EM Clerkship

What happens when the stroke patient awaiting transfer has a sudden clinical change? How do you manage it?

 

For more reading on today’s topic, check out:

https://www.ebmedicine.net/topics/stroke/postthrombolysis-intracranial-hemorrhage

https://www.ahajournals.org/doi/10.1161/STR.0000000000000513

https://thennt.com/nnt/thrombolytics-acute-ischemic-stroke/

https://www.ahajournals.org/do/10.1161/blog.20171227.203035

We all know patients boarding for admission or transfer are the new norm in emergency rooms nationwide. What happens when a patient pending transfer decompensates?

To learn more on today’s topic:

https://www.emrap.org/corependium/chapter/recgSYYhIe7uv1r8x/Pediatric-DKA#h.mhab9ovl1fy9

https://www.chop.edu/clinical-pathway/diabetes-type1-with-dka-clinical-pathway

https://emergencymedicinecases.com/wp-content/uploads/filebase/pdf/Episode%20063%20Apr2015%20Pediatric%20DKA.pdf

https://www.ebmedicine.net/topics/endocrine/pediatric-emergency-medicine-diabetes#Cerebral-Edema

Uptodate articles – “Hypokalemia in Children,” “Diabetic ketoacidosis in children: Cerebral injury (cerebral edema),”Diabetic ketoacidosis in children: Treatment and complications”

Gotta be gastroenteritis right? Tune in to find out!