Gastroenteritis
EMergucate
AUGUST 21, 2024
But do you feel confident assessing levels of dehydration? Gastroenteritis One of the most common paediatric presentations. Do you know … Continue reading →
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EMergucate
AUGUST 21, 2024
But do you feel confident assessing levels of dehydration? Gastroenteritis One of the most common paediatric presentations. Do you know … Continue reading →
Ziqitza HealthCare Ltd
AUGUST 26, 2024
Rehydration Therapy When waterborne diseases of any kind bog down someone, they experience a significant loss of fluid from the body through vomiting and diarrhoea, which leads to dehydration. Oral Rehydration Solutions (ORS): ORS (Oral Rehydration Solution) is commonly used to treat dehydration.
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EMDocs
JUNE 24, 2023
. #3: Can Clinical or Lab Variables Predict Dehydration Severity in Children with DKA? Spoon Feed Most pediatric patients with diabetic ketoacidosis (DKA) have mild to moderate dehydration. Source Clinical and Laboratory Predictors of Dehydration Severity in Children With Diabetic Ketoacidosis.
Mind The Bleep
DECEMBER 19, 2023
Common stressors in children and adolescents include: Infections: urinary tract infections, gastroenteritis, pneumonias, Poor compliance to insulin therapy, Dehydration, Fasting state, Heatstroke Trauma. or HCO3 10-15 mmol/L: mild DKA (5% dehydration) pH < 7.2 or HCO3 5-10 mmol/L: moderate DKA (5% dehydration) pH < 7.1
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.
EMDocs
MAY 9, 2024
He has been ill for 3 days with abdominal pain, fever, diarrhea, and vomiting, and his father thinks his son is dehydrated. He reasoned that dehydration and orthostatic hypotension led to a syncopal episode with limb shaking. The elevated WBC could be due to dehydration. VS are normal with a temp of 97.3.
Ultrasound Gel
AUGUST 29, 2022
These authors looked at the Inferior Vena Cava collapse duration in children with dehydration. These authors looked at the Inferior Vena Cava collapse duration in children with dehydration. Will this novel measurement help with figuring out who needs IV fluids? link] [link] What do we do with IVC's in kids?!
PEMBlog
AUGUST 26, 2024
Also, AI images are weird and why did I end up with a picture of a Bruno mars look a like sitting on the toilet?
ALiEM
JULY 22, 2023
You have a severely dehydrated patient with a peripheral IV line, requiring urgent fluid resuscitation. However, the crystalloid fluids are not flowing freely. Multiple attempts were made to place this line with the latest having a flash of blood return and a smoothly flowing saline flush.
AED Leader
MARCH 27, 2023
Heart palpitations may come on after eating certain foods or you may have heart palpitations for another reason, such as dehydration, low electrolyte levels, pregnancy, anxiety, anemia, thyroid issues, or an underlying heart disease or arrhythmia like atrial fibrillation.
Ziqitza HealthCare Ltd
JULY 11, 2024
One concern with dengue patients is dehydration, which can be exacerbated by these gastrointestinal symptoms. Hydration: Watch for signs of dehydration and stay hydrated at all times. This may continue long after the fever goes down. Nausea and Vomiting: Nausea, vomiting, and appetite loss are other common dengue symptoms.
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.
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.
EMDocs
MAY 25, 2024
Risk factors include oral neoplasms, sialolithiasis, advanced age, dehydration, ductal foreign bodies, concomitant tracheostomy, and recent receipt of an anesthetic agent. Patients who are immunocompromised may experience infection related to gram-negative organisms (e.g., Pseudomonas aeruginosa , Escherichia coli ).
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).
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.
Sensible Medicine
AUGUST 30, 2024
Four days later he is admitted with dehydration and delirium. A 72-year-old patient, having already received four COVID vaccines, calls with 24 hours of upper respiratory symptoms. A home COVID test is positive. Given recent literature, I opt not to treat him. After discharge, he spends two weeks in a subacute rehab facility.
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.
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.
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.
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.
Ziqitza HealthCare Ltd
JUNE 13, 2024
Minor issues like dehydration and heat stroke could also show up with this symptom. Severe or persistent vomiting or diarrhea Prolonged episodes of severe vomiting or diarrhea can cause electrolyte imbalances and dehydration. Common reasons include infections, gastrointestinal issues, and food poisoning.
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 →
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.,
EMDocs
MAY 15, 2024
Other causes of sickling: acidosis, dehydration, inflammation, infection, fever, and blood stasis Sickling leads to vascular occlusion, end-organ ischemia, and decreased RBC lifespan, which, in turn, leads to pain crisis, acute anemia, sequestration, infection, and acute chest syndrome (ACS.) times maintenance.
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.
EMDocs
MAY 28, 2024
Other causes of sickling: acidosis, dehydration, inflammation, infection, fever, and blood stasis. Fluid management Goal is euvolemia Dehydration – needs IV fluid resuscitation. Episode 101: Acute Chest Syndrome Part 2 Background SCD is an autosomal recessive condition that results in the formation of hemoglobin S (HbS).
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.
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.
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.
RebelEM
OCTOBER 5, 2022
mg/dL 10.5 – 12.0 mg/dL 10.5 – 12.0
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.
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).
EMergucate
SEPTEMBER 2, 2015
Abnormalities: Primary Respiratory alkalosis – Lactic acidosis – sepsis, dehydration … Continue reading → A 17 year old male presents potentially seriously unwell 1.
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 →
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%.
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
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.
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 (..)
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.
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.
EMDocs
JULY 29, 2023
Other bacterial causes include anaerobic oral flora, Strep viridans, E.
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.
Dr. Smith's ECG Blog
DECEMBER 11, 2018
The patient had a glucose of 1400, was severely dehydrated, and after receiving 4 liters of fluid, albuterol, and insulin, the K had dropped precipitously to 5.8 Severe dehydration. When we did get a chem back (drawn after 6 g Ca gluconate), the K was 9.0 mEq/L and the ionized calcium was not reported because it was too low.
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