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Diabetic Ketoacidosis in Paediatrics

Mind The Bleep

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

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Journal Feed Weekly Wrap-Up

EMDocs

. #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.

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10 Foods You Should Avoid if You Have Heart Palpitations

AED Leader

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.

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Duration of IVC Collapse

Ultrasound Gel

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?!

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Trick of Trade: Alternative to a Pressure Bag for IV Fluids

ALiEM

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.

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Pyloric Stenosis (5MS)

Core Ultrasound

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.

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ECG Cases 36 – PACER Mnemonic for Approach to Pacemaker Patients

Emergency Medicine Cases

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