Don't Forget the Bubbles

JANUARY 27, 2025

While you dip a urine to rule out UTI , DKA and pregnancy, take bloods, speak to the general surgical registrar to rule out appendicitis and scramble to get an ultrasound before the close of play, the clock is ticking on the lifespan of that ovary This article aims to shine a light on a difficult diagnosis.

Ultrasounds 76

Ultrasounds Emergency Department Pediatrics Dehydration 76

EMDocs

OCTOBER 7, 2023

Morbidity and mortality of hospitalized patients after the 1995 Hanshin-Awaji earthquake. The incidence of a similar condition, traumatic rhabdomyolysis, is estimated to be around 0.074%. Analysis of 372 patients with Crush syndrome caused by the Hanshin-Awaji earthquake. 1997;42(3):470-475; discussion 475-476. Tanaka H, Oda J, Iwai A, et al.

EMS 92

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. 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

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. Can’t get enough of Bubble Wrap? Sethi SK, et al. Pediatr Nephrol.

Pediatrics 98

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.

Emergency Department 105

Emergency Department Fractures Burns EMS 105

Dr. Smith's ECG Blog

APRIL 8, 2015

Check : [vitals, SOB, Chest Pain, Ultrasound] If the patient has Abdominal Pain, Chest Pain, Dyspnea or Hypoxemia, Headache, Hypotension , then these should be considered the primary chief complaint (not syncope). Also consider non-hemorrhagic volume depletion, dehydration : orthostatic vitals may uncover this [see Mendu et al. (3)].

Emergency Department 52

Emergency Department EKG/ECG Outcomes Seizures 52

PEMBlog

JANUARY 17, 2024

If you think that there’s an abscess, you can diagnose it clinically by a localized area of induration or fluctuance or use an ultrasound. 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.

Infectious Diseases 59

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). Reviews and opinion articles Use of POCUS for the assessment of dehydration in pediatric patients-a narrative review. Musolino AM, et al.

Pediatrics 98

Pediatrics Ultrasounds Blood Transfusions Sepsis 98

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?

Blood Transfusions 126

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. For links to FOAM-ED ultrasound content, see the section after take-home points.) (For links to FOAM-ED ultrasound content, see the section after take-home points.) 11 A study by Stephan et al.

Dehydration 73

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?

Pediatrics 52

Pediatrics Fractures Dehydration Sepsis 52

Mind The Bleep

NOVEMBER 2, 2024

Every baby has a NIPE performed, either in hospital before discharge or at home by a community midwife. 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 the ultrasound is abnormal then the baby may then require an MRI.

Dislocations 52

Dislocations Documentation/Coding Ultrasounds Wellness 52