Mind The Bleep

FEBRUARY 27, 2024

1] It is worth mentioning this formula was designed for well, euvolaemic children, which does not represent the popluation of children who require IV fluids. This is a child who is clearly dehydrated and unable to tolerate oral fluids therefore IV fluids are the best option. Answers (1) [B] is the correct answer.

Fluid Resuscitation 96

Fluid Resuscitation Dehydration Hospitals Research 96

PEMBlog

OCTOBER 2, 2024

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.

Pediatrics 52

Pediatrics Emergency Department Ultrasounds Wellness 52

Pediatric Emergency Playbook

FEBRUARY 1, 2017

Symptoms – either typical dysuria, urgency, frequency in a verbal child, or non-descript abdominal pain or vomiting in a well appearing child. In a low risk child, with obviously very vigilant parents, who is well appearing, you may choose not to test now, and ensure close follow up. in Pediatric Emergency Care.

Dehydration 52

Dehydration Wellness Ultrasounds Pediatrics 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

Jeff: Well that’s kind worrisome. Which again reiterates why this is such an important topic for us as EM clinicians to be well-versed in. For the sake of completeness, just be aware that there is also the biliopancreatic diversion with or without a duodenal switch, as well as a vertical banded gastroplasty. At 6 to 8 mL/kg.

Emergency Department 40

Emergency Department Sepsis Operations Dehydration 40

Don't Forget the Bubbles

APRIL 7, 2025

This condition, known as diabetes insipidus (DI) , results in dehydration and high sodium concentrations in the blood. As dehydration can rapidly worsen in children , this test must be performed in a hospital setting with strict monitoring. PROP1, POU1F1, LHX3, and LHX4 mutations in congenital hypopituitarism).

Dehydration 72

Dehydration Pediatrics Administration Seizures 72

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. Though most children recover well after STEC is cultured from their stool, some will go on to display the findings that make up HUS. Clin Pediatr (Phila). Protect the Kidneys! 2010 May;49(5):418-21.

Pediatrics 164

Pediatrics Ultrasounds Dehydration Emergency Department 164

EMDocs

DECEMBER 6, 2024

6 Can see subsequent electrolyte disturbances and dehydration related to severity of GI symptoms. Ferrous sulfate tablets are radiopaque and can be visualized on radiographs, however not all preparations are radiopaque (pediatric chewable and liquid preparations). Arch Pediatr Adolesc Med. 1 Obtain a single view abdominal x-ray.

Poisoning 97

Poisoning Fluid Resuscitation Seizures Resuscitation 97

Don't Forget the Bubbles

JANUARY 27, 2025

2017) Pediatric Ovarian Torsion, Surg Clin North Am, 97(1):209-221. Scheier E (2022) Diagnosis and Management of Pediatric Ovarian Torsion in the Emergency Department: Current Insights 14: 283291, PMC9236466. Sims MJ, Price AB, Hirsig LE, Collins HR, Hill JG, Titus MO (2022) Pediatric Ovarian Torsion: Should you go with the flow?

Ultrasounds 76

Ultrasounds Emergency Department Pediatrics Dehydration 76

Downeast Emergency Medicine

MARCH 24, 2021

OVERVIEW Diarrhea is a common complaint for our pediatric patients in the emergency department. Most pediatric diarrhea is not life threatening, and usually is treated with supportive care. However, there are important red flags to consider when assessing a pediatric patient with diarrhea. Pediatr Emerg Care 1997, 13(3):179-182.

Pediatrics 52

Pediatrics Dehydration Emergency Department Wellness 52

Don't Forget the Bubbles

JANUARY 17, 2024

The liquids were chosen to “approximate a pediatric digestive environment.” Other symptoms, such as constipation, abdominal pain and dehydration, were also be seen. BMC Pediatrics , 20 , pp.1-5. J Pediatr Surg Case Rep. Orbeez: the magic water absorbing bead—risk of pediatric bowel obstruction?

Pediatrics 111

Pediatrics Poisoning Ultrasounds Dehydration 111

Pediatric Emergency Playbook

AUGUST 1, 2016

⇒ You have a stable child who just needs fluids, but no laboratory tests ⇒ You’ve tried PO hydration, to no avail, despite anti-emetics ⇒ You’re poking the stable, but dehydrated child repeatedly without success What now? Well, it turns out, what is old is new again. Pediatrics. Sound far-fetched? Ok, so how do you do it?

Allergic Reactions 52

Allergic Reactions Dehydration Pediatrics Geriatric Emergencies 52

PEMBlog

MARCH 27, 2024

My special guest podcaster, Emily Groopman, is an actual Pediatric Geneticist in training and we hope that you will find this episode useful. Pediatr Rev. Pediatrics. Transcript Note: This transcript was partially completed with the use of the Descript AI Welcome to PEM Currents, the Pediatric Emergency Medicine Podcast.

Pediatrics 59

Pediatrics Seizures Emergency Department Sepsis 59

Don't Forget the Bubbles

JANUARY 10, 2024

These were presented as hazard ratios and included fever at presentation, previous transfusion ever, haemoglobinuria, malaria, sickle cell disease on enrolment, HIV, evidence of sepsis, malnutrition, shock, hypothermia, and dehydration. Groups were well matched at baseline. Pediatr Crit Care Med. Pediatr Blood Cancer.

Blood Transfusions 78

Blood Transfusions Research Outcomes Hospitals 78

EB Medicine

AUGUST 1, 2018

Jeff: Because the current DEA controlled substances schedule designations are based on original chemical names, synthetics have gained popularity as manufacturers are able to produce newer compounds and circumvent DEA designation as well as routine urine drug screening tests. Jeff: And the etiology of CHS is not well understood.

Seizures 40

Seizures Hyperthermia / Hypothermia Administration Dehydration 40

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. 16 An elevated amylase suggests repetitive vomiting as well. Pediatrics. Do not minimize the illness. J Gen Intern Med. 2000;15(8):577-590.

Emergency Department 83

Emergency Department Psychiatric Dehydration Pediatrics 83

Don't Forget the Bubbles

MAY 15, 2023

Previously well child? “ Pregnancy was uncomplicated and he was well after birth. Physical examination: Joey is well-grown. His systemic examination is normal, apart from signs of dehydration. Pregnancy was uncomplicated, and he was well after birth. Granny’s gliclazide? “ Yes, he’s never been sick before.”

Wellness 103

Wellness Seizures Hospitals Dehydration 103

EMDocs

NOVEMBER 4, 2024

She denies any trauma, swelling, or redness in the joints, as well as fever or weight loss. Eosinophils and mast cells as therapeutic targets in pediatric functional dyspepsia. Effects of hydration and dehydration on blood rheology in sickle cell trait carriers during exercise. J Pain Manag. 2019;12(2):141-146. Am J Hematol.

Emergency Department 106

Emergency Department Fractures Burns EMS 106

Pediatric EM Morsels

FEBRUARY 2, 2024

Pediatric patients with recent travel and fever of unknown origin should be considered for admission if malaria is a possible diagnosis. Fever in the Returned Pediatric Traveler. Glob Pediatr Health. Curr Probl Pediatr Adolesc Health Care. Malaria requires 3 negative thick and thin smears over 12 hours to fully exclude.

Infectious Diseases 164

Infectious Diseases Pediatrics Sepsis Documentation/Coding 164

Pediatric Education

DECEMBER 15, 2024

He was acting well, and attempting to breastfeed. The American Academy of Pediatrics 2022 Clinical Guidelines states that: “[t]he effectiveness of phototherapy is dependent on the intensity of phototherapy administered and the surface area of the infant exposed to phototherapy (ie, double-sided). .” 2022;150(3).

Hyperthermia / Hypothermia 40

Hyperthermia / Hypothermia Pediatrics Dehydration Wellness 40

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. Well, it’s clinical, right?

Infectious Diseases 59

Infectious Diseases Sepsis Wellness Pediatrics 59

EMDocs

JANUARY 20, 2025

1,2 For hypervolemia in heart failure patients, orthopnea >2 pillows is the most reliable clinical finding, 3,4 though an increase in peripheral edema and increased weight can be useful as well. For patients who are elderly, orthostasis is an unreliable clinical finding and may be present in the absence of dehydration.

Dehydration 75

Dehydration Fluid Resuscitation Sepsis Resuscitation 75

EMDocs

JUNE 27, 2024

His medical history is significant for three prior admissions for vaso-occlusive crises that have responded well to appropriate therapy, including pain control with NSAIDs and opioids, blood transfusions, antibiotics, and intravenous (IV) crystalloids. Pediatr Allergy Immunol Pulmonol. C or 100.4 mg/kg, max 0.4 C or 100.4

Pediatrics 97

Pediatrics Dehydration EMS Hospitals 97

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. Pediatr Infect Dis J. Pediatr Infect Dis J. Eur J Pediatr. Sethi SK, et al.

Pediatrics 98

Pediatrics Emergency Department Outcomes Fractures 98

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

AUGUST 13, 2023

Assessment of the child ( NICE guidelines + NCBI – management of pediatric febrile seizures ) If the child is actively having seizures in the ED: Airway assessment and management – confirm and protect the airway. After a short period of observation in the ED, he looks well and has been eating and drinking normally and playing.

Seizures 97

Seizures Pediatrics Dehydration Radiology 97

EMDocs

MARCH 11, 2024

As the disease progress the patients will experience profound dehydration and start to develops signs and symptoms such as: Rapid heart rate Loss of skin elasticity Dry mucous membranes Low blood pressure If left untreated, severe dehydration may lead to kidney failure, shock, coma, and death within hours.

Dehydration 111

Dehydration CDC Rapid Diagnostic Testing Fluid Resuscitation 111

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. This is particularly crucial in younger children who have received a large adult kidney and typically have relatively low creatinine levels when stable and well. Peruzzi, L.,

Pediatrics 52

Pediatrics Fractures Dehydration Sepsis 52

Don't Forget the Bubbles

JULY 5, 2023

SCD, therefore, is not only a mechanical disease but there are also many other cellular and plasma factors as well as endothelial interaction that generate chronic inflammation. Infections, fever, acidosis, hypoxia, dehydration and exposure to extreme temperatures can trigger VOC even though often no cause is identified. Anemia ; 2015.DOI:10.1155/2015/791498.

Blood Transfusions 126

Blood Transfusions Stroke Dehydration Sepsis 126

EMDocs

JANUARY 6, 2025

She receives IV calcium gluconate and bicarbonate as well as oral potassium binders for hyperkalemia. 89 The high malnutrition rate is caused by factors such as a heavy disease burden, particularly malaria, as well as poor food consumption and inadequate infant and child feeding practices. BMC Pediatr. Nat Rev Dis Primer.

Infectious Diseases 74

Infectious Diseases CDC PPE Rapid Diagnostic Testing 74