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EM@3AM: Leukopenia

EMDocs

PCP Pneumonia, Sepsis) can be discharged with initiation of Antiretroviral Therapy in consultation with Infectious Disease (ID) physician with full ID evaluation outpatient. BioMed Research International, 2020, 1-10. Journal of Research in Pharmacy Practice, 6(1), 31. General approach to infectious diseases evaluation.

EMS 88
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Haemolytic Uraemic Syndrome

Don't Forget the Bubbles

She appears pale and dehydrated , and her level of alertness fluctuates. Pay specific attention to fluid status, looking for evidence of dehydration. Manage hydration Children may be dehydrated or present with signs of fluid overload. Clinical Infectious Diseases [Internet]. Talk to your renal experts first.

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Are we on the right TRACT? 

Don't Forget the Bubbles

The factorial design chosen by Dr Maitland and her research group means that several comparisons in transfusion practice could be carried out at the same time. What were the research questions? Does the study address a clearly focused research question? N Engl J Med. 2019;381(5):407-419. Was blinding achieved?

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Hemolytic Uremic Syndrome (HUS): Rebaked Morsel

Pediatric EM Morsels

Considering HUS and treating dehydration early has been shown to help keep the dialysis machine away! Sure this may cause blood in stool, but consider Hemolytic Uremic Syndrome when evaluating pediatric patients with Bloody Diarrhea. Protect the Kidneys! References: Glatstein M, Miller E, Garcia-Bournissen F, Scolnik D.

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Caring for children after a kidney transplant

Don't Forget the Bubbles

Inadequate fluid consumption, combined with factors like hot weather or strenuous physical activity, can lead to gradual dehydration with cumulative effects. Differential Diagnosis of Acute Issues Dehydration Every child will have a minimum daily fluid intake goal to achieve. Journal of Bone and Mineral Research , 21 (3), pp.380-387.