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Food Protein Induced Enterocolitis Syndrome (FPIES)

Pediatric EM Morsels

Our patients have varied past medical histories that require us to be well-versed in even the most uncommon disorders (or know where to look things up in a pinch)! Patients with FPIES can have marked dehydration due to vomiting and diarrhea, even to the point of hypotension! Volume Status?!

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But Can You Just PO?

Taming the SRU

Fluid management in the Emergency Department (ED) is crucial in the adequate resuscitation of the acutely ill and decompensating patient. Other conditions that lead to intravascular fluid depletion include but are not limited to starvation/dehydration, vomiting, diarrhea, burns/trauma, hyperglycemia, and hemorrhage.

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Travel-Related Illnesses in Children

Pediatric EM Morsels

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.

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Bullous Skin Lesions, Meet Emergency Medicine

Taming the SRU

This differential is broad and reflects the clinical diversity of their presentations - in this post we will parse through the specifics of bullous lesions as well as what there is to do for them acutely. What can you do from the Emergency Department if suspected? What can you do from the Emergency Department if suspected?

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Tachycardia must make you doubt an ACS or STEMI diagnosis; put it all in clinical context

Dr. Smith's ECG Blog

He presented to the Emergency Department with a blood pressure of 111/66 and a pulse of 117. He was rushed by residents into our critical care room with a diagnosis of STEMI, and they handed me this ECG: There is sinus tachycardia with ST elevation in II, III, and aVF, as well as V4-V6. He had this ECG recorded.

EKG/ECG 52
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EM@3AM: Suppurative Parotitis

EMDocs

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 83
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The Perception of Risk

Don't Forget the Bubbles

They may present to the emergency department with a cough, cold or fever. Most children are generally well and can be sent home directly from the ED with appropriate safety netting and follow-up. Explain these signs, and perhaps show the parents so can present to the emergency department if needed.