Mind The Bleep
FEBRUARY 2, 2025
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.
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. First and foremost, do they look well or unwell?
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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.
Mind The Bleep
MAY 16, 2023
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?
Dr. Smith's ECG Blog
NOVEMBER 19, 2016
Clinical Course The paramedic activated a “Code STEMI” alert and transported the patient nearly 50 miles to the closest tertiary medical center. 2 The astute paramedic recognized this possibility and announced a CODE STEMI. For instance: sepsis, bleeding, dehydration, hypoxia, and mild ACS. Look at the aortic outflow tract.
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.
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. 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.”
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