Remove Dehydration Remove Sepsis Remove Shock
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But Can You Just PO?

Taming the SRU

Other conditions that lead to intravascular fluid depletion include but are not limited to starvation/dehydration, vomiting, diarrhea, burns/trauma, hyperglycemia, and hemorrhage. There is substantial evidence that IV fluids can be beneficial in patients with sepsis complicated by hypotension and labor. AtherlyJohn et al.

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Rebaked: Inborn Errors of Metabolism presenting in the ED

Pediatric EM Morsels

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.

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emDOCs Podcast – Episode 93: BRASH Syndrome

EMDocs

Episode 93: BRASH syndrome Background: Brash syndrome has 5 components: bradycardia, renal failure, AV nodal blocker, shock, hyperkalemia. An inciting event will typically push them over the edge into BRASH syndrome: Dehydration Hypotension from sepsis or another condition GI illness Dosage increase of a chronic medication (e.g.,

Shock 115
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Tachycardia must make you doubt an ACS or STEMI diagnosis; put it all in clinical context

Dr. Smith's ECG Blog

ACS and STEMI generally do not cause tachycardia unless there is cardiogenic shock. Then ACS (STEMI) might be primary; this might be cardiogenic shock. The patient was suffering from severe dehydration, possibly with sepsis. The patient was suffering from severe dehydration, possibly with sepsis.

EKG/ECG 52
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Neonatal Jaundice

Pediatric Emergency Playbook

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.

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Wide Complex Tachycardia. What is the Diagnosis?

Dr. Smith's ECG Blog

Maybe the patient has dehydration, sepsis, hemorrhage, or PE. If you were to give verapamil to someone with sinus tach secondary to underlying pathology, you would harm them and perhaps provoke hypotension and shock. Sinus tach is usually compensatory to some underlying illness.

EKG/ECG 52
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Maintenance Fluids in Critical Illness

Don't Forget the Bubbles

Jasmine, a hypothetical case Jasmine is a 5-year-old girl weighing 18kg admitted to PICU with suspected sepsis. She had septic shock on presentation and was resuscitated with 60ml/kg of balanced crystalloid solution and escalating vasoactive medications. Remember, we can add more if needed, but taking it away is much harder.