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American Academy of Emergency Medicine

Fact of the Day - September 2014

Brought to you by the AAEM Resident & Student Association (AAEM/RSA)

September 03, 2014

A very low serum bicarbonate has been associated with a higher clinical degree of dehydration in pediatric patients

Harwood and Nuss Clinical Practice of Emergency Medicine Fifth Edition Lippincott, Philadelphia, 2010

September 02, 2014

The potential for dehydration is inversely proportional to the child's age. Total body water and the percentage of daily fluid turnover are highest in infants younger than 6 months old. In these infants rotaviral gastroenteritis, shigellosis, or salmonellosis can cause dehydration in minutes to hours.

Harwood and Nuss Clinical Practice of Emergency Medicine Fifth Edition Lippincott, Philadelphia, 2010

September 01, 2014

The CHEST guidelines atrial fibrillation and atrial flutter state that patients should receive peri-procedure anticoagulation and be continued on oral anticoagulation for 4 weeks following cardioversion, but these suggestions are rated 2C and have no quality evidence supporting them.

You JJ, Singer DE, Howard PA, et al. Antithrombotic therapy for atrial fibrillation: Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines. Chest 2012;141:e531S-75S.