Don't Forget the Bubbles

JANUARY 17, 2024

Other symptoms, such as constipation, abdominal pain and dehydration, were also be seen. Abdominal ultrasound, used in 34 cases, was able to visualize a rounded intraluminal image corresponding to a bead in 28 patients. A case of ingested water beads diagnosed with point-of-care ultrasound. Zamora et al., Kim, Y.B., Merriam, S.

Pediatrics 111

Pediatrics Poisoning Ultrasounds Dehydration 111

EMDocs

JULY 29, 2023

Transoral Ultrasound in the Diagnosis of Obstructive Salivary Gland Pathologies. Ultrasound Med Biol. Other bacterial causes include anaerobic oral flora, Strep viridans, E. Other bacterial causes include anaerobic oral flora, Strep viridans, E. Acute bacterial sialadenitis: a study of 29 cases and review. Rev Infect Dis.

EMS 71

EMS Dehydration Ultrasounds Emergency Department 71

Don't Forget the Bubbles

JULY 5, 2023

Infections, fever, acidosis, hypoxia, dehydration and exposure to extreme temperatures can trigger VOC even though often no cause is identified. Home analgesia: Advise families at home to increase fluid intake to avoid dehydration (dehydration will prolong painful episodes). Rotavirus gastroenteritis and dehydration C.

Blood Transfusions 126

Blood Transfusions Stroke Dehydration Sepsis 126

Don't Forget the Bubbles

JULY 17, 2023

Reviews and opinion articles Point-of-care ultrasound in pediatric nephrology. 2023 Jun;182(6):2735-2757 Point-of-care ultrasound to assess degree of dehydration in children: a systematic review with meta-analysis. You will find the list is broken down into four sections: 1.Reviews Sethi SK, et al. Pediatr Nephrol. N Engl J Med.

Pediatrics 98

Pediatrics Emergency Department Outcomes Fractures 98

Dr. Smith's ECG Blog

APRIL 26, 2017

My opinion was that it was not a cath lab case, but I did suggest they do a bedside ultrasound to look for an anterior wall motion abnormality. I had not seen the cardiac ultrasounds at this time. I did not have more information at the time. To the ED providers, the patient denied CP, SOB, or drug use.

EKG/ECG 52

EKG/ECG Ultrasounds Dehydration Stroke 52

Mind The Bleep

APRIL 26, 2024

Investigations Bedside Observations Where there is an abscess with pus formation, the temperature will be swinging up and down Capillary blood glucose if diabetic Laboratory Venous blood gas if haemodynamically unstable Full blood count C-reactive protein Blood cultures if patient haemodynamically unstable Pus swab if discharging pus present for MC&S (..)

Emergency Department 52

Emergency Department Fluid Resuscitation Dehydration Resuscitation 52

Mind The Bleep

OCTOBER 17, 2024

There were however some investigations used that you would not typically see in a ward A-E, such as thoracic ultrasound to rule out traumatic injuries. I noticed the huge amount of clinical experience in the team – diagnoses seemed almost instinctual.

Ambulance Services 52

Ambulance Services Anaphylaxis Hospitals Airway Management 52

Pediatric Emergency Playbook

FEBRUARY 1, 2017

Think about poor feeding, irritability, dehydration – in that case, just go with your gut and call it pyelonephritis, and admit. Renal and bladder ultrasound (RBUS) after the first UTI is recommended (although incompletely followed in practice). Of course, the unwell child – whatever his age – he should be admitted.

Wellness 52

Wellness Dehydration Ultrasounds Pediatrics 52

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

Dr. Smith's ECG Blog

NOVEMBER 19, 2016

Smith comment: This patient did not have a bedside ultrasound. Had one been done, it would have shown a feature that is apparent on this ultrasound (however, this patient's LV function would not be as good as in this clip): This is recorded with the LV on the right. In fact, bedside ultrasound might even find severe aortic stenosis.

EKG/ECG 40

EKG/ECG Shock Fluid Resuscitation Documentation/Coding 40

PEMBlog

OCTOBER 2, 2024

or somebody who appears pale, dehydrated, in severe pain, or worse, even in shock. Now, ultrasound is useful if you suspect gallbladder disease, but the patient needs to be NPO for six to eight hours before the procedure. Elevated lipase can make the diagnosis, though Ultrasound or CT can show some pancreatic inflammation.

Pediatrics 52

Pediatrics Emergency Department Ultrasounds Wellness 52

Dr. Smith's ECG Blog

MARCH 15, 2023

Her bedside cardiac ultrasound was normal We decided to cardiovert her since the time of onset was very recent. But when you see this, you should suspect that the AV node is not well. Our electrophysiologist told me that highly trained athletes can have such high vagal tone that they do not have a rapid ventricular response.

EKG/ECG 52

EKG/ECG Dehydration Stroke Wellness 52

PEMBlog

JANUARY 17, 2024

If you think that there’s an abscess, you can diagnose it clinically by a localized area of induration or fluctuance or use an ultrasound. Now you could even admit a kid for IV antibiotics, maybe they’re dehydrated or they can’t take PO for some reason, without sending a blood culture.

Infectious Diseases 59

Infectious Diseases Sepsis Wellness Pediatrics 59

Pediatric EM Morsels

SEPTEMBER 20, 2024

Considering HUS and treating dehydration early has been shown to help keep the dialysis machine away! Timing and utility of ultrasound in diarrhea-associated hemolytic uremic syndrome: 7-year experience of a large tertiary care hospital. Protect the Kidneys! References: Glatstein M, Miller E, Garcia-Bournissen F, Scolnik D.

Pediatrics 161

Pediatrics Ultrasounds Dehydration Emergency Department 161

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. Are they achieving their daily hydration goals?

Pediatrics 52

Pediatrics Fractures Dehydration Sepsis 52

EMDocs

OCTOBER 7, 2023

The incidence of a similar condition, traumatic rhabdomyolysis, is estimated to be around 0.074%.

EMS 73

EMS Fluid Resuscitation Fractures Resuscitation 73

EB Medicine

AUGUST 1, 2018

It was peer-reviewed by Joseph Habboushe, assistant professor at NYU and Nadia Maria Shaukat, director of the emergency and critical care ultrasound at Coney Island Hospital in Brooklyn, New York. Jeff: The hyperemetic phase lasts 24-48 hours and can lead to dehydration, electrolyte abnormalities, and weight loss.

Seizures 40

Seizures Hyperthermia / Hypothermia Administration Dehydration 40

Dr. Smith's ECG Blog

APRIL 8, 2015

Check : [vitals, SOB, Chest Pain, Ultrasound] If the patient has Abdominal Pain, Chest Pain, Dyspnea or Hypoxemia, Headache, Hypotension , then these should be considered the primary chief complaint (not syncope). Also consider non-hemorrhagic volume depletion, dehydration : orthostatic vitals may uncover this [see Mendu et al. (3)].

Emergency Department 52

Emergency Department EKG/ECG Outcomes Seizures 52

EMDocs

NOVEMBER 4, 2024

Evaluation by ultrasound of traumatic rib fractures missed by radiography. Effects of hydration and dehydration on blood rheology in sickle cell trait carriers during exercise. Osteopathic Manipulative Treatment for Inhaled Rib Somatic Dysfunction. Journal of Osteopathic Medicine. 2020;120(10):696-697. doi:10.7556/jaoa.2020.109

Emergency Department 98

Emergency Department Fractures Burns EMS 98

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 links to FOAM-ED ultrasound content, see the section after take-home points.) (For links to FOAM-ED ultrasound content, see the section after take-home points.) 11 A study by Stephan et al.

Dehydration 50

Dehydration Fluid Resuscitation Sepsis Resuscitation 50

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. If both testis are impalpable bilaterally then ask a senior colleague to review the baby and request and urgent abdominal ultrasound and karyotype test.

Documentation/Coding 52

Documentation/Coding Dislocations Ultrasounds Wellness 52