Don't Forget the Bubbles

AUGUST 13, 2023

You are called to the resuscitation bay in your ED following arrival of the expected pediatric alert. 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.

Seizures 97

Seizures Pediatrics Dehydration Radiology 97

EMDocs

JUNE 27, 2024

smoke, high ozone levels, smog) Asthma/reactive airway disease (RAD) Diagnostic criteria 7,8 Respiratory symptoms +/- fever (at least 38.0 C or 100.4 2 mcg/kg, max 100 mcg) while obtaining IV access 20 IV/IM ketorolac (1 mg/kg, max 15 mg) Morphine (05-0.1 mg/kg, max 4 mg per dose q20-30min) or hydromorphone (0.01-0.02 mg/kg, max 0.4 C or 100.4

Pediatrics 88

Pediatrics Dehydration EMS Hospitals 88

EB Medicine

JULY 8, 2019

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. Consider performing a RUSH exam (that is rapid ultrasound for shock and hypotension) to identify the cause.

Emergency Department 40

Emergency Department Sepsis Operations Ultrasounds 40

Mind The Bleep

FEBRUARY 27, 2024

There could be any number of reasons for this but some examples are: they have severe D&V and aren’t keeping fluids down, or because they are pre or post-op, or have presented very unwell and need fluid resuscitation. saline + 5% dextrose or plasma-lyte 148 + 5% dextrose. saline), however more research is needed in this area. [4]

Fluid Resuscitation 96

Fluid Resuscitation Hospitals Dehydration Research 96

EMDocs

DECEMBER 16, 2023

Evaporative cooling is the preferred method to actively reduce body temperature in the emergency department , as it can be performed with ongoing resuscitation efforts. Ice water immersion and iced peritoneal lavage are additional methods used to lower temperature but are more invasive or can prevent additional resuscitative efforts.

Hyperthermia / Hypothermia 80

Hyperthermia / Hypothermia EMS Stroke Seizures 80

EMDocs

MARCH 11, 2024

The clinical picture of this patient was consistent with hypovolemic shock secondary to acute cholera infection. 10 In non-endemic regions, suspicion arises in patients with severe dehydration or death from acute watery diarrhea. 11 The presentation of cholera on physical examination depends on the patient’s level of dehydration.

Dehydration 102

Dehydration CDC Rapid Diagnostic Testing Fluid Resuscitation 102

EMDocs

JANUARY 20, 2025

For patients who are elderly, orthostasis is an unreliable clinical finding and may be present in the absence of dehydration. For patients who are elderly, orthostasis is an unreliable clinical finding and may be present in the absence of dehydration. 9 In terms of assessing volume status in general, Joseph et al.

Dehydration 69

Dehydration Fluid Resuscitation Sepsis Resuscitation 69

EMDocs

JANUARY 6, 2025

Based on available hospital resources, the patient is treated for septic shock secondary to pneumonia and an infected wound using broad-spectrum antibiotics and IV crystalloid fluids. She is sent to the medical ward after three days in the ED with the diagnoses of resolving septic shock, severe malaria, and AKI.

Infectious Diseases 67

Infectious Diseases CDC PPE Rapid Diagnostic Testing 67