Taming the SRU

NOVEMBER 21, 2023

airway grand rounds - r1 clinical knowledge: heavy metals - consultant corner: acute leukemia - pediatric sim - pediatric cases airway grand rounds WITH dr. carleton Difficult airway algorithm: when should we RSI? Abdominal pain, nausea, vomiting, and dehydration are common.

Pediatrics 80

Pediatrics EKG/ECG Resuscitation Dehydration 80

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

Don't Forget the Bubbles

JANUARY 17, 2024

The liquids were chosen to “approximate a pediatric digestive environment.” Other symptoms, such as constipation, abdominal pain and dehydration, were also be seen. BMC Pediatrics , 20 , pp.1-5. J Pediatr Surg Case Rep. Orbeez: the magic water absorbing bead—risk of pediatric bowel obstruction?

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Pediatrics Poisoning Ultrasounds Dehydration 111

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. Pediatr Emerg Med Pract. Subramaniam S, Chao JH.

Dehydration 40

Dehydration Hyperthermia / Hypothermia Pediatrics Military 40

The Skeptics' Guide to EM

APRIL 27, 2019

Crocco is a Pediatric Emergency Physician and is the Medical Director & Division Head of the Division of Pediatric Emergency at McMaster’s Children’s Hospital. Anthony […] The post SGEM#254: Probiotics for Pediatric Gastroenteritis – I Can’t Go For that…No Can Do first appeared on The Skeptics Guide to Emergency Medicine.

Pediatrics 40

Pediatrics Dehydration Emergency Department Hospitals 40

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

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.

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Soft Tissue Injuries Dehydration Fractures Operations 152

PEMBlog

MARCH 27, 2024

My special guest podcaster, Emily Groopman, is an actual Pediatric Geneticist in training and we hope that you will find this episode useful. Pediatr Rev. Pediatrics. Transcript Note: This transcript was partially completed with the use of the Descript AI Welcome to PEM Currents, the Pediatric Emergency Medicine Podcast.

Pediatrics 59

Pediatrics Seizures Emergency Department Sepsis 59

The Skeptics' Guide to EM

MAY 4, 2019

Clinical Trial of Fluid Infusion Rates for Pediatric Diabetic Ketoacidosis. Clinical Trial of Fluid Infusion Rates for Pediatric Diabetic Ketoacidosis. 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?

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Pediatrics Research Dehydration Administration 52

EB Medicine

MARCH 4, 2020

Literature Review: There is abundant literature on pediatric AGE but sparse research on AGE in adults. Therefore, many recommendations are extrapolated from the pediatric literature. Laboratory Testing and Imaging: Dehydration is the biggest contributor to mortality, especially in the very young and elderly. No data in AGE.

Emergency Department 40

Emergency Department Dehydration Poisoning Allergic Reactions 40

EB Medicine

DECEMBER 30, 2019

This episode reviews risk factors for apnea and severe bronchiolitis; discusses treatments/therapies and provides evidence-based recommendations for the management of pediatric patients with bronchiolitis. 35-37 High Flow Nasal Cannula (HFNC) Several small pediatric ICU studies show a benefit in severe cases. Further study needed.

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Emergency Department Allergic Reactions Dehydration Pediatrics 40

Don't Forget the Bubbles

AUGUST 13, 2023

Assessment of the child ( NICE guidelines + NCBI – management of pediatric febrile seizures ) If the child is actively having seizures in the ED: Airway assessment and management – confirm and protect the airway. You are called to the resuscitation bay in your ED following arrival of the expected pediatric alert.

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Seizures Pediatrics Dehydration Radiology 97

Dr. Smith's ECG Blog

JANUARY 29, 2013

so it must be a pediatric ECG. This is typical of pediatric ECGs because the fetal circulation depends on the right ventricle. With management of fever and dehydration, the heart rate normalized. What can you say about this ECG at a rate of 230 beats per minute? Answer below  The QRS is very narrow (about 70 ms?),

Dehydration 52

Dehydration Pediatrics EKG/ECG 52

Pediatric EM Morsels

JUNE 2, 2023

Today we are talking about a rare disease called FPIES (food protein induced enterocolitis syndrome) and how you might encounter these patients in the Pediatric Emergency Department. Patients with FPIES can have marked dehydration due to vomiting and diarrhea, even to the point of hypotension! Volume Status?!

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Dehydration Shock Pediatrics Emergency Department 189

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? Recombinant human hyaluronidase-enabled subcutaneous pediatric rehydration. Pediatrics. Pediatrics.

Allergic Reactions 52

Allergic Reactions Dehydration Pediatrics Administration 52

The Skeptics' Guide to EM

SEPTEMBER 7, 2018

She is not clinically dehydrated and has a temp of 38.2C The bottom line was that there seemed to be a knowledge gap when it comes to managing bronchiolitis in the community setting (previous evidence as suggested a knowledge gap also exists in the academic pediatric hospitals).

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Dehydration Pediatrics Hospitals Academics 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. Pediatrics.

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Resuscitation Dehydration Administration Shock 80

PEMBlog

JANUARY 17, 2024

Randomized controlled trial of cephalexin versus clindamycin for uncomplicated pediatric skin infections. Pediatrics. Transcript Note: This transcript was partially completed with the use of the Descript AI  Welcome to another episode of PEM Currents, the Pediatric Emergency Medicine Podcast. 2011 Mar;127(3):e573-80. What is it?

Infectious Diseases 59

Infectious Diseases Sepsis Wellness Pediatrics 59

Don't Forget the Bubbles

JANUARY 10, 2024

These were presented as hazard ratios and included fever at presentation, previous transfusion ever, haemoglobinuria, malaria, sickle cell disease on enrolment, HIV, evidence of sepsis, malnutrition, shock, hypothermia, and dehydration. Pediatr Crit Care Med. Transfusion strategies for patients in pediatric intensive care units.

Blood Transfusions 78

Blood Transfusions Outcomes Research Hospitals 78

Mind The Bleep

FEBRUARY 27, 2024

This is a child who is clearly dehydrated and unable to tolerate oral fluids therefore IV fluids are the best option. Once cardiovascular status has improved start maintenance fluids at 38ml/hr, monitor urine output closely, liaise with your local paediatric renal team. Answers (1) [B] is the correct answer.

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Fluid Resuscitation Hospitals Dehydration Research 96

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.

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Dehydration CDC Rapid Diagnostic Testing Fluid Resuscitation 87

Taming the SRU

APRIL 13, 2023

beta blockers decrease ability to dissipate heat through increase CO, diuretics predispose to dehydration, or anticholinergic agents can affect thermoregulation) Clinical Presentation: Temperature elevation, usually 40.5C EtOH, amphetamines, or cocaine) Prescription drugs (i.e.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Poisoning EKG/ECG Seizures 52

Don't Forget the Bubbles

JULY 17, 2023

Reviews and opinion articles Point-of-care ultrasound in pediatric nephrology. Pediatr Nephrol. JAMA Pediatr. Eur J Pediatr. Pediatr Infect Dis J. Pediatr Infect Dis J. Eur J Pediatr. Eur J Pediatr. Pediatr Infect Dis J. Pediatr Infect Dis J. Eur J Pediatr. Sethi SK, et al.

Pediatrics 98

Pediatrics Emergency Department Outcomes Fractures 98

Don't Forget the Bubbles

SEPTEMBER 13, 2023

This may include specific clinical findings such as evidence of diarrhoea or vomiting, dehydration , meningitic signs, a history of significant head trauma immediately preceding the seizure, or failure to return to baseline. Take home points References American Academy of Pediatrics, Subcommittee on Febrile Seizures. Pediatrics.

Seizures 131

Seizures Pediatrics Emergency Department Radiology 131

Pediatric Emergency Playbook

MAY 1, 2017

They may get a little dehydrated, especially if mother’s milk is late to come in. Pediatrics. Pediatrics. Home care The neonate who is safe to go home is well appearing, and not dehydrated. Most babies with hyperbilirubinemia are dehydrated, which just exacerbates the problem. Their livers are immature.

Dehydration 52

Dehydration Pediatrics Wellness Seizures 52

EB Medicine

AUGUST 1, 2018

Jeff: For more on synthetic intoxications in the ED, be sure to take a look at the recent May 2018 issue of Pediatric Emergency Medicine Practice on Synthetic Drug Intoxication in Children if you haven’t already read it. 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

Don't Forget the Bubbles

DECEMBER 13, 2023

Are there signs of significant dehydration or malnutrition? If severely dehydrated or malnourished, then they require admission for close monitoring with rehydration and refeeding. Eur J Pediatr. They have supportive parents who live nearby and a good friend network. First and foremost, do they look well or unwell?

Dehydration 98

Dehydration CDC Hospitals Wellness 98

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. ASMBS pediatric committee best practice guidelines. At 6 to 8 mL/kg. 2015;25(4):622-627. Surg Obes Relat Dis.

Emergency Department 40

Emergency Department Sepsis Operations Dehydration 40

Don't Forget the Bubbles

MAY 15, 2023

His systemic examination is normal, apart from signs of dehydration. Recommendations from the Pediatric Endocrine Society for evaluation and management of persistent hypoglycemia in neonates, infants, and children. The Journal of Pediatrics. A history of consanguinity is important to consider when looking at metabolic disorders.

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Wellness Seizures Hospitals Dehydration 103

EMDocs

OCTOBER 7, 2023

Clinical spectrum of rhabdomyolysis presented to pediatric emergency department. BMC Pediatr. The incidence of a similar condition, traumatic rhabdomyolysis, is estimated to be around 0.074%. Non-traumatic rhabdomyolysis: Background, laboratory features, and acute clinical management. Clin Biochem. 2017;50(12):656-662. 2013;13:134.

EMS 71

EMS Fluid Resuscitation Fractures Resuscitation 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

Pediatric Emergency Playbook

FEBRUARY 1, 2017

in Pediatric Emergency Care. Think about poor feeding, irritability, dehydration – in that case, just go with your gut and call it pyelonephritis, and admit. Pearl : the enhanced urinalysis is the addition of a gram stain. A positive gram stain has a LR+ of 87 in infants less than 60 days, according to a study by Dayan et al.

Wellness 52

Wellness Dehydration Ultrasounds Pediatrics 52