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 94

Blood Transfusions Fluid Resuscitation Dehydration Ultrasounds 94

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

Pediatric Education

SEPTEMBER 3, 2023

With your sickle cell trait you usually shouldn’t have any problems, but dehydration could cause problems for you. Actually dehydration can cause problems for everyone, so just take an extra ounce or two than everyone else to really stay hydrated,” he counseled. Pediatr Emerg Med Pract. 2016;13(11):1-28.

Dehydration 40

Dehydration Hyperthermia / Hypothermia Pediatrics Military 40

Don't Forget the Bubbles

NOVEMBER 15, 2023

One-liner… Understanding how to manage maintenance fluids in critically unwell children best is a basic but important way to improve outcomes. 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).

Resuscitation 80

Resuscitation Dehydration Administration Shock 80

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

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. 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.

Pediatrics 164

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. Comorbidity and outcome in eating disorders. There is a lack of education on eating disorders in residency programs in the United States. Int J Eat Disord.

Emergency Department 52

Emergency Department Psychiatric Dehydration Pediatrics 52

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 Hospitals Dehydration Research 96

EB Medicine

AUGUST 1, 2018

Jeff: For more on synthetic intoxications in the ED, be sure to take a look at the recent May 2018 issue of Pediatric Emergency Medicine Practice on Synthetic Drug Intoxication in Children if you haven’t already read it. Jeff: The hyperemetic phase lasts 24-48 hours and can lead to dehydration, electrolyte abnormalities, and weight loss.

Seizures 40

Seizures Hyperthermia / Hypothermia Administration Dehydration 40

EMDocs

JUNE 27, 2024

Pediatr Allergy Immunol Pulmonol. 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 2 mcg/kg, max 100 mcg) while obtaining IV access 20 IV/IM ketorolac (1 mg/kg, max 15 mg) Morphine (05-0.1 mg/kg, max 0.4 C or 100.4 mg/kg, max 0.4

Pediatrics 94

Pediatrics Dehydration EMS Hospitals 94

Don't Forget the Bubbles

JULY 17, 2023

Reviews and opinion articles Point-of-care ultrasound in pediatric nephrology. Pediatr Nephrol. JAMA Pediatr. Eur J Pediatr. Pediatr Infect Dis J. Pediatr Infect Dis J. Eur J Pediatr. Eur J Pediatr. Clinical Outcomes of COVID-19 in Newborns and Infants: A Multicenter Experience of 576 Cases.

Pediatrics 98

Pediatrics Emergency Department Outcomes Fractures 98

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. Eosinophils and mast cells as therapeutic targets in pediatric functional dyspepsia.

Emergency Department 105

Emergency Department Fractures Burns EMS 105

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?

Infectious Diseases 59

Infectious Diseases Sepsis Wellness Pediatrics 59

Don't Forget the Bubbles

JANUARY 1, 2024

This retrospective cohort study in JAMA Pediatrics looked at the impact of the COVID-19 pandemic on the socioemotional development of infants and toddlers. A randomized clinical trial, the Pediatric Adenotonsillectomy Trial for Snoring ( PATS ), evaluated adenotonsillectomies in children with snoring or mild obstructive sleep apnoea (OSA).

Pediatrics 98

Pediatrics Ultrasounds Blood Transfusions Sepsis 98

Don't Forget the Bubbles

JULY 5, 2023

Furthermore, educating both patients and their families is important in order to achieve good treatment compliance and better clinical outcomes. Infections, fever, acidosis, hypoxia, dehydration and exposure to extreme temperatures can trigger VOC even though often no cause is identified. Rotavirus gastroenteritis and dehydration C.

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. 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 73

Dehydration Fluid Resuscitation Sepsis Resuscitation 73

Don't Forget the Bubbles

SEPTEMBER 23, 2024

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. Pediatric nephrology , 22 (9), pp.1243-1250.

Pediatrics 52

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

Fluid Resuscitation 56

Fluid Resuscitation Seizures Dehydration Emergency Department 56