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. Anthony […] The post SGEM#254: Probiotics for Pediatric Gastroenteritis – I Can’t Go For that…No Can Do first appeared on The Skeptics Guide to Emergency Medicine.

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Pediatrics Dehydration Emergency Department Hospitals 40

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. 4-year-old Stephanie presents with vomiting, diarrhoea, and lethargy.

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Dehydration Infectious Diseases Seizures Pediatrics 59

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.

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Blood Transfusions Fluid Resuscitation Dehydration Ultrasounds 94

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. Eur J Pediatr.

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Pediatric Emergency Playbook

MAY 1, 2017

They may get a little dehydrated, especially if mother’s milk is late to come in. Pediatrics. Pediatrics. 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. Their livers are immature.

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Dehydration Pediatrics Wellness Seizures 52

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.

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EB Medicine

MARCH 4, 2020

Literature Review: There is abundant literature on pediatric AGE but sparse research on AGE in adults. Therefore, many recommendations are extrapolated from the pediatric literature. Laboratory Testing and Imaging: Dehydration is the biggest contributor to mortality, especially in the very young and elderly. No data in AGE.

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Emergency Department Dehydration Poisoning Allergic Reactions 40

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?

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Blood Transfusions Research Outcomes Hospitals 78

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. Pediatrics.

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PEMBlog

MARCH 27, 2024

My special guest podcaster, Emily Groopman, is an actual Pediatric Geneticist in training and we hope that you will find this episode useful. Pediatr Rev. Pediatrics. Transcript Note: This transcript was partially completed with the use of the Descript AI Welcome to PEM Currents, the Pediatric Emergency Medicine Podcast.

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Pediatrics Seizures Emergency Department Sepsis 59

Pediatric EM Morsels

SEPTEMBER 20, 2024

Diarrhea is one of the most common complaints in the pediatric emergency department, especially in the summer and early fall. Sure this may cause blood in stool, but consider Hemolytic Uremic Syndrome when evaluating pediatric patients with Bloody Diarrhea. Clin Pediatr (Phila). Protect the Kidneys! 2010 May;49(5):418-21.

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Pediatrics Ultrasounds Dehydration Emergency Department 164

ACEP Now

MARCH 11, 2025

A survey that looked at 637 residency programs including pediatric, family, and internal medicine in 2014 found that only 42 programs offered formal training in eating disorders. A blind weight should be obtained post-void with the patient in a hospital gown only (to prevent hidden weights), and the patients back to the weight display.

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Emergency Department Psychiatric Dehydration Pediatrics 52

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. 2017) Pediatric Ovarian Torsion, Surg Clin North Am, 97(1):209-221. Pediatr Emerg Care, 1;38(6):e1332-e1335. J Pediatr Surg, 39(5):750-3, PMID: 15137012. Mansuria S.M,

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Ultrasounds Emergency Department Pediatrics Dehydration 76

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?

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Fluid Resuscitation Hospitals Dehydration Research 96

Don't Forget the Bubbles

MAY 15, 2023

As such, thresholds for intervention remain under debate and vary across different hospitals and countries. His systemic examination is normal, apart from signs of dehydration. Causes of hypoglycaemia table adapted from Perth Children’s Hospital. The Journal of Pediatrics. Physical examination: Joey is well-grown.

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Wellness Seizures Hospitals Dehydration 103

EMDocs

OCTOBER 7, 2023

Morbidity and mortality of hospitalized patients after the 1995 Hanshin-Awaji earthquake. Clinical spectrum of rhabdomyolysis presented to pediatric emergency department. BMC Pediatr. The incidence of a similar condition, traumatic rhabdomyolysis, is estimated to be around 0.074%. 1997;42(3):470-475; discussion 475-476.

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EMS Fluid Resuscitation Fractures Resuscitation 92

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. Also, just a quick FYI - If you’re not a current subscriber to Pediatric Emergency Medicine Practice, we’re giving away a free copy of the issue specifically for our listeners.

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Seizures Hyperthermia / Hypothermia Administration Dehydration 40

EMDocs

JUNE 27, 2024

This series provides evidence-based updates to previous posts so you can stay current with what you need to know. smoke, high ozone levels, smog) Asthma/reactive airway disease (RAD) Diagnostic criteria 7,8 Respiratory symptoms +/- fever (at least 38.0 C or 100.4 mg/kg, max 4 mg per dose q20-30min) or hydromorphone (0.01-0.02 mg/kg, max 0.4

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Pediatrics Dehydration EMS Hospitals 94

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. Pediatric patients with recent travel and fever of unknown origin should be considered for admission if malaria is a possible diagnosis.

Infectious Diseases 164

Infectious Diseases Pediatrics Sepsis Documentation/Coding 164

Don't Forget the Bubbles

JULY 17, 2023

The Bubble Wrap Plus is a monthly paediatric journal club reading list from Anke Raaijmakers, working with Professor Jaan Toelen and his team at the University Hospitals in Leuven. Reviews and opinion articles Point-of-care ultrasound in pediatric nephrology. Pediatr Nephrol. JAMA Pediatr. Eur J Pediatr.

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Pediatrics Emergency Department Outcomes Fractures 98

EMDocs

NOVEMBER 4, 2024

Bhana, MD (EM Resident Physician, University of Massachusetts/UMass Chan Medical School); Clarence Kong, MD (Pain Fellow, Eastern Virginia Medical School – Virginia Health Sciences at Old Dominion University); Mani Hashemi, MD (EM Attending, HCA Florida Mercy Hospital); S.M. Epub 2021 Jan 2. PMID: 33098707. Fam AG, Smythe HA. J R Soc Med.

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PEMBlog

JANUARY 17, 2024

Randomized controlled trial of cephalexin versus clindamycin for uncomplicated pediatric skin infections. Pediatrics. Transcript Note: This transcript was partially completed with the use of the Descript AI  Welcome to another episode of PEM Currents, the Pediatric Emergency Medicine Podcast. 2011 Mar;127(3):e573-80. What is it?

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Infectious Diseases Sepsis Wellness Pediatrics 59

Don't Forget the Bubbles

JANUARY 1, 2024

The Bubble Wrap Plus is a monthly paediatric Journal Club reading list from Professor Jaan Toelen (University Hospitals Leuven) and Dr Anke Raaijmakers (Sydney Children’s Hospital). This retrospective cohort study in JAMA Pediatrics looked at the impact of the COVID-19 pandemic on the socioemotional development of infants and toddlers.

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Pediatrics Ultrasounds Blood Transfusions Sepsis 98

Don't Forget the Bubbles

AUGUST 13, 2023

Assessment of the child ( NICE guidelines + NCBI – management of pediatric febrile seizures ) If the child is actively having seizures in the ED: Airway assessment and management – confirm and protect the airway. You are called to the resuscitation bay in your ED following arrival of the expected pediatric alert.

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Seizures Pediatrics Dehydration Radiology 97

Don't Forget the Bubbles

JULY 5, 2023

GPs and local hospitals should provide easy access to medication and vaccinations to ensure good compliance. At home, he has had 24 hours of alternating paracetamol and ibuprofen, but the pain was so unbearable that his parents came to hospital in the middle of the night. What medications would you give to control pain in hospital?

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Blood Transfusions Stroke Dehydration Sepsis 126

EMDocs

JANUARY 20, 2025

For patients who are elderly, orthostasis is an unreliable clinical finding and may be present in the absence of dehydration. 2024, 33 use of ultrasound may lead to a reduction in mortality, less volume of fluids given, and decreased hospital stay. WHO scale for dehydration in children. < 11 A study by Stephan et al.

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Dehydration Fluid Resuscitation Sepsis Resuscitation 73

Don't Forget the Bubbles

SEPTEMBER 23, 2024

You are working in the paediatric emergency department of a busy District General Hospital. Infections are the most common reason for hospitalization within the first two years of transplant and are much more likely than rejection. Have there been any previous episodes of hospitalization since receiving the transplant?

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Pediatrics Fractures Dehydration Sepsis 52

Taming the SRU

FEBRUARY 3, 2025

It is also worth noting that these aggressive hematologic cancers occur more commonly in children and thus the risk of TLS can be higher in the pediatric population6. mg/dl (pediatrics) calcium < 7 mg/dl Clinical Tumor Lysis Syndrome (2) - laboratory TLS + one of the following: cardiac arrhythmia seizure sudden death creatinine > 1.5x

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Fluid Resuscitation Seizures Dehydration Emergency Department 56

EMDocs

MARCH 11, 2024

As the disease progress the patients will experience profound dehydration and start to develops signs and symptoms such as: Rapid heart rate Loss of skin elasticity Dry mucous membranes Low blood pressure If left untreated, severe dehydration may lead to kidney failure, shock, coma, and death within hours.

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Dehydration CDC Rapid Diagnostic Testing Fluid Resuscitation 107

EMDocs

JANUARY 6, 2025

Based on available hospital resources, the patient is treated for septic shock secondary to pneumonia and an infected wound using broad-spectrum antibiotics and IV crystalloid fluids. 92 Refugee patients with SAM, dehydration, or shock should be admitted for further management. BMC Pediatr. Nat Rev Dis Primer. 2017;3:17067.

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Infectious Diseases CDC PPE Rapid Diagnostic Testing 72