Mind The Bleep

FEBRUARY 27, 2024

The children who received no bolus had significantly better outcomes and reduced mortality compared to the two bolus group. [2] This is a child who is clearly dehydrated and unable to tolerate oral fluids therefore IV fluids are the best option. Boluses were given in 20-40ml/kg aliquots. Answers (1) [B] is the correct answer.

Fluid Resuscitation 96

Fluid Resuscitation Dehydration Hospitals Research 96

RebelEM

FEBRUARY 2, 2023

Small sample size limits the power of the study and increases margin of error A patient-oriented outcome such as mortality was not included Follow-up beyond disposition to evaluate hospitalization recurrences related to atrial fibrillation was not included. Sepsis, hyperthyroidism, dehydration, heart failure, ACS, etc).

Emergency Department 52

Emergency Department Administration Dehydration EMS 52

Dr. Smith's ECG Blog

JULY 5, 2018

On reading the note the next day, the inpatient admitting team gave an assessment of "dehydration" and was about to discharge the patient. Syncope without prodrome is a significant risk factor for cardiac syncope and poor outcome.

Dehydration 52

Dehydration EKG/ECG Emergency Department Outcomes 52

Taming the SRU

APRIL 13, 2023

beta blockers decrease ability to dissipate heat through increase CO, diuretics predispose to dehydration, or anticholinergic agents can affect thermoregulation) Clinical Presentation: Temperature elevation, usually 40.5C EtOH, amphetamines, or cocaine) Prescription drugs (i.e.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Poisoning EKG/ECG Seizures 52

EB Medicine

JULY 8, 2019

Consider IV access and early IV fluids in those at risk for dehydration and intra-abdominal infections. Jeff: Tachycardic patients should make you concerned for hypovolemia 2/2 dehydration, sepsis, leaks, and blood loss. with generally good clinical outcomes including improved quality of life and reducing or staving off comorbidities.

Emergency Department 40

Emergency Department Sepsis Operations Dehydration 40

Don't Forget the Bubbles

APRIL 7, 2025

Early recognition of these signs is crucial, as timely hormone replacement can significantly improve outcomes. This condition, known as diabetes insipidus (DI) , results in dehydration and high sodium concentrations in the blood. Hypoglycaemia is a common and sometimes early red flag in babies with hypopituitarism.

Dehydration 72

Dehydration Pediatrics Administration Seizures 72

Pediatric EM Morsels

SEPTEMBER 20, 2024

HUS findings: Microangiopathic hemolytic anemia , Renal failure , and Thrombocytopenia The most dreaded outcomes of HUS include need for renal replacement therapy both short and long term and unfortunately death. It is critical to detect HUS early in its disease course to ensure the best outcomes. Protect the Kidneys! 2020.12.077.

Pediatrics 164

Pediatrics Ultrasounds Dehydration Emergency Department 164

Pediatric EM Morsels

JULY 28, 2023

Kids < 5 years of age New onset of diabetes at presentation Longer duration of symptoms Severity of acidosis Elevated BUN Greater degree of dehydration and hyperventilation Cerebral Edema and DKA: Diagnostic Considerations Early detection and treatment is the best means to prevent brain injury and death. Then we’ve likely got DKA.

Fluid Resuscitation 246

Fluid Resuscitation Pediatrics Resuscitation Research 246

EMDocs

DECEMBER 6, 2024

6 Can see subsequent electrolyte disturbances and dehydration related to severity of GI symptoms. 7 Workup other than serum iron concentration at 4 hours after ingestion not shown to accurately predict clinical outcomes or severity of toxicity. Typically presents in the first few hours following ingestion. Antiemetics as needed.

Poisoning 98

Poisoning Fluid Resuscitation Seizures Resuscitation 98

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. He reasoned that dehydration and orthostatic hypotension led to a syncopal episode with limb shaking. The elevated WBC could be due to dehydration. VS are normal with a temp of 97.3.

Seizures 105

Seizures Dehydration Documentation/Coding Infectious Diseases 105

EMDocs

MAY 15, 2024

Other causes of sickling: acidosis, dehydration, inflammation, infection, fever, and blood stasis Sickling leads to vascular occlusion, end-organ ischemia, and decreased RBC lifespan, which, in turn, leads to pain crisis, acute anemia, sequestration, infection, and acute chest syndrome (ACS.) times maintenance. Am J Emerg Med. N Engl J Med.

Blood Transfusions 104

Blood Transfusions Fluid Resuscitation Dehydration Ultrasounds 104

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. Causes and outcomes of the acute chest syndrome in sickle cell disease. Incentive Spirometry 10 maximal inspirations q2hr. times maintenance.

Blood Transfusions 98

Blood Transfusions Fluid Resuscitation Dehydration Ultrasounds 98

ACEP Now

OCTOBER 30, 2023

One case report highlighted an unfortunate outcome from aspiration pneumonia, later found to be due to crayons rather than the expected culprits such as food, secretions, or beverages. Oftentimes, it can be an indication of pain, infection, distress, anxiety, dehydration, or the first sign of sepsis.

Sexual Assault 98

Sexual Assault Teamwork Dehydration Outcomes 98

Don't Forget the Bubbles

MARCH 18, 2024

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. Early Volume Expansion and Outcomes of Hemolytic Uremic Syndrome. 2016 Jan;6(1):e009933.

Dehydration 59

Dehydration Infectious Diseases Seizures Pediatrics 59

Ziqitza HealthCare Ltd

JUNE 13, 2024

Knowledge of life-saving skills can significantly impact patient outcomes, potentially saving lives and avoiding future health complications. Rapid medical response is essential in this case to prevent long-term complications and death and improve outcomes. Common reasons include infections, gastrointestinal issues, and food poisoning.

Burns 52

Burns Stroke Ambulance Services Seizures 52

Don't Forget the Bubbles

JANUARY 17, 2024

Other symptoms, such as constipation, abdominal pain and dehydration, were also be seen. There have been reports of the Orbeez Challenge leading to serious outcomes. Zamora et al., Persistent vomiting affected all 43 cases. Imaging Diagnostic imaging presented its own set of challenges.

Pediatrics 111

Pediatrics Poisoning Ultrasounds Dehydration 111

EMDocs

OCTOBER 10, 2024

She had no persistent vomiting, was not dehydrated and had no fever. A delay in antibiotics administration was unfortunate but no one can say on a “more probable than not” basis that earlier treatment would have changed the outcome. Takeaways : There are more questions than answers in this case, but: This is a common outcome.

Documentation/Coding 98

Documentation/Coding Hospitals Sepsis Infectious Diseases 98

American Medical Compliance

APRIL 17, 2024

Our Continuing Medical Education (CME) program is committed to enhancing the knowledge, skills, and professional performance of healthcare providers to improve healthcare outcomes. Patients with dysphagia are also susceptible to dehydration and malnutrition, particularly if they are given thickened drinks or altered meals.

Stroke 52

Stroke Dehydration Outcomes 52

Dr. No

DECEMBER 19, 2021

The first is the meaning of a model: is it a prediction, or a scenario, and so the follow-up, more important, question, is it possible to get the two mixed up: that an outcome written as a scenario gets read as a prediction? Dr No has always been clear that modelling is the numerology that makes astrology seem rigorous.

Infectious Diseases 52

Infectious Diseases Outcomes Dehydration Operations 52

Don't Forget the Bubbles

JANUARY 10, 2024

Some wonder if giving blood to children with a haemoglobin <6g/dl will improve outcomes. Outcomes Primary outcome Mortality at 28 days after randomisation. The authors chose a patient-centred, primary outcome in keeping with their pragmatic design. What were the research questions? The study asked TWO questions: 1.

Blood Transfusions 78

Blood Transfusions Research Outcomes Hospitals 78

EMDocs

DECEMBER 16, 2023

Clinical characteristics and outcome of thyroid storm: a case series and review of neuropsychiatric derangements in thyrotoxicosis. Outcome and risk factors associated with extent of central nervous system injury due to exertional heat stroke. Temps greater than 41.5C Determine and treat underlying cause , consider multiple etiologies.

Hyperthermia / Hypothermia 95

Hyperthermia / Hypothermia EMS Stroke Seizures 95

EB Medicine

DECEMBER 4, 2019

Most of the dehydration that occurs is more likely due to inadequate water intake and excess caffeine and alcohol consumption depending on the time of day. Nachi: AEDs are also required and have been since 2001 and amazingly when a shock was delivered in flight, 40% survived to hospital discharge with a good outcome.

Dehydration 40

Dehydration EMS Wellness Burns 40

EB Medicine

AUGUST 1, 2018

Jeff: The hyperemetic phase lasts 24-48 hours and can lead to dehydration, electrolyte abnormalities, and weight loss. Be sure to look for and treat dehydration, acute renal failure, and rhabdo though. In the hyperemetic phase, patients complain of severe, unremitting abdominal pain with repeated episodes of vomiting and retching.

Seizures 40

Seizures Hyperthermia / Hypothermia Administration Dehydration 40

ACEP Now

MARCH 11, 2025

It is important that we identify eating disorders in the ED, as the earlier treatment is started, the better the long-term outcomes (similar to schizophrenia), the lower the mortality rate, and the less likely they are to develop serious medical complications. Comorbidity and outcome in eating disorders. Int J Eat Disord.

Emergency Department 83

Emergency Department Psychiatric Dehydration Pediatrics 83

EMDocs

NOVEMBER 4, 2024

A comprehensive, patient-centered approach to pain management ensures effective treatment across these diverse pain syndromes, ultimately improving patient outcomes. Cause and outcome of atypical chest pain in patients admitted to hospital. Identifying the specific type of pain is crucial, allowing for targeted treatments. J R Soc Med.

Emergency Department 106

Emergency Department Fractures Burns EMS 106

Dr. Smith's ECG Blog

APRIL 8, 2015

Also consider non-hemorrhagic volume depletion, dehydration : orthostatic vitals may uncover this [see Mendu et al. (3)]. Cardiac Syncope ("True Syncope") Independent Predictors of Adverse Outcomes condensed from multiple studies 1. These premonitory symptoms were negative predictors of adverse outcomes in EGSYS.

Emergency Department 52

Emergency Department EKG/ECG Outcomes Seizures 52

Taming the SRU

JANUARY 5, 2025

The neuroleptic malignant syndrome-a systematic case series analysis focusing on therapy regimes and outcome. mg/kg initially followed by 1mg/kg q6hrs Disposition NMS can be very severe and usually requires ICU level care. Kuhlwilm L, Schnfeldt-Lecuona C, Gahr M, Connemann BJ, Keller F, Sartorius A. Acta Psychiatr Scand. doi: 10.1111/acps.13215.

Hyperthermia / Hypothermia 97

Hyperthermia / Hypothermia Dehydration Psychiatric Poisoning 97

American Medical Compliance

JANUARY 8, 2025

Neglect Indicators : Malnutrition, dehydration, poor hygiene, and untreated medical issues. Recognizing the Signs of Abuse Healthcare providers must remain vigilant for signs of abuse, which can include: Physical Signs : Unexplained bruises, burns, or fractures, along with frequent hospitalizations for preventable issues.

Incident Reporting 105

Incident Reporting Documentation/Coding Dehydration Burns 105

Taming the SRU

NOVEMBER 18, 2024

Prolonged hiccups can also cause a myriad of negative health consequences including sleep deprivation, exhaustion, malnutrition, dehydration, and depression. Hiccups in patients with cancer: a multi-site, single-institution study of etiology, severity, complications, interventions, and outcomes. BMC Cancer. 2022;22:659. 2021;62(3).

Stroke 86

Stroke Administration COPD Dehydration 86

Sensible Medicine

AUGUST 30, 2024

When the medical outcomes of my patients are bad, I am sometimes haunted by the lack of a counterfactual. Four days later he is admitted with dehydration and delirium. If we reflect on the absence of an outcome at all, we are likely to congratulate ourselves for having prevented it. I diagnosed KN with cancer when he was 88.

Hospice 119

Hospice Dehydration Wellness Outcomes 119

Ziqitza HealthCare Ltd

MAY 24, 2023

Early detection of health conditions can significantly improve treatment outcomes and reduce the risk of complications. According to Sweta Mangal Ziqitza, dehydration can lead to fatigue, headaches, and other health issues. Try to limit your intake of caffeine and alcohol, which can contribute to dehydration.

Dehydration 52

Dehydration Ambulance Services Wellness Research 52

EMDocs

JANUARY 20, 2025

For patients who are elderly, orthostasis is an unreliable clinical finding and may be present in the absence of dehydration. 13 While there is good data that early antibiotics for patients in septic shock reduce mortality 18-19 the role of early and aggressive volume resuscitation and its impacts on patient-centered outcomes remain unclear.

Dehydration 75

Dehydration Fluid Resuscitation Sepsis Resuscitation 75

PEMBlog

JANUARY 17, 2024

Now you could even admit a kid for IV antibiotics, maybe they’re dehydrated or they can’t take PO for some reason, without sending a blood culture. A representative randomized control trial from Palin from 2013 showed that the addition of TrimSulfa did not improve outcomes in a very large cohort that contained lots of children.

Infectious Diseases 59

Infectious Diseases Sepsis Wellness Pediatrics 59

EMDocs

JUNE 27, 2024

Intravenous fluid therapy and hospital outcomes for vaso-occlusive episodes in children, adolescents, and young adults with sickle cell disease. Factors associated with adverse outcome among children with sickle cell disease admitted to the pediatric intensive care unit: an observational cohort. C or 100.4 mg/kg, max 0.4 Front Physiol.

Pediatrics 98

Pediatrics Dehydration EMS Hospitals 98

EMDocs

APRIL 1, 2025

Aseptic causes (less common): thrombophilia, maxillofacial/ocular surgery or trauma, dehydration, systemic disease including sepsis or autoimmune disease, intracranial tumors, and medications, though these are less common. thrombophilia, head/neck operation or trauma, dehydration, etc.) What is the ED evaluation?

Dehydration 100

Dehydration Sepsis Seizures Resuscitation 100

Don't Forget the Bubbles

JULY 17, 2023

Clinical Outcomes of COVID-19 in Newborns and Infants: A Multicenter Experience of 576 Cases. 2023 Jun Oral food challenge outcomes in children and adolescents in a tertiary centre: A 5-year experience. Effects of size at birth on health, growth and developmental outcomes in children up to age 18: an umbrella review. 2023 Jun 9.

Pediatrics 98

Pediatrics Emergency Department Outcomes Fractures 98

Taming the SRU

FEBRUARY 3, 2025

InHospital Outcomes of Tumor Lysis Syndrome: A PopulationBased Study Using the National Inpatient Sample. paclitaxel, doxorubicin, cisplatin) high-risk monoclonal antibody treatments (i.e. Williams SM, Killeen AA. Tumor Lysis Syndrome. Archives of Pathology & Laboratory Medicine. 2018;143(3):386-393. doi:10.5858/arpa.2017-0278-RS

Fluid Resuscitation 56

Fluid Resuscitation Seizures Dehydration Emergency Department 56