Don't Forget the Bubbles

MARCH 18, 2024

She appears pale and dehydrated , and her level of alertness fluctuates. Pay specific attention to fluid status, looking for evidence of dehydration. Manage hydration Children may be dehydrated or present with signs of fluid overload. Dehydration at admission increased the need for dialysis in hemolytic uremic syndrome children.

Dehydration 59

Dehydration Infectious Diseases Seizures Pediatrics 59

Core Ultrasound

SEPTEMBER 18, 2023

Pyloric stenosis is a relatively common condition in infants that can lead to severe vomiting, dehydration, and weight loss. Timely and accurate diagnosis is crucial for effective treatment. Bedside ultrasound has become a valuable tool for diagnosing pyloric stenosis quickly and non-invasively.

Dehydration 52

Dehydration Ultrasounds 52

American Medical Compliance

APRIL 17, 2024

Patients with dysphagia are also susceptible to dehydration and malnutrition, particularly if they are given thickened drinks or altered meals. The incidence of lung infection increased by 17% in patients with dysphagia (33% vs. 16%, respectively) compared to those without it, as determined by bedside clinical examination.

Stroke 52

Stroke Dehydration Outcomes 52

Emergency Medicine Cases

OCTOBER 11, 2022

Rest of patient: is there a complication of pacemaker insertion related to the pocket (hematoma, infection), lead (pneumothorax, DVT), or heart (pericardial perforation), or is there an emergency unrelated to the pacemaker (eg dehydration, sepsis, GI bleed).

EKG/ECG 52

EKG/ECG Dehydration Sepsis EMS 52

Pediatric Emergency Playbook

JANUARY 1, 2022

Early presentation from 3 to 5 weeks of age: projectile vomiting Later presentation up to 12 weeks: dehydration, failure to thrive, possibly the elusive olive Labs may show hypOchloremic, hypOkalemic metabOlic acidosis: “ all the Os ” Watch out for hyperbilirubinemia, the “icteropyloric syndrome”: unconjugated hyperbilirubinemia from dehydration.

Dehydration 52

Dehydration Pediatrics Ultrasounds 52

Pediatric Education

SEPTEMBER 3, 2023

With your sickle cell trait you usually shouldn’t have any problems, but dehydration could cause problems for you. Actually dehydration can cause problems for everyone, so just take an extra ounce or two than everyone else to really stay hydrated,” he counseled.

Dehydration 40

Dehydration Hyperthermia / Hypothermia Pediatrics Military 40

Downeast Emergency Medicine

MARCH 24, 2021

Illustrated below is a dehydration scale from Pediatric Dehydration to help guide management (Vega et al).[1,7] 1,7] From Vega RM, Avner JR: A prospective study of the usefulness of clinical and laboratory parameters for predicting percentage of dehydration in children. Look for red flags of severe dehydration (i.e.

Pediatrics 52

Pediatrics Dehydration Emergency Department Wellness 52

EMDocs

JANUARY 23, 2024

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., The key is a patient who is on an AV nodal blocker and who has some sort of risk factor for renal insufficiency. beta blocker) New medication (e.g.,

Shock 85

Shock Dehydration Sepsis EKG/ECG 85

EMergucate

FEBRUARY 24, 2020

21 year old man presented with extreme lethargy and dehydration. His pulse rate was 132, Blood pressure was 96/58 and … Continue reading →

Dehydration 40

Dehydration 40

Ziqitza HealthCare Ltd

MAY 24, 2023

According to Sweta Mangal Ziqitza, dehydration can lead to fatigue, headaches, and other health issues. Try to limit your intake of caffeine and alcohol, which can contribute to dehydration. Stay Hydrated Staying hydrated is crucial for staying healthy while traveling.

Dehydration 52

Dehydration Ambulance Services Wellness Research 52

Pediatric EM Morsels

FEBRUARY 2, 2024

Pediatric patients with recent travel and fever of unknown origin should be considered for admission if malaria is a possible diagnosis. Malaria requires 3 negative thick and thin smears over 12 hours to fully exclude.

Infectious Diseases 161

Infectious Diseases Pediatrics Sepsis Documentation/Coding 161

Ziqitza HealthCare Ltd

NOVEMBER 24, 2023

Drinking warm he­rbal teas, soups, and increasing water intake­ can effectively he­lp counteract the dehydrating e­ffects of cold weather. Sweta Mangal Ziqitza , with her visionary approach, emphasizes the importance of staying hydrated, e­specially during the winter months.

Wellness 52

Wellness Ambulance Services Dehydration 52

Pediatric EM Morsels

JULY 28, 2023

Kids < 5 years of age New onset of diabetes at presentation Longer duration of symptoms Severity of acidosis Elevated BUN Greater degree of dehydration and hyperventilation Cerebral Edema and DKA: Diagnostic Considerations Early detection and treatment is the best means to prevent brain injury and death.

Fluid Resuscitation 205

Fluid Resuscitation Pediatrics Resuscitation Research 205

RebelEM

OCTOBER 5, 2022

mg/dL 10.5 – 12.0 mg/dL 10.5 – 12.0

Dehydration 52

Dehydration Psychiatric Administration EKG/ECG 52

Pediatric EM Morsels

JUNE 16, 2023

Sometimes this can be used to our advantage, like when we need to give subcutaneous fluids to a dehydrated patient without an IV, or when we need to give SQ medications for things like Sulfonylurea overdose , Hereditary Angioedema , or DVTs. The subcutaneous space is a vast region of potential space where things can collect.

Soft Tissue Injuries 152

Soft Tissue Injuries Dehydration Fractures Operations 152

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

Taming the SRU

NOVEMBER 21, 2023

Abdominal pain, nausea, vomiting, and dehydration are common. Management IVF resuscitation: will want to give at least 20 cc/kg bolus, however there has been some discussion about doing this in two 10 cc/kg boluses to avoid cerebral edema (as noted below, recent evidence has not supported this).

Pediatrics 80

Pediatrics EKG/ECG Resuscitation Dehydration 80

EMergucate

SEPTEMBER 2, 2015

Abnormalities: Primary Respiratory alkalosis – Lactic acidosis – sepsis, dehydration … Continue reading → A 17 year old male presents potentially seriously unwell 1.

Dehydration 40

Dehydration Sepsis EMS 40

EMergucate

JULY 13, 2015

A 61 year old female with evidence for sepsis, anaemia and dehydration 1. Microcytic hypochromic anaemia Fe deficiency with elevated … Continue reading →

Dehydration 40

Dehydration Sepsis EMS 40

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

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). Given the present urine output of 0.3ml/kg/hr and no dehydration replacement, you estimate she will receive ~1mmol/kg/day of sodium.

Resuscitation 80

Resuscitation Dehydration Administration Shock 80

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 Outcomes Dehydration 98

EMDocs

JULY 29, 2023

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

EMS 68

EMS Dehydration Ultrasounds Emergency Department 68

Northwestern EM Blog

FEBRUARY 21, 2022

We’ve all seen an end-of-life situation generate a second patient with dehydration mediated syncopal episode at the bedside, let’s try to prevent that. Second, I insist that the family especially the decision-maker drink a bottle of water and eat a sandwich.

Dehydration 52

Dehydration Shock Hospitals Wellness 52

EB Medicine

DECEMBER 30, 2019

Emergency Department Treatment Oxygen Keep O2 saturation >90% Clinicians may choose not to use continuous pulse oximetry (weak recommendation due to low-level evidence and reasoning) 1 Fluids IV or NG administration of fluids to combat dehydration, until respiratory distress and tachypnea resolve.

Emergency Department 40

Emergency Department Allergic Reactions Dehydration Pediatrics 40

EMDocs

MARCH 11, 2024

As the disease progress the patients will experience profound dehydration and start to develops signs and symptoms such as: Rapid heart rate Loss of skin elasticity Dry mucous membranes Low blood pressure If left untreated, severe dehydration may lead to kidney failure, shock, coma, and death within hours.

Dehydration 86

Dehydration CDC Rapid Diagnostic Testing Fluid Resuscitation 86

Pediatric EM Morsels

JUNE 2, 2023

Patients with FPIES can have marked dehydration due to vomiting and diarrhea, even to the point of hypotension! – As always, treat symptoms and dehydration based on severity. It may sound silly (“FPIES”), but it can be serious! Volume Status?!

Dehydration 189

Dehydration Shock Pediatrics Emergency Department 189

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. The study suggests the importance of increased screening, safety planning, and early interventions for children with PO-MDD to address the risk of future psychiatric morbidity and mortality. Musolino AM, et al. Eur J Pediatr.

Pediatrics 98

Pediatrics Ultrasounds Blood Transfusions Sepsis 98

Pediatric Emergency Playbook

AUGUST 1, 2016

⇒ You have a stable child who just needs fluids, but no laboratory tests ⇒ You’ve tried PO hydration, to no avail, despite anti-emetics ⇒ You’re poking the stable, but dehydrated child repeatedly without success What now? Hypodermoclysis to treat dehydration: a review of the evidence. Everything else is just finesse.

Allergic Reactions 52

Allergic Reactions Dehydration Pediatrics Administration 52

Dr. Smith's ECG Blog

OCTOBER 26, 2010

More often, tachycardia with ST segment abnormalities (elevation or depression) is due to an underlying illness (PE, sepsis, hemorrhage, dehydration, hypoxia, respiratory failure, etc.). The patient was suffering from severe dehydration, possibly with sepsis. Then ACS (STEMI) might be primary; this might be cardiogenic shock.

EKG/ECG 52

EKG/ECG Dehydration Fluid Resuscitation Sepsis 52

The Skeptics' Guide to EM

MAY 4, 2019

You confirm her bedside ketones to be 6 and have secured a cannula (intravenous) ready to reverse her dehydration – but what fluids should you use and at what rate? On her blood gas her pH is 7.1 and her glucose is 35 mmol/l (630mg/dl).

Pediatrics 52

Pediatrics Research Dehydration Administration 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

Dr. Smith's ECG Blog

JANUARY 29, 2013

With management of fever and dehydration, the heart rate normalized. This is typical of pediatric ECGs because the fetal circulation depends on the right ventricle. So these are normal findings in the ECG of an infant. Reminder: Never trust the computer read.

Dehydration 52

Dehydration Pediatrics EKG/ECG 52

Don't Forget the Bubbles

JANUARY 17, 2024

Other symptoms, such as constipation, abdominal pain and dehydration, were also be seen. Zamora et al., point out that the SAPs are small enough to pass through the pylorus initially, so symptoms don;t start to develop until they reach maximal size around the mid to distal small bowel. Persistent vomiting affected all 43 cases.

Pediatrics 111

Pediatrics Poisoning Ultrasounds Dehydration 111

The Skeptics' Guide to EM

APRIL 27, 2019

We looked at a trial by Freedman et al using half-strength apple juice or fluids of choice to treat mild gastroenteritis in children who were minimally dehydrated ( SGEM#158 ). Even small changes to the course of this illness, due to its prevalence, could have huge comfort and economic benefit.

Pediatrics 40

Pediatrics Dehydration Emergency Department Hospitals 40

EMDocs

FEBRUARY 7, 2024

Severe diarrhea and vomiting may lead to volume loss, dehydration, and hypotension (not common). Thought to be due to reduced gastric emptying and activation of centers involved in appetite regulation and nausea. There is an association with pancreatitis.

Allergic Reactions 71

Allergic Reactions Anaphylaxis Dehydration Wellness 71

The Skeptics' Guide to EM

SEPTEMBER 7, 2018

She is not clinically dehydrated and has a temp of 38.2C She has taken just under half of her usual feeds so far today and has a respiratory rate of 58 breaths per minute and oxygen saturation of 90% on room air with moderate work of breathing. She was born at term, is immunised and has no significant medical history.

Dehydration 40

Dehydration Pediatrics Hospitals Academics 40