On rare occasions you may receive a pre-alert, where you want blood available for the patient when they arrive (for example in major haemorrhage). This process has been agreed with transfusion so this can be done safely and responsibly. Read more
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)
Not normally difficult to spot, but look for it in unexplained anaemia, or collapse.
- 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