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Diabetic Ketoacidosis in Paediatrics

Mind The Bleep

Common stressors in children and adolescents include: Infections: urinary tract infections, gastroenteritis, pneumonias, Poor compliance to insulin therapy, Dehydration, Fasting state, Heatstroke Trauma. or HCO3 10-15 mmol/L: mild DKA (5% dehydration) pH < 7.2 or HCO3 5-10 mmol/L: moderate DKA (5% dehydration) pH < 7.1

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REBEL Core Cast 87.0 – Hypercalcemia

RebelEM

mg/dL 10.5 – 12.0 mg/dL 10.5 – 12.0

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Bubble Wrap PLUS – January 2024

Don't Forget the Bubbles

The study suggests the importance of increased screening, safety planning, and early interventions for children with PO-MDD to address the risk of future psychiatric morbidity and mortality. Reviews and opinion articles Use of POCUS for the assessment of dehydration in pediatric patients-a narrative review. Musolino AM, et al.

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Bubble Wrap PLUS – July ’23

Don't Forget the Bubbles

2023 Jun 15 Early puberty paradox: an investigation of anxiety levels of mothers and children, children’s quality of life, and psychiatric diagnoses. 2023 Jun;182(6):2735-2757 Point-of-care ultrasound to assess degree of dehydration in children: a systematic review with meta-analysis. Scorza P, et al. Kardaş B, et al.

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Behavioural and Psychological Symptoms of Dementia (BPSD)

Mind The Bleep

Treatment Strategies Like with all psychiatric conditions always consider a biopsychosocial approach. environmental factors, pain, infection, dehydration, electrolyte disturbance, head injury, medication etc) Does the individual have capacity? The green arrows represent insults causing a delirium e.g. infection.

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Managing a patient with decompensated liver cirrhosis

Mind The Bleep

History is imperative and a wide range of neurological and psychiatric symptoms can be present. These include infection & sepsis, GI bleeding, dehydration, AKI, alcohol consumption, constipation, and certain medications. Survival after presenting once with HE is 40% at one year and 20% at 3 years. On Day 3 (i.e.

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Grand Rounds Recap 4.5.23

Taming the SRU

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.