Pediatric Vomiting & Diarrhea | The EM & Acute Care Course
Pediatric Vomiting & Diarrhea by Ken Milne, MD
Earn CME credit for this course by purchasing at https://courses.ccme.org/course/ema/self-study.
Key Points and Recommendations
1. Oral rehydration therapy is comparable to intravenous fluids in children with mild to moderate dehydration.
2. Commercial electrolyte solutions vary widely in the composition and may lack enough sodium for dehydration.
3. Use of ondansetron can reduce failure rates in ORT patients.
4. Ondansetron does not increase the QTc on electrocardiograms in children.
5. More severe dehydration and higher triage scores are associated with ORT failure.
6. Starvation ketosis is not associated with increased failure in ORT.
7. Family members prefer IVF or ORT.
8. Most clinicians do not consider nasogastric rehydration therapy in dehydrated children.
9. IVF with dextrose does not change clinical outcomes compared to electrolyte only IVF therapy.
10. Ondansetron prescriptions do not impact return visits to the ED.
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#pediatric #vomiting #diarrhea
Видео Pediatric Vomiting & Diarrhea | The EM & Acute Care Course канала The Center for Medical Education
Earn CME credit for this course by purchasing at https://courses.ccme.org/course/ema/self-study.
Key Points and Recommendations
1. Oral rehydration therapy is comparable to intravenous fluids in children with mild to moderate dehydration.
2. Commercial electrolyte solutions vary widely in the composition and may lack enough sodium for dehydration.
3. Use of ondansetron can reduce failure rates in ORT patients.
4. Ondansetron does not increase the QTc on electrocardiograms in children.
5. More severe dehydration and higher triage scores are associated with ORT failure.
6. Starvation ketosis is not associated with increased failure in ORT.
7. Family members prefer IVF or ORT.
8. Most clinicians do not consider nasogastric rehydration therapy in dehydrated children.
9. IVF with dextrose does not change clinical outcomes compared to electrolyte only IVF therapy.
10. Ondansetron prescriptions do not impact return visits to the ED.
ALL OF OUR COURSES:
EM Boot Camp: http://www.embootcamp.com
EM Boot Camp Pharmacology Workshop: https://bit.ly/2I44xld
Advanced EM Boot Camp: http://www.embootcamp2.com
EM & Acute Care: http://www.emacourse.com
National EM Board Review: http://www.emboards.com
High Risk Emergency Medicine: https://bit.ly/2VrvbYj
The Heart Course: http://www.heartselfstudy.com
The Cadaver-Based Suturing Self‑Study Course: https://bit.ly/36vn2Za
EM:Prep LLSA Review: http://www.emprep.org
National Family Medicine Board Review: http://www.fmboards.com
The 2 View Podcast:
Subscribe on Apple Podcasts: https://apple.co/3rhVNZw
Subscribe on Google Podcasts: http://bit.ly/2MrAHcD
Subscribe On Spotify: http://spoti.fi/3tDM4im
CME Anytime – Emergency Medicine Podcast:
Subscribe on Apple Podcasts: http://apple.co/3rvVPO0
Subscribe on Google Podcasts: http://bit.ly/2OxBCbQ
Subscribe On Spotify: http://spoti.fi/38g1gcg
#pediatric #vomiting #diarrhea
Видео Pediatric Vomiting & Diarrhea | The EM & Acute Care Course канала The Center for Medical Education
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6 июля 2021 г. 23:00:13
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