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Cerebral Edema and Diabetic Ketoacidosis: Rebaked

Pediatric EM Morsels

Kendra Jackson and Rebecca Raffler While we’ve gotten to snack on a Morsel on this subject before , new guidelines and research surrounding DKA and cerebral edema have come to light since the first go ‘round! The Pediatric Emergency Medicine Collaborative Research Commitee. Authors: Drs. Lesson = treat early! 2002 Dec;141(6):793-7.

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EM@3AM: Leukopenia

EMDocs

Management is directed based on underlying etiology, but consider fluid resuscitation, antipyretics, and antibiotics as indicated. BioMed Research International, 2020, 1-10. Journal of Research in Pharmacy Practice, 6(1), 31. Journal of Blood Medicine, Volume 13, 243-253. link] Fan, L., Li, C., & Zhao, H. link] Lu, W.,

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Haemolytic Uraemic Syndrome

Don't Forget the Bubbles

She appears pale and dehydrated , and her level of alertness fluctuates. She receives fluid resuscitation, and you organise some tests to find out why she is so tired. Pay specific attention to fluid status, looking for evidence of dehydration. 4-year-old Stephanie presents with vomiting, diarrhoea, and lethargy.

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Paediatric IV Fluid Prescribing

Mind The Bleep

There could be any number of reasons for this but some examples are: they have severe D&V and aren’t keeping fluids down, or because they are pre or post-op, or have presented very unwell and need fluid resuscitation. Which type of fluid to use? saline), however more research is needed in this area. [4]

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EM@3AM: Hyperthermia

EMDocs

BMC research notes , 8 , 758. Temps greater than 41.5C per minute) 1,4 Body bag may be utilized if no immersion tank available 3 Evaporative cooling (DT 0.1C Temps greater than 41.5C per minute) 1,4 Body bag may be utilized if no immersion tank available 3 Evaporative cooling (DT 0.1C link] Kakoki, K., Hakariya, T., Takehara, K., Izumida, S.,

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IV fluids in the ED: When do we really need them?

EMDocs

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.,

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Diagnostics and Therapeutics: Tumor Lysis Syndrome

Taming the SRU

In recent research, it has been discovered that as high as 42% of adult cancer patients and 70% of pediatric cancer patients suffer from laboratory changes associated with TLS, but have no associated clinical symptoms (9). paclitaxel, doxorubicin, cisplatin) high-risk monoclonal antibody treatments (i.e.