Remove Fluid Resuscitation Remove Hyperthermia / Hypothermia Remove Resuscitation Remove Shock
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Diabetic Ketoacidosis in Paediatrics

Mind The Bleep

Majority of DKA patients are in a fluid deficit and present acutely with shock. Therefore, they require fluid resuscitation to restore blood pressure, correct the ketonemia and electrolyte abnormalities, and oliguria. NaCl fluid bolus over 15 minutes. This is done with an initial bolus of 10ml/kg 0.9%

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Referring to the Intensive Care Unit

Mind The Bleep

Because she would not be for intubation, they discuss resuscitation status because, naturally, care during- and post-arrest would involve airway support. The ICU team are aware that this patient may require therapeutic hypothermia, continuous cardiac monitoring and may deteriorate to the point of arrest. Is it reversible?


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Something she ate?

Intensive Blog

It refers to hypernatraemia, hyperventilation, haemodialysis, and induced hypothermia. It clears ammonia, allows fluid removal, and facilitates management of electrolyte. Hypothermia Aiming for a lower core temp (35 o C) reduces cerebral metabolic rate and cerebral blood flow. Disability- treat hypoglycaemia if present.

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EM@3AM: Hyperthermia


Evaporative cooling is the preferred method to actively reduce body temperature in the emergency department , as it can be performed with ongoing resuscitation efforts. As you attempt to examine the patient, he has a generalized, tonic-clonic seizure. What is your diagnosis, and what are your next steps in evaluation and management?

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Another deadly and confusing ECG. Are you still one of the many people who will be fooled by this ECG, or do you recognize it instantly?

Dr. Smith's ECG Blog

Fluid resuscitation was initiated. ST elevation in aVL with reciprocal ST depression in the inferior leads Shock, bradycardia, ST Elevation in V1 and V2. Physician also reads it as normal) Severe shock, obtunded, and a diagnostic prehospital ECG. Here is the initial ED ECG: What do you think? Another Shark Fin.