Don't Forget the Bubbles

DECEMBER 13, 2023

It is commonly seen in the first couple of years of life and accounts for 1-5% of paediatric hospital admissions for those under two. Are there signs of significant dehydration or malnutrition? If severely dehydrated or malnourished, then they require admission for close monitoring with rehydration and refeeding.

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Dehydration CDC Hospitals Wellness 98

EMDocs

JULY 29, 2023

Other bacterial causes include anaerobic oral flora, Strep viridans, E. Other bacterial causes include anaerobic oral flora, Strep viridans, E.

EMS 96

EMS Dehydration Ultrasounds Emergency Department 96

Don't Forget the Bubbles

SEPTEMBER 13, 2023

This may include specific clinical findings such as evidence of diarrhoea or vomiting, dehydration , meningitic signs, a history of significant head trauma immediately preceding the seizure, or failure to return to baseline. 2006;67(9):1542-1550 Royal Children’s Hospital Melbourne. Afebrile Seizures.

Seizures 131

Seizures Pediatrics Emergency Department Radiology 131

Pediatric Emergency Playbook

MAY 1, 2017

They may get a little dehydrated, especially if mother’s milk is late to come in. Home care The neonate who is safe to go home is well appearing, and not dehydrated. Most babies with hyperbilirubinemia are dehydrated, which just exacerbates the problem. None of them became dehydrated or became sunburned. Bhutani et al.

Dehydration 52

Dehydration Pediatrics Wellness Seizures 52

ALiEM

AUGUST 28, 2023

Case Discussion Take-Home Points Dehydration, trauma, anticholinergics, and diuretics predispose to the formation of sialoliths, with 80-90% arising from the submandibular glands. The emergency physician made a single 1 cm incision over the calculus and a 0.5 cm sialolith was removed with minimal bleeding.

Dehydration 52

Dehydration Emergency Department Academics Hospitals 52

Don't Forget the Bubbles

NOVEMBER 15, 2023

If the fractional excretion of sodium is <1%, you agree with your consultant that you will also ask the nurses to account for the replacement of 5% dehydration (900ml) over 48h (≈ 19ml/h). Given the present urine output of 0.3ml/kg/hr and no dehydration replacement, you estimate she will receive ~1mmol/kg/day of sodium.

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Resuscitation Dehydration Administration Shock 80

Mind The Bleep

FEBRUARY 27, 2024

This is hospital dependent and you should be told about which fluid to prescribe at your induction (or I’m sure the nurses will tell you!) 3] The type of IV fluid you use will vary depending on which hospital you are working in and what is available. saline + 5% dextrose or plasma-lyte 148 + 5% dextrose. How much fluid?

Fluid Resuscitation 96

Fluid Resuscitation Dehydration Hospitals Research 96

The Skeptics' Guide to EM

SEPTEMBER 7, 2018

He divides his time between a tertiary children’s hospital and a community hospital that is busy enough to have its own paediatric […] The post SGEM#228: Winds of Change – High Flow Nasal Oxygen for Acute Bronchiolitis? She is not clinically dehydrated and has a temp of 38.2C NEJM March 2018. NEJM March 2018.

Dehydration 40

Dehydration Pediatrics Hospitals Academics 40

Don't Forget the Bubbles

SEPTEMBER 29, 2024

Let’s break it down: Less than 50% of normal fluid intake in a 24-hour period Children who are sick generally don’t eat or drink, so dehydration is a legitimate concern. Even when a child is safe to send home, it is still important to let parents know when they should be concerned and return to the hospital.

Emergency Department 52

Emergency Department Dehydration Hospitals Fractures 52

Dr. Smith's ECG Blog

JUNE 20, 2020

He was not interested in remaining hospitalized for further cardiac monitoring or inpatient EP consultation as he felt well, was convinced dehydration was the reason for his syncope, and he adamantly wanted to go home. Unfortunately, this option might not be available for pre-hospital tracings. See text ).

EKG/ECG 52

EKG/ECG Dehydration Hospitals Wellness 52

Dr. Smith's ECG Blog

NOVEMBER 9, 2012

Maybe the patient has dehydration, sepsis, hemorrhage, or PE. He later returned to the hospital for recurrent bouts of idiopathic sinus tach. The Lewis leads proved that it was indeed sinus tach. And with time and fluids and anxiolytics, the rate did trend down. Sinus tach is usually compensatory to some underlying illness.

EKG/ECG 52

EKG/ECG Dehydration Sepsis Shock 52

Northwestern EM Blog

FEBRUARY 21, 2022

We’ve all seen an end-of-life situation generate a second patient with dehydration mediated syncopal episode at the bedside, let’s try to prevent that. As I frequently say in the ED, you cannot avoid difficult goals of care conversations and then complain about the lack of beds in the hospital.

Dehydration 52

Dehydration Shock Hospitals Wellness 52

The Skeptics' Guide to EM

APRIL 27, 2019

Crocco is a Pediatric Emergency Physician and is the Medical Director & Division Head of the Division of Pediatric Emergency at McMaster’s Children’s Hospital. Crocco is a Pediatric Emergency Physician and is the Medical Director & Division Head of the Division of Pediatric Emergency at McMaster’s Children’s Hospital.

Pediatrics 40

Pediatrics Dehydration Emergency Department Hospitals 40

RebelEM

FEBRUARY 2, 2023

Average time control HR in the amiodarone group was on par with the study’s average ED length of stay Limitations: Single center, retrospective hospital study may not be able to produce generalizable results. Sepsis, hyperthyroidism, dehydration, heart failure, ACS, etc).

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Emergency Department Administration EMS Dehydration 52

Dr. Smith's ECG Blog

APRIL 26, 2017

Low LV filling pressures are due to several etiologies, most commonly due to volume depletion (dehydration or hemorrhage), but also due to other etiologies including, but not limited to: mitral stenosis, pulmonary hypertension (chronic, or due to pulmonary embolism), or poor RV performance.

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EKG/ECG Ultrasounds Dehydration Stroke 52

Dr. Smith's ECG Blog

AUGUST 9, 2018

They gave him water with salt, as he thought he was dehydrated." Transmitted to hospital with PCI." "ER He writes: "We were dispatched to a 58 yo male who had been out in the sun for 2-3 hours as a mailman. He stated he almost passed out, and bystanders called 911. When we arrived, he was alert, sweating, and felt weak.

EKG/ECG 52

EKG/ECG Dehydration EMS Hospitals 52

Dr. Smith's ECG Blog

OCTOBER 25, 2022

ie, dehydration, periods of increased stress or anxiety, stimulants such as caffeine, alcohol, recreational drugs, etc.); For optimal initial and longterm care of today’s patient — additional features in the History to inquire about include the following: i ) How long this patient has had SVT? — How often she gets it? —

EKG/ECG 52

EKG/ECG Administration Dehydration Emergency Department 52

Dr. Smith's ECG Blog

NOVEMBER 19, 2016

Author continued : STE in aVR is often due to left main coronary artery obstruction (OR 4.72), and is associated with in-hospital cardiovascular mortality (OR 5.58). For instance: sepsis, bleeding, dehydration, hypoxia, and mild ACS. 2 The astute paramedic recognized this possibility and announced a CODE STEMI.

EKG/ECG 40

EKG/ECG Shock Fluid Resuscitation Documentation/Coding 40

Don't Forget the Bubbles

APRIL 7, 2025

This condition, known as diabetes insipidus (DI) , results in dehydration and high sodium concentrations in the blood. As dehydration can rapidly worsen in children , this test must be performed in a hospital setting with strict monitoring. PROP1, POU1F1, LHX3, and LHX4 mutations in congenital hypopituitarism).

Dehydration 72

Dehydration Pediatrics Administration Seizures 72

Pediatric EM Morsels

SEPTEMBER 20, 2024

Considering HUS and treating dehydration early has been shown to help keep the dialysis machine away! Timing and utility of ultrasound in diarrhea-associated hemolytic uremic syndrome: 7-year experience of a large tertiary care hospital. Protect the Kidneys! References: Glatstein M, Miller E, Garcia-Bournissen F, Scolnik D.

Pediatrics 164

Pediatrics Ultrasounds Dehydration Emergency Department 164

EMDocs

MAY 15, 2024

Other causes of sickling: acidosis, dehydration, inflammation, infection, fever, and blood stasis Sickling leads to vascular occlusion, end-organ ischemia, and decreased RBC lifespan, which, in turn, leads to pain crisis, acute anemia, sequestration, infection, and acute chest syndrome (ACS.) times maintenance. Consider CT with IV contrast.

Blood Transfusions 103

Blood Transfusions Fluid Resuscitation Dehydration Ultrasounds 103

EMDocs

DECEMBER 6, 2024

6 Can see subsequent electrolyte disturbances and dehydration related to severity of GI symptoms. Iron Ingestion: an Evidence-Based Consensus Guideline for Out-of-Hospital Management. Typically presents in the first few hours following ingestion. In severe toxicity, hematemesis, melena, or hematochezia may occur. Manoguerra, A.

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Poisoning Fluid Resuscitation Seizures Resuscitation 97

EMDocs

MAY 9, 2024

He has been ill for 3 days with abdominal pain, fever, diarrhea, and vomiting, and his father thinks his son is dehydrated. The patient is transferred to a tertiary care hospital where an MRI reveals bilateral mastoiditis with bony erosion. The elevated WBC could be due to dehydration. VS are normal with a temp of 97.3.

Seizures 105

Seizures Dehydration Documentation/Coding Infectious Diseases 105

EMDocs

MAY 28, 2024

Other causes of sickling: acidosis, dehydration, inflammation, infection, fever, and blood stasis. Fluid management Goal is euvolemia Dehydration – needs IV fluid resuscitation. Consider risk factors for multi-drug resistant microbes: Recent IV antibiotics Hospitalization within 90 days. times maintenance.

Blood Transfusions 97

Blood Transfusions Fluid Resuscitation Dehydration Ultrasounds 97

Don't Forget the Bubbles

JANUARY 27, 2025

However, the limitation with MRI scanning is the logistics of obtaining one in a busy hospital especially if it is an out-of-hours presentation of torsion. Hypointensity score of 2 or more, had the highest diagnostic accuracy in predicting necrosis [8].

Ultrasounds 76

Ultrasounds Emergency Department Pediatrics Dehydration 76

Don't Forget the Bubbles

MARCH 18, 2024

She appears pale and dehydrated , and her level of alertness fluctuates. The Royal Children’s Hospital in Melbourne summarises them in an easy-to-follow flow diagram (figure 1). Pay specific attention to fluid status, looking for evidence of dehydration. Royal Hospital for Children- Nephrology. Rch.org.au. Oct 30 2019.

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Dehydration Infectious Diseases Seizures Pediatrics 59

EMDocs

OCTOBER 10, 2024

Hospital Inpatient : R thigh is indurated and blistered but abdomen is all but ignored. On the 2nd hospital day, she becomes obtunded and is intubated. She only gets worse, and by the 4th hospital day she is unresponsive. High level amputation is considered, but she dies of sepsis and multiorgan failure on hospital day 7.

Documentation/Coding 97

Documentation/Coding Hospitals Sepsis Infectious Diseases 97

Mind The Bleep

OCTOBER 17, 2024

What my elective entailed I undertook a four-week Pre-Hospital Emergency Medicine (PHEM) elective with the Midlands Air Ambulance Charity. Pre-hospital medicine is not always glamorous! Author: Sarah Fleetwood-Walker – Final Year Medical Student Reviewer: Dr Joshua Grubb – MTB Pre-Hospital Medicine Lead

Ambulance Services 52

Ambulance Services Anaphylaxis Hospitals Airway Management 52

Ziqitza HealthCare Ltd

JUNE 13, 2024

Minor issues like dehydration and heat stroke could also show up with this symptom. Severe or persistent vomiting or diarrhea Prolonged episodes of severe vomiting or diarrhea can cause electrolyte imbalances and dehydration. Common reasons include infections, gastrointestinal issues, and food poisoning.

Burns 52

Burns Stroke Ambulance Services Seizures 52

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. Consider them for immunocompromised patients and those with recent abx use or hospitalization. But PPV was only 24%. No data in AGE.

Emergency Department 40

Emergency Department Dehydration Poisoning Allergic Reactions 40

Mind The Bleep

JUNE 18, 2023

It is a very common presentation or comorbidity to see in community services and general hospital. environmental factors, pain, infection, dehydration, electrolyte disturbance, head injury, medication etc) Does the individual have capacity? The symptoms of BPSD are listed below.

Psychiatric 52

Psychiatric Documentation/Coding Stroke Fractures 52

Don't Forget the Bubbles

JANUARY 10, 2024

Severe anaemia is a common and life-threatening cause of hospital admission in children in sub-Saharan Africa. 8% die in hospital, with a further 12% dying in the six months following discharge. Population 6171 children from three hospitals in Uganda and one in Malawi were assessed for eligibility. Do you believe the results?

Blood Transfusions 78

Blood Transfusions Research Outcomes Hospitals 78

Mind The Bleep

MAY 12, 2023

These include infection & sepsis, GI bleeding, dehydration, AKI, alcohol consumption, constipation, and certain medications. A Gastroenterology or Hepatology specialist review should ideally be sought within 24 hours of admission to the hospital. On Day 3 (i.e. 48 hours later) albumin is administered at 1g/kg.

Fluid Resuscitation 52

Fluid Resuscitation Dehydration Resuscitation Administration 52

EB Medicine

DECEMBER 4, 2019

Most of the dehydration that occurs is more likely due to inadequate water intake and excess caffeine and alcohol consumption depending on the time of day. Nachi: AEDs are also required and have been since 2001 and amazingly when a shock was delivered in flight, 40% survived to hospital discharge with a good outcome.

Dehydration 40

Dehydration EMS Wellness Burns 40

Dr. Smith's ECG Blog

JULY 24, 2018

Written by Pendell Meyers We received a call from an outside hospital asking to transfer a "traumatic post arrest" patient. The most common to consider include renal failure, dehydration, acidosis, use of potassium-retaining medication, and trauma ( which may result in rhabdomyolysis ).

EKG/ECG 52

EKG/ECG Dehydration Resuscitation Documentation/Coding 52

PEMBlog

MARCH 27, 2024

Her name is Emily Groopman, and she’s a current resident at Children’s National Hospital. GI symptoms are the second most common, and they include vomiting, food intolerance, food aversion, GERD, refractory to normal antireflux measures, diarrhea, and dehydration.

Pediatrics 59

Pediatrics Seizures Emergency Department Sepsis 59

EB Medicine

AUGUST 1, 2018

Nachi: Sometimes… Jeff: This month’s issue was authored by Mollie Williams, who is the EM residency program director at the Brooklyn Hospital Center. Jeff: The hyperemetic phase lasts 24-48 hours and can lead to dehydration, electrolyte abnormalities, and weight loss. This is often associated with an inability to tolerate po.

Seizures 40

Seizures Hyperthermia / Hypothermia Administration Dehydration 40