Dehydration in Gastroenteritis: To IV or Not To IV?

In light of the ACEP board of directors recently approving 5 Choosing Wisely recommendations for patients seen in the ED, this post is to bare some light on point #5: "For children with mild to moderate, uncomplicated dehydration, clinicians should avoid giving intravenous fluids before a trial of oral rehydration therapy." A review of the important questions to ask during your exam, the definition of mild to moderate dehydration and treatment strategy is included.
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Pediatric Rashes

Many patients are uninsured or rush to us before their clinics so we encroach on the realm of primary care for a sizable portion of the population.One common concern of these patients are rashes, which without any knowledge can appear threatening.I think all rashes are a pretty weak point in a lot of physicians so it might help to have a visual diagnosis powerpoint.
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