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

Dehydration 98

Dehydration Fluid Resuscitation Shock Resuscitation 98

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. You can not seem to find your pressure infusion cuff to squeeze the IV bag and accelerate fluid administration.

Fluid Resuscitation 96

Fluid Resuscitation Dehydration Emergency Department Administration 96

Pediatric EM Morsels

JULY 28, 2023

The exact mechanism is not known… It was previously believed that it was due to rapid changes in serum osmolality during initial fluid resuscitation. Glucose > 200 mg/dL Moderate or Large Ketonuria The severity of DKA is categorized by the degree of acidosis Mild : venous pH < 7.3 Lesson = treat early!

Fluid Resuscitation 212

Fluid Resuscitation Pediatrics Resuscitation Research 212

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.

Blood Transfusions 69

Blood Transfusions Fluid Resuscitation Dehydration Ultrasounds 69

Don't Forget the Bubbles

MARCH 18, 2024

She appears pale and dehydrated , and her level of alertness fluctuates. She receives fluid resuscitation, and you organise some tests to find out why she is so tired. Pay specific attention to fluid status, looking for evidence of dehydration. 4-year-old Stephanie presents with vomiting, diarrhoea, and lethargy.

Dehydration 59

Dehydration Infectious Diseases Seizures Pediatrics 59

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

MAY 12, 2023

9 There is no role for Tranexamic acid in upper GI bleeding and its use is harmful to patients 11 Escalate to a senior early for consideration of a higher level of care Refer for early endoscopy after resuscitation with haemodynamic stability. On Day 3 (i.e. 48 hours later) albumin is administered at 1g/kg. On Day 3 (i.e.

Fluid Resuscitation 52

Fluid Resuscitation Dehydration Resuscitation Administration 52