Remove Dehydration Remove Outcomes Remove Sepsis
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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. 0000000000000305 Kazumi Y (2023) The Epidemiology and Outcomes of Leukopenia in Different Populations and Regions. Curr Opin Hematol. 2017;24(1):46-53. Gedefie, A.,

EMS 96
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EQUAL: a Straightforward Approach To Caring for Disabled Patients

ACEP Now

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.

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Medical Malpractice Insights: A Rare Presentation – Groin pain? Nec fasc? Diabetes? Appendicitis?

EMDocs

Sepsis is diagnosed and antibiotics started for the first time. High level amputation is considered, but she dies of sepsis and multiorgan failure on hospital day 7. She had no persistent vomiting, was not dehydrated and had no fever. Takeaways : There are more questions than answers in this case, but: This is a common outcome.

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Are we on the right TRACT? 

Don't Forget the Bubbles

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.

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Wide Complex Tachycardia. What is the Diagnosis?

Dr. Smith's ECG Blog

Maybe the patient has dehydration, sepsis, hemorrhage, or PE. Outcome: The etiology of the patient's sinus tachycardia was not discovered. 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
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Maintenance Fluids in Critical Illness

Don't Forget the Bubbles

One-liner… Understanding how to manage maintenance fluids in critically unwell children best is a basic but important way to improve outcomes. Jasmine, a hypothetical case Jasmine is a 5-year-old girl weighing 18kg admitted to PICU with suspected sepsis. Remember, we can add more if needed, but taking it away is much harder.

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Paediatric IV Fluid Prescribing

Mind The Bleep

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.