EMDocs

JULY 29, 2023

A 75-year-old male with past history of HTN, CVA, DM II presents to the emergency department with right facial swelling since last night. We’ll keep it short, while you keep that EM brain sharp. He is also complaining of pain and subjective fevers. Initial vital signs include BP of 150/85, HR 103, T 100.8, RR 18, SpO2 97% on RA.

EMS 90

EMS Dehydration Ultrasounds Emergency Department 90

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 Ultrasounds 52

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 94

Poisoning Fluid Resuscitation Seizures Resuscitation 94

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

JANUARY 25, 2025

A 45-year-old outdoor enthusiast presents to the emergency department with fever, headache, myalgias, and malaise. Management is directed based on underlying etiology, but consider fluid resuscitation, antipyretics, and antibiotics as indicated. No rash is identified.

EMS 88

EMS Infectious Diseases Allergic Reactions Fluid Resuscitation 88

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

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

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

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 52

Emergency Department Psychiatric Dehydration Pediatrics 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

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

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

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 92

EMS Fluid Resuscitation Fractures Resuscitation 92

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

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 87

Hyperthermia / Hypothermia EMS Stroke Seizures 87

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 Administration 52

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 94

Pediatrics Dehydration EMS Hospitals 94

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

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

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

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 105

Emergency Department Fractures Burns EMS 105

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

Don't Forget the Bubbles

JULY 5, 2023

Infections, fever, acidosis, hypoxia, dehydration and exposure to extreme temperatures can trigger VOC even though often no cause is identified. Home analgesia: Advise families at home to increase fluid intake to avoid dehydration (dehydration will prolong painful episodes). Rotavirus gastroenteritis and dehydration C.

Blood Transfusions 126

Blood Transfusions Stroke Dehydration Sepsis 126

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 73

Dehydration Fluid Resuscitation Sepsis Resuscitation 73

Don't Forget the Bubbles

SEPTEMBER 23, 2024

You are working in the paediatric emergency department of a busy District General Hospital. These centres have a close relationship with their patients, but this does not mean they may not turn up at your emergency department! How does your differential diagnosis change? What about your diagnostic workup?

Pediatrics 52

Pediatrics Fractures Dehydration Sepsis 52

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 Dehydration COPD 86