Remove Dehydration Remove Fractures Remove Sepsis
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EQUAL: a Straightforward Approach To Caring for Disabled Patients

ACEP Now

Oftentimes, it can be an indication of pain, infection, distress, anxiety, dehydration, or the first sign of sepsis. One commonly used example is tachycardia.

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Bubble Wrap PLUS – July ’23

Don't Forget the Bubbles

Original clinical studies Distribution and pattern of hand fractures in children and adolescents. Evaluating the Impact of the 2017 Dutch Neonatal Early-Onset Sepsis Guideline. Ultrasonography or Radiography for Suspected Pediatric Distal Forearm Fractures. JAMA Pediatr. 2023 Jun 1;177(6):559-560. Arneitz C, et al. N Engl J Med.

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Caring for children after a kidney transplant

Don't Forget the Bubbles

Inadequate fluid consumption, combined with factors like hot weather or strenuous physical activity, can lead to gradual dehydration with cumulative effects. Kidney transplant recipients have a higher risk of fractures. Consider sepsis and treat it accordingly. Are they achieving their daily hydration goals?

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NIPE

Mind The Bleep

If the fontanelle is sunken then the baby may be dehydrated and if they are bulging then this can be a sign of birth injury or hydrocephalus. If you are concerned that the clavicle may be fractured then arrange an x-ray and discuss the findings with the orthopaedics team. Undo the nappy of the baby and palpate the Femoral pulses.