Don't Forget the Bubbles

NOVEMBER 15, 2023

Jasmine, a hypothetical case Jasmine is a 5-year-old girl weighing 18kg admitted to PICU with suspected sepsis. 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). Ann Intensive Care.

Resuscitation 80

Resuscitation Dehydration Administration Shock 80

PEMBlog

JANUARY 17, 2024

Full blown sepsis and toxic shock syndrome. Well, you definitely shouldn’t be sending a blood culture because if you’re worried about bacteremia and sepsis, that kid needs to stay in the hospital. So when do you want to think about admission to the hospital or short stay unit versus discharge?

Infectious Diseases 59

Infectious Diseases Sepsis Wellness Pediatrics 59

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 Hospitals Dehydration Research 96

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

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

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

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. Evaluating the Impact of the 2017 Dutch Neonatal Early-Onset Sepsis Guideline. Can’t get enough of Bubble Wrap? Paediatr Child Health. 2023 Jun 15.

Pediatrics 98

Pediatrics Emergency Department Outcomes Fractures 98

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

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. Physical examination: Joey is well-grown. He is lethargic but alert.

Wellness 101

Wellness Seizures Hospitals Dehydration 101

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).

Emergency Department 52

Emergency Department Administration EMS Dehydration 52

Don't Forget the Bubbles

JULY 5, 2023

GPs and local hospitals should provide easy access to medication and vaccinations to ensure good compliance. Vaccination: PCV13 (pneumococcal vaccination), meningococcal vaccines, and Hib conjugated vaccines are important to prevent life-threatening sepsis. What medications would you give to control pain in hospital?

Blood Transfusions 126

Blood Transfusions Stroke Dehydration Sepsis 126

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 52

EKG/ECG Shock Fluid Resuscitation Documentation/Coding 52