PEMBlog

JANUARY 21, 2025

Diagnostic Costs : RSV rapid tests: $100-$400 (higher end when included in multiplex testing) Risk Stratification : Infants <6 months, especially those with prematurity, chronic lung disease, or congenital heart disease, have a heightened risk of hospitalization. Electrolyte disturbances secondary to fluid losses.

Rapid Diagnostic Testing 52

Rapid Diagnostic Testing Pediatrics Dehydration Outcomes 52

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 102

Seizures Dehydration Documentation/Coding Infectious Diseases 102

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 95

Documentation/Coding Hospitals Sepsis Infectious Diseases 95

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. Clinical Infectious Diseases [Internet]. Rch.org.au.

Dehydration 59

Dehydration Infectious Diseases Seizures Pediatrics 59

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

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

Pediatric EM Morsels

FEBRUARY 2, 2024

Hospitalization for travel-related illness are around 10% for both VFR and tourists (Leuthard 2015) Multiple studies have reported the most common travel infections in various countries. A “Syndromic” Approach for Diagnosing and Managing Travel-Related Infectious Diseases in Children. Glob Pediatr Health. 2021 May; 8:1-16.

Infectious Diseases 164

Infectious Diseases Pediatrics Sepsis Documentation/Coding 164