Dr. Smith's ECG Blog

OCTOBER 26, 2010

He presented to the Emergency Department with a blood pressure of 111/66 and a pulse of 117. More often, tachycardia with ST segment abnormalities (elevation or depression) is due to an underlying illness (PE, sepsis, hemorrhage, dehydration, hypoxia, respiratory failure, etc.). He had this ECG recorded.

EKG/ECG 52

EKG/ECG Dehydration Fluid Resuscitation Sepsis 52

EB Medicine

JULY 8, 2019

This month, we are sticking in the abdomen for another round of evidence-based medicine, focusing on Emergency Department Management of Patients With Complications of Bariatric Surgery. Consider IV access and early IV fluids in those at risk for dehydration and intra-abdominal infections. At 6 to 8 mL/kg.

Emergency Department 40

Emergency Department Sepsis Operations Dehydration 40

ALiEM

AUGUST 28, 2023

A 44-year-old female presented to the emergency department with the complaint of a “stone under [her] tongue.” Larger, more superficial sialoliths may benefit from excision in the emergency department. The emergency physician made a single 1 cm incision over the calculus and a 0.5

Dehydration 52

Dehydration Emergency Department Academics Hospitals 52

Don't Forget the Bubbles

SEPTEMBER 29, 2024

They may present to the emergency department with a cough, cold or fever. Some may need admission to the paediatric short-stay unit, a unit in the emergency department where patients can stay for up to 24 hours. Explain these signs, and perhaps show the parents so can present to the emergency department if needed.

Emergency Department 52

Emergency Department Dehydration Hospitals Fractures 52

Mind The Bleep

APRIL 26, 2024

For all patients who come into the emergency department with a swelling, it is helpful to know if they have seen their GP or dentist recently and if they have had any treatment or recent courses of antibiotics. 2015) ‘Emergency Department’, in On-call in Oral and Maxillofacial Surgery.

Emergency Department 52

Emergency Department Fluid Resuscitation Dehydration Resuscitation 52

The Skeptics' Guide to EM

MAY 4, 2019

Nikki Abela is a final year trainee in Emergency Medicine and Paediatric Emergency Medicine in Liverpool, UK from sunny Malta. Case: 6-year-old Caroline is brought to the emergency department by her parents. She is a blog editor for RCEM Learning. She is a mum of one who wants to run. On her blood gas her pH is 7.1

Pediatrics 52

Pediatrics Dehydration Research Emergency Department 52

The Skeptics' Guide to EM

APRIL 27, 2019

Viral gastroenteritis is rivalled by bronchiolitis for one of the most common Pediatric presentations to the emergency department. We looked at a trial by Freedman et al using half-strength apple juice or fluids of choice to treat mild gastroenteritis in children who were minimally dehydrated ( SGEM#158 ).

Pediatrics 40

Pediatrics Dehydration Emergency Department Hospitals 40

The Skeptics' Guide to EM

SEPTEMBER 7, 2018

Ben Lawton is a paediatric emergency physician in Brisbane Australia. He divides his time between a tertiary children’s hospital and a community hospital that is busy enough to have its own paediatric emergency department. She is not clinically dehydrated and has a temp of 38.2C

Dehydration 40

Dehydration Pediatrics Hospitals Academics 40

Dr. Smith's ECG Blog

JULY 5, 2018

On reading the note the next day, the inpatient admitting team gave an assessment of "dehydration" and was about to discharge the patient. For a complete but concise discussion of ED syncope, with annotated bibilography, see this post: Emergency Department Syncope Workup: After H and P, ECG is the Only Test Required for Every Patient.

Dehydration 52

Dehydration EKG/ECG Emergency Department Outcomes 52

EMergucate

JUNE 24, 2014

A 3 month old girl is brought to your Emergency department after 3 days of diarrhoea and vomiting. She is unwell, lethargic, has sunken eyes, a sunken fontanelle and dry mucous membranes. Describe …

Emergency Department 40

Emergency Department Dehydration EMS 40

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. LaznerM, “The Alex Emergency Department, Paediatric Practice Guideline. Note that the use of Movicol Paediatric Plain to treat faecal impaction is off licence in under 5’s.

Dehydration 52

Dehydration Best Practices Documentation/Coding Emergency Department 52

PEMBlog

OCTOBER 2, 2024

Now, in the pediatric emergency department, the diagnosis of reflux is primarily clinical. Maybe parents will have to thicken the feeds, but I do not recommend this in the emergency department. or somebody who appears pale, dehydrated, in severe pain, or worse, even in shock. it’s probably not going to be H.

Pediatrics 52

Pediatrics Emergency Department Ultrasounds Wellness 52

Taming the SRU

APRIL 13, 2023

beta blockers decrease ability to dissipate heat through increase CO, diuretics predispose to dehydration, or anticholinergic agents can affect thermoregulation) Clinical Presentation: Temperature elevation, usually 40.5C EtOH, amphetamines, or cocaine) Prescription drugs (i.e.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Poisoning EKG/ECG Seizures 52

Dr. Smith's ECG Blog

OCTOBER 25, 2022

Written by Bobby Nicholson MD, with edits by Meyers, Smith, Grauer A woman in her early 40s presented to the emergency department for evaluation of palpitations. ie, dehydration, periods of increased stress or anxiety, stimulants such as caffeine, alcohol, recreational drugs, etc.); How often she gets it? —

EKG/ECG 52

EKG/ECG Administration Dehydration Emergency Department 52

Pediatric EM Morsels

SEPTEMBER 20, 2024

Diarrhea is one of the most common complaints in the pediatric emergency department, especially in the summer and early fall. Considering HUS and treating dehydration early has been shown to help keep the dialysis machine away! Protect the Kidneys! References: Glatstein M, Miller E, Garcia-Bournissen F, Scolnik D. 2020.12.077.

Pediatrics 164

Pediatrics Ultrasounds Dehydration Emergency Department 164

Don't Forget the Bubbles

JANUARY 27, 2025

We dont often cover gynaecological presentations in the emergency department and most chronic gynaecological problems go through the primary care referral pathway. However, CT scans remain largely more obtainable in a time critical case, in an emergency department setting. Childress K.J, Dietrich J.E doi: 10.1016/j.suc.2016.08.008.

Ultrasounds 76

Ultrasounds Emergency Department Pediatrics Dehydration 76

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. What can you do from the Emergency Department if suspected?

Emergency Department 83

Emergency Department Dehydration Burns Sepsis 83

EMDocs

DECEMBER 6, 2024

6 Can see subsequent electrolyte disturbances and dehydration related to severity of GI symptoms. A partner at bedside reports recent depressed mood, abdominal pain, and vomiting yesterday. The patient woke up confused this morning, and has had a worsening mental status throughout the day today.

Poisoning 97

Poisoning Fluid Resuscitation Seizures Resuscitation 97

EB Medicine

DECEMBER 30, 2019

Emergency Department Treatment Oxygen Keep O2 saturation >90% Clinicians may choose not to use continuous pulse oximetry (weak recommendation due to low-level evidence and reasoning) 1 Fluids IV or NG administration of fluids to combat dehydration, until respiratory distress and tachypnea resolve. All were UTIs.

Emergency Department 40

Emergency Department Allergic Reactions Dehydration Pediatrics 40

EB Medicine

MARCH 4, 2020

Laboratory Testing and Imaging: Dehydration is the biggest contributor to mortality, especially in the very young and elderly. Lab evaluation for dehydration is recommended in these populations. IV hydration for patients with severe dehydration, hypovolemic shock, septic shock, or failed oral rehydration. But PPV was only 24%.

Emergency Department 40

Emergency Department Dehydration Poisoning Allergic Reactions 40

Downeast Emergency Medicine

MARCH 24, 2021

OVERVIEW Diarrhea is a common complaint for our pediatric patients in the emergency department. Just like other patients in the emergency department, the child should be recognized as “sick” or “not sick.” Illustrated below is a dehydration scale from Pediatric Dehydration to help guide management (Vega et al).[1,7]

Pediatrics 52

Pediatrics Dehydration Emergency Department Wellness 52

Don't Forget the Bubbles

JANUARY 17, 2024

Curious Ken is brought into your emergency department. Other symptoms, such as constipation, abdominal pain and dehydration, were also be seen. What are the risks of water beads? Although the beads themselves are non-toxic, they can still cause significant morbidity and mortality. Zamora et al.,

Pediatrics 111

Pediatrics Poisoning Ultrasounds Dehydration 111

PEMBlog

MARCH 27, 2024

This episode will help you better prepare for and manage children with inborn errors of metabolism in the Emergency Department. Transcript Note: This transcript was partially completed with the use of the Descript AI Welcome to PEM Currents, the Pediatric Emergency Medicine Podcast. But now I’m going to pass the mic.

Pediatrics 59

Pediatrics Seizures Emergency Department Sepsis 59

EMDocs

DECEMBER 16, 2023

An 18-month-old boy presents to the emergency department with loss of consciousness. Evaporative cooling is the preferred method to actively reduce body temperature in the emergency department , as it can be performed with ongoing resuscitation efforts. Temps greater than 41.5C

Hyperthermia / Hypothermia 94

Hyperthermia / Hypothermia EMS Stroke Seizures 94

ACEP Now

MARCH 11, 2025

A 16-year-old male presents to the emergency department (ED) with his mother with the chief complaint of intermittent abdominal pain and constipation for several weeks. The prevalence and correlates of eating disorders in adult emergency department patients. References DooleyHash S, Adams M, Walton M A, et al. Pediatrics.

Emergency Department 83

Emergency Department Psychiatric Dehydration Pediatrics 83

Don't Forget the Bubbles

JANUARY 10, 2024

Let’s take the humble blood transfusion – used in emergency departments across the globe and playing a key role in critical care. Transfusion Decisions in Severe Anaemia Reducing child mortality remains high on the global health agenda. 8% die in hospital, with a further 12% dying in the six months following discharge.

Blood Transfusions 78

Blood Transfusions Research Outcomes Hospitals 78

EMDocs

NOVEMBER 4, 2024

The Treatment of Acute Pain in the Emergency Department: A White Paper Position Statement Prepared for the American Academy of Emergency Medicine. J Emerg Med. Intravenous Subdissociative-Dose Ketamine Versus Morphine for Analgesia in the Emergency Department: A Randomized Controlled Trial. Acad Emerg Med.

Emergency Department 106

Emergency Department Fractures Burns EMS 106

Dr. Smith's ECG Blog

APRIL 8, 2015

Also consider non-hemorrhagic volume depletion, dehydration : orthostatic vitals may uncover this [see Mendu et al. (3)]. Premonitory symptoms (Nausea, pallor, diaphoresis, flushing), or triggers (Valsalva, Pain, Emotion, Prolonged Standing, Dehydration) are very useful in making the diagnosis. Vasovagal syncope is generally benign.

Emergency Department 52

Emergency Department EKG/ECG Outcomes Seizures 52

EMDocs

OCTOBER 7, 2023

Clinical spectrum of rhabdomyolysis presented to pediatric emergency department. Int J Emerg Med. The incidence of a similar condition, traumatic rhabdomyolysis, is estimated to be around 0.074%. He has no medical problems. He sustained a crush injury to his left leg and a prolonged extraction time. Clin Biochem. BMC Pediatr.

EMS 97

EMS Fluid Resuscitation Fractures Resuscitation 97

Taming the SRU

NOVEMBER 18, 2024

Prolonged hiccups can also cause a myriad of negative health consequences including sleep deprivation, exhaustion, malnutrition, dehydration, and depression. However, as hiccups become increasingly frequent or persistent, they can be distressing for patients and can be a sign of underlying disease.

Stroke 86

Stroke Administration COPD Dehydration 86

Pediatric EM Morsels

FEBRUARY 2, 2024

Internationally Acquired Severe Systemic Infections in Febrile Pediatric Travelers Presenting to the Emergency Department. Pediatr Emerg Care. Pediatric patients with recent travel and fever of unknown origin should be considered for admission if malaria is a possible diagnosis. 2021 Dec 1;37(12):e1315-e1320.

Infectious Diseases 164

Infectious Diseases Pediatrics Sepsis Documentation/Coding 164

EMDocs

JANUARY 20, 2025

For patients who are elderly, orthostasis is an unreliable clinical finding and may be present in the absence of dehydration. 36-37 There is little evidence regarding oral rehydration in adults with gastroenteritis, though it seems reasonable that adults with mild dehydration could be safely hydrated orally. Modified from: Pringle, K.,

Dehydration 75

Dehydration Fluid Resuscitation Sepsis Resuscitation 75

PEMBlog

JANUARY 17, 2024

Now you could even admit a kid for IV antibiotics, maybe they’re dehydrated or they can’t take PO for some reason, without sending a blood culture. Now, some facilities have a short stay unit, like in their emergency department. You don’t routinely need a blood culture.

Infectious Diseases 59

Infectious Diseases Sepsis Wellness Pediatrics 59

EMDocs

JUNE 27, 2024

Intranasal fentanyl and discharge from the emergency department among children with sickle cell disease and vaso-occlusive pain: A multicenter pediatric emergency medicine perspective. smoke, high ozone levels, smog) Asthma/reactive airway disease (RAD) Diagnostic criteria 7,8 Respiratory symptoms +/- fever (at least 38.0

Pediatrics 97

Pediatrics Dehydration EMS Hospitals 97

Don't Forget the Bubbles

JULY 17, 2023

2023 Jun 1;76(6):731-736 The Association Between Media-Based Exposure to Nonsuicidal Self-Injury and Emergency Department Visits for Self-Harm. coli urine tract infections in children treated in primary care and emergency department. Baaleman DF, et al. J Pediatr Gastroenterol Nutr. Lee T, et al. 2023 Jun;62(6):656-664.

Pediatrics 98

Pediatrics Emergency Department Outcomes Fractures 98

Taming the SRU

FEBRUARY 3, 2025

Work-up and Diagnosis in the Emergency Department Initial presentation of TLS typically includes generalized symptoms such as gastrointestinal distress, decreased appetite, muscle cramping, palpitations, hematuria / oliguria, and altered mental status. paclitaxel, doxorubicin, cisplatin) high-risk monoclonal antibody treatments (i.e.

Fluid Resuscitation 56

Fluid Resuscitation Seizures Dehydration Emergency Department 56

EMDocs

MARCH 11, 2024

Louis) // Reviewed by: Joshua Lowe, MD (EM Staff Physician, USAF); Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) Case A 25-year-old woman presented to the emergency department (ED) in Uganda with acute encephalopathy. 11 The presentation of cholera on physical examination depends on the patient’s level of dehydration.

Dehydration 111

Dehydration CDC Rapid Diagnostic Testing Fluid Resuscitation 111