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ToxCard: Iron

EMDocs

6 Can see subsequent electrolyte disturbances and dehydration related to severity of GI symptoms. Radiology in the management of acute iron poisoning. Typically presents in the first few hours following ingestion. Children without vomiting within 6 hours of iron ingestion will almost never have significant toxic effects. Hosking CS.

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Choosing Wisely – Investigations for seizures that have returned to baseline

Don't Forget the Bubbles

The American College of Radiology guidelines provide further detail on imaging recommendations based on different age and seizure type variants. If indicated, MRI is the investigation of choice, and although this should take place as soon as possible, it may be appropriate for this to occur as an outpatient.

Seizures 131
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Medical Malpractice Insights: A Rare Presentation – Groin pain? Nec fasc? Diabetes? Appendicitis?

EMDocs

She had no persistent vomiting, was not dehydrated and had no fever. To pursue the case would require expert testimony from multiple specialties: Emergency Medicine, Nurse Practitioner, Urgent Care/Family Medicine, Endocrinology, General Surgery, Infectious Disease, Radiology, Nursing and Hospital Medicine.

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Episode 30 - Emergency Department Management of Patients With Complications of Bariatric Surgery

EB Medicine

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. Jeff: Moving on to my favorite - prehospital care - as always, ABCs first. At 6 to 8 mL/kg. J Gastrointest Surg.

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Ovarian Torsion: Don’t get your knickers in a twist!

Don't Forget the Bubbles

Overall, ovarian ischaemia is multi-factorial in cases of torsion and there is no clear predictor of necrosis therefore further emphasising the importance of timely action, rationalised use of imaging available to you, appropriate discussions with radiology and surgical teams and low thresholds to escalate.

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Febrile Seizures

Don't Forget the Bubbles

However, if radiological evidence of raised intracranial pressure is seen, do not perform lumbar puncture. Treatment : IV hydration – based on percentage of dehydration and the calculated water deficit Ceftriaxone – IV or IM IV aciclovir Lucy has another prolonged generalised tonic clonic seizure in the ED.

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Caring for children after a kidney transplant

Don't Forget the Bubbles

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. Are they achieving their daily hydration goals?