Remove Dehydration Remove Pediatrics Remove Ultrasounds
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Don’t Forget the Orbeez!

Don't Forget the Bubbles

The liquids were chosen to “approximate a pediatric digestive environment.” Other symptoms, such as constipation, abdominal pain and dehydration, were also be seen. Abdominal ultrasound, used in 34 cases, was able to visualize a rounded intraluminal image corresponding to a bead in 28 patients. Arch Pediatr.

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Morel-Lavallée Lesion in Children

Pediatric EM Morsels

Sometimes this can be used to our advantage, like when we need to give subcutaneous fluids to a dehydrated patient without an IV, or when we need to give SQ medications for things like Sulfonylurea overdose , Hereditary Angioedema , or DVTs. The subcutaneous space is a vast region of potential space where things can collect.

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emDOCs Podcast – Episode 100: Acute Chest Syndrome Part 1

EMDocs

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.

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emDOCs Podcast – Episode 101: Acute Chest Syndrome Part 2

EMDocs

Other causes of sickling: acidosis, dehydration, inflammation, infection, fever, and blood stasis. Ultrasound Sensitivity 88-100%, specificity 68-94% LR+ of 14.6 (95% Fluid management Goal is euvolemia Dehydration – needs IV fluid resuscitation. Look for B lines, consolidation, pleural effusion. times maintenance.

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Focus On: Pyloric Stenosis

Pediatric Emergency Playbook

Early presentation from 3 to 5 weeks of age: projectile vomiting Later presentation up to 12 weeks: dehydration, failure to thrive, possibly the elusive olive Labs may show hypOchloremic, hypOkalemic metabOlic acidosis: “ all the Os ” Watch out for hyperbilirubinemia, the “icteropyloric syndrome”: unconjugated hyperbilirubinemia from dehydration.

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Scope This! A Podcast on Gastroesophageal Reflux and Gastritis

PEMBlog

In this episode of PEM Currents: The Pediatric Emergency Medicine Podcast , I explore the complexities of gastroesophageal reflux (GER) and gastritis in children and adolescents. Topics covered include: The pathophysiology of GER and GERD in the pediatric population. J Pediatr Gastroenterol Nutr. J Pediatr Gastroenterol Nutr.

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Urine Trouble

Pediatric Emergency Playbook

in Pediatric Emergency Care. Think about poor feeding, irritability, dehydration – in that case, just go with your gut and call it pyelonephritis, and admit. Renal and bladder ultrasound (RBUS) after the first UTI is recommended (although incompletely followed in practice). When can I just call it pyelonephritis?