, and thiamine deficiencies are all well documented complications. Consider IV access and early IV fluids in those at risk for dehydration and intra-abdominal infections. Jeff: Tachycardic patients should make you concerned for hypovolemia 2/2 dehydration, sepsis, leaks, and blood loss.

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Medical Malpractice Insights: Brain Abscess

EMDocs

He has been ill for 3 days with abdominal pain, fever, diarrhea, and vomiting, and his father thinks his son is dehydrated. Exam documents that he is alert and oriented but “tired appearing” and “not appearing post-ictal.” Defense : The EP did address the seizure when he documented “not post-ictal.” EM is a “team sport.”

Seizures 104
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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.