Pediatric Vomiting & Diarrhea | The EM & Acute Care Course

[@markmann6796]

Thank you. Excellent presentation. As an ED physician AND family medicine physician, I am continually frustrated by kids sent over from the various outpatient settings “for some IV fluids”. The child gets their IV rehydration and guess what…they improve. So we ingrain in the parents’ thinking that a little vomiting or retching immediately warrants IV fluids. Likewise, and even in adults now, we attempt to micromanage to the inth degree the composition of rehydration fluids. Madison Avenue loves us for it, but keeping it simple always wins the day. Again, thank you.

[@NN-rn1oz]

Many kids come to the ED with vomiting. Most of them respond well to a single dose of oral ondansetron and oral progression, and are discharged as soon as they tolerate PO. As such, most are sent home without a blood workup. I sometimes wonder if this is good enough to rule out DKA and other important differentials? Common sense says yes, but it would be nice to have some hard evidence to back it up.

[@edreesalqutel8002]

Nice work....تم