Category: GIT

D&V in kids

Paediatric gastroenteritis can be a pain for everyone but as with most of EM – Keep It Simple

  • Not dehydrated – make sure they can tolerate fluids, and encourage hydration, think about ORT
  • Dehydrated – look for the red flags that indicate they are developing shock. Use ORT unless IV indicated
  • Shocked – you will need access and it will probably be difficult (IO on awake children really isn’t that bad)

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Upper GI Bleed (UGIB)

Not normally difficult to spot, but look for it in unexplained anaemia, or collapse.

Questions

  • Is it VARICEAL? Mortality 35%, so is an emergency whatever the GBS is.
  • Non-Variceal what’s the GBS? will help guide treatment

Anyone being admitted should be brought to HRI

Emergency Endoscopy is arranged by Med Reg

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