Taming the SRU

AUGUST 27, 2024

Mortality rates related to bullous skin lesions are typically related to disruption of the skin barrier and include subsequent dehydration, electrolyte imbalances, hypothermia, increased metabolic needs, and secondary infection leading to bacteremia and/or sepsis. The first step is to determine what disease you are dealing with.

Emergency Department 83

Emergency Department Dehydration Burns Sepsis 83

Don't Forget the Bubbles

JANUARY 1, 2024

Reviews and opinion articles Use of POCUS for the assessment of dehydration in pediatric patients-a narrative review. 2023 Dec 12 Pediatric Sepsis Diagnosis, Management, and Sub-phenotypes. You will find the list is broken down into four sections: 1.Reviews Musolino AM, et al. Eur J Pediatr. 2023 Dec 22. Pawlowski TW, et al.

Pediatrics 98

Pediatrics Ultrasounds Blood Transfusions Sepsis 98

ACEP Now

OCTOBER 30, 2023

Oftentimes, it can be an indication of pain, infection, distress, anxiety, dehydration, or the first sign of sepsis. The inverse is also true; what’s normal for most may be significantly abnormal for that patient and be the first red flag. One commonly used example is tachycardia.

Sexual Assault 98

Sexual Assault Teamwork Dehydration Outcomes 98

EMDocs

JULY 29, 2023

Other bacterial causes include anaerobic oral flora, Strep viridans, E. Other bacterial causes include anaerobic oral flora, Strep viridans, E.

EMS 80

EMS Dehydration Ultrasounds Emergency Department 80

EMDocs

JANUARY 25, 2025

PCP Pneumonia, Sepsis) can be discharged with initiation of Antiretroviral Therapy in consultation with Infectious Disease (ID) physician with full ID evaluation outpatient.

EMS 77

EMS Infectious Diseases Allergic Reactions Fluid Resuscitation 77

Dr. Smith's ECG Blog

NOVEMBER 9, 2012

Maybe the patient has dehydration, sepsis, hemorrhage, or PE. The Lewis leads proved that it was indeed sinus tach. And with time and fluids and anxiolytics, the rate did trend down. Sinus tach is usually compensatory to some underlying illness.

EKG/ECG 52

EKG/ECG Dehydration Sepsis Shock 52

EB Medicine

MARCH 4, 2020

Laboratory Testing and Imaging: Dehydration is the biggest contributor to mortality, especially in the very young and elderly. Lab evaluation for dehydration is recommended in these populations. IV hydration for patients with severe dehydration, hypovolemic shock, septic shock, or failed oral rehydration. But PPV was only 24%.

Emergency Department 40

Emergency Department Dehydration Poisoning Allergic Reactions 40

Don't Forget the Bubbles

NOVEMBER 15, 2023

Jasmine, a hypothetical case Jasmine is a 5-year-old girl weighing 18kg admitted to PICU with suspected sepsis. If the fractional excretion of sodium is <1%, you agree with your consultant that you will also ask the nurses to account for the replacement of 5% dehydration (900ml) over 48h (≈ 19ml/h).

Resuscitation 80

Resuscitation Dehydration Administration Shock 80

EMergucate

NOVEMBER 13, 2018

A 24 year old with fever, vomiting and abdominal pain who is unwell with possible abdominal sepsis. Her blood results … Continue reading →

Sepsis 40

Sepsis Dehydration EMS 40

PEMBlog

JANUARY 17, 2024

Full blown sepsis and toxic shock syndrome. Well, you definitely shouldn’t be sending a blood culture because if you’re worried about bacteremia and sepsis, that kid needs to stay in the hospital. You’re concerned about SIRS or sepsis. Bilateral red limbs? That’s probably something different.

Infectious Diseases 59

Infectious Diseases Sepsis Wellness Pediatrics 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. Sepsis indicators and malaria positivity did not modify the risk. Do you believe the results?

Blood Transfusions 78

Blood Transfusions Research Outcomes Hospitals 78

RebelEM

FEBRUARY 2, 2023

Sepsis, hyperthyroidism, dehydration, heart failure, ACS, etc). The delay in the onset of effect of digoxin could play a role in the poor rate control and overall success in the IV digoxin group. Lastly, there is a substantial amount of data missing, specifically the underlying cause of the Atrial Fibrillation with RVR (ie.

Emergency Department 52

Emergency Department Administration EMS Dehydration 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

Mind The Bleep

MAY 12, 2023

These include infection & sepsis, GI bleeding, dehydration, AKI, alcohol consumption, constipation, and certain medications. On Day 3 (i.e. 48 hours later) albumin is administered at 1g/kg. 9 Encephalopathy Look closely for a precipitant and treat accordingly!

Fluid Resuscitation 52

Fluid Resuscitation Dehydration Resuscitation Administration 52

PEMBlog

MARCH 27, 2024

GI symptoms are the second most common, and they include vomiting, food intolerance, food aversion, GERD, refractory to normal antireflux measures, diarrhea, and dehydration. Now the important thing for EM providers to know is that this can mimic the presentation of sepsis.

Pediatrics 59

Pediatrics Seizures Emergency Department Sepsis 59

Pediatric EM Morsels

MARCH 29, 2024

Dehydration Surgery Pregnancy ( If we don’t ask we don’t know ) Many important IEM are included in the Newborn Screen. For milder forms of IEM, children can compensate until the body is under stress and may recover after stress (leading to delayed diagnosis). Viral infections also may cause metabolic stress.

Dehydration 294

Dehydration Pediatrics Sepsis EMS 294

Dr. Smith's ECG Blog

NOVEMBER 19, 2016

For instance: sepsis, bleeding, dehydration, hypoxia, and mild ACS. Smith Final Comment: It is uncertain what initiated this patient's instability. Any alteration in physiology can change "compensated" AS to "decompensated" AS.

EKG/ECG 40

EKG/ECG Shock Fluid Resuscitation Documentation/Coding 40

Don't Forget the Bubbles

JULY 5, 2023

Vaccination: PCV13 (pneumococcal vaccination), meningococcal vaccines, and Hib conjugated vaccines are important to prevent life-threatening sepsis. Sickle cell patients also qualify to receive the annual influenza vaccine, since influenza virus infection predisposes to bacterial pneumonia and sepsis caused by S. Pneumococcal sepsis B.

Blood Transfusions 126

Blood Transfusions Stroke Dehydration Sepsis 126

Pediatric Emergency Playbook

MAY 1, 2017

They may get a little dehydrated, especially if mother’s milk is late to come in. Home care The neonate who is safe to go home is well appearing, and not dehydrated. Most babies with hyperbilirubinemia are dehydrated, which just exacerbates the problem. None of them became dehydrated or became sunburned. Bhutani et al.

Dehydration 52

Dehydration Pediatrics Wellness Seizures 52

Don't Forget the Bubbles

JULY 17, 2023

Evaluating the Impact of the 2017 Dutch Neonatal Early-Onset Sepsis Guideline. 2023 Jun;182(6):2735-2757 Point-of-care ultrasound to assess degree of dehydration in children: a systematic review with meta-analysis. Screen time and preschool children: Promoting health and development in a digital world. Paediatr Child Health.

Pediatrics 98

Pediatrics Emergency Department Outcomes Fractures 98

Mind The Bleep

JULY 23, 2023

Abnormal bicarbonate secretion due to CFTR mutation causes an acidic and dehydrated environment which results in thick, viscous mucous that forms thick meconium that can then obstruct the lumen. Other risk factors include prolonged rupture of membranes, preterm and maternal sepsis.

Sepsis 52

Sepsis Blood Transfusions Dehydration Wellness 52

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 85

Pediatrics EMS Dehydration Hospitals 85

EMDocs

OCTOBER 10, 2024

Sepsis is diagnosed and antibiotics started for the first time. High level amputation is considered, but she dies of sepsis and multiorgan failure on hospital day 7. She had no persistent vomiting, was not dehydrated and had no fever. It reveals a 7.5 An I & D of the thigh produces foul-smelling pus.

Documentation/Coding 84

Documentation/Coding Hospitals Sepsis Infectious Diseases 84

EB Medicine

JULY 8, 2019

Leakage from the staple line typically presents within the first week, but can present up to 35 days, usually with fevers, tachycardia, abdominal pain, nausea, vomiting sepsis, or peritonitis. Some may present with isolated tachycardia while others may present with profound sepsis – tachycardia, hypotension, and fever. At 6 to 8 mL/kg.

Emergency Department 40

Emergency Department Sepsis Operations Ultrasounds 40

Don't Forget the Bubbles

MAY 15, 2023

His systemic examination is normal, apart from signs of dehydration. Depending on the presenting symptoms, it may be misdiagnosed as a variety of conditions, including psychiatric disorders, e.g. anorexia nervosa , depression, viral illness, post-viral fatigue, acute abdomen, cardiovascular disorders and sepsis.

Wellness 103

Wellness Seizures Hospitals Dehydration 103

Mind The Bleep

FEBRUARY 27, 2024

This is a child who is clearly dehydrated and unable to tolerate oral fluids therefore IV fluids are the best option. Once cardiovascular status has improved start maintenance fluids at 38ml/hr, monitor urine output closely, liaise with your local paediatric renal team. Answers (1) [B] is the correct answer.

Fluid Resuscitation 96

Fluid Resuscitation Hospitals Dehydration Research 96

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. Differential Diagnosis of Acute Issues Dehydration Every child will have a minimum daily fluid intake goal to achieve. Consider sepsis and treat it accordingly.

Pediatrics 52

Pediatrics Fractures Dehydration Sepsis 52

EMDocs

DECEMBER 9, 2024

Source: By Dr Graham Beards – Own work, CC BY-SA 4.0, [link] Less common physical exam findings associated with mpox complications can include secondary skin infections, proctitis, bronchopneumonia, diarrhea and dehydration, eye-related issues, and, in very rare cases, encephalitis.

CDC 66

CDC Documentation/Coding Infectious Diseases Dehydration 66

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. Andrews et al.

Dehydration 67

Dehydration Fluid Resuscitation Sepsis Resuscitation 67

Taming the SRU

FEBRUARY 3, 2025

paclitaxel, doxorubicin, cisplatin) high-risk monoclonal antibody treatments (i.e.

Fluid Resuscitation 55

Fluid Resuscitation Seizures Dehydration Emergency Department 55

Mind The Bleep

NOVEMBER 2, 2024

If the fontanelle is sunken then the baby may be dehydrated and if they are bulging then this can be a sign of birth injury or hydrocephalus. Swab any discharge and discuss with a senior about starting antibiotics as infection in a baby can quickly lead to sepsis. Undo the nappy of the baby and palpate the Femoral pulses.

Documentation/Coding 52

Documentation/Coding Dislocations Ultrasounds Wellness 52