Don't Forget the Bubbles

DECEMBER 13, 2023

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. Eur J Pediatr. 2016 Apr;175(4):573-9.

Dehydration 98

Dehydration CDC Hospitals Wellness 98

Mind The Bleep

FEBRUARY 27, 2024

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.

Fluid Resuscitation 96

Fluid Resuscitation Dehydration Hospitals Research 96

EB Medicine

JULY 8, 2019

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.

Emergency Department 40

Emergency Department Sepsis Operations Dehydration 40

Pediatric EM Morsels

JULY 28, 2023

Cerebral edema is the most feared emergent complication of pediatric diabetic ketoacidosis. Pediatr Diabetes. Population-based study of incidence and risk factors for cerebral edema in pediatric diabetic ketoacidosis. The Pediatric Emergency Medicine Collaborative Research Commitee. 2013 Sep;163(3):761-6. PMID: 23499379.

Fluid Resuscitation 246

Fluid Resuscitation Pediatrics Resuscitation Research 246

EB Medicine

AUGUST 1, 2018

In fact, cannabis use has been documented for medical use dating as far back as 600 BC in West and Central Asia. Jeff: For more on synthetic intoxications in the ED, be sure to take a look at the recent May 2018 issue of Pediatric Emergency Medicine Practice on Synthetic Drug Intoxication in Children if you haven’t already read it.

Seizures 40

Seizures Hyperthermia / Hypothermia Administration Dehydration 40

Pediatric EM Morsels

FEBRUARY 2, 2024

In one ED study, ALL cases of missed travel-related illness did not have a documented travel history in their ED note , whereas 90% of the identified travel-related illnesses had a provider documented travel history (Greenky 2022) Those who are visiting friends and relatives (VFR) are typically at highest risk. Glob Pediatr Health.

Infectious Diseases 164

Infectious Diseases Pediatrics Sepsis Documentation/Coding 164

Taming the SRU

FEBRUARY 3, 2025

It is also worth noting that these aggressive hematologic cancers occur more commonly in children and thus the risk of TLS can be higher in the pediatric population6. mg/dl (pediatrics) calcium < 7 mg/dl Clinical Tumor Lysis Syndrome (2) - laboratory TLS + one of the following: cardiac arrhythmia seizure sudden death creatinine > 1.5x

Fluid Resuscitation 56

Fluid Resuscitation Seizures Dehydration Emergency Department 56