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The major differential diagnosis is diabetic ketoacidosis (DKA). In contrast to DKA, serum glucose levels in HHS are extremely high, usually greater than 40-50 mmol/L (600 mg/dL). [6] Metabolic acidosis is absent or mild. [6] A temporary state of confusion (delirium) is also more common in HHS than DKA. HHS also tends to affect older people more.
WikEM is wiki-based medical website and point-of-care phone application for emergency medicine clinicians. [1] WikEM is owned by OpenEM Foundation, a 501(c)(3) nonprofit organization. [ 2 ] WikEM initially started as a database created from notes and checklists passed from resident class to subsequent resident class at the Harbor-UCLA emergency ...
A 2004 statement by the European Society for Paediatric Endocrinology and the Lawson Wilkins Pediatric Endocrine Society (for children) uses slightly different cutoffs, where mild DKA is defined by pH 7.20–7.30 (bicarbonate 10–15 mmol/L), moderate DKA by pH 7.1–7.2 (bicarbonate 5–10) and severe DKA by pH<7.1 (bicarbonate below 5).
The Pediatric Assessment Triangle or PAT is a tool used in emergency medicine to form a general impression of a pediatric patient. [1] In emergency medicine, a general impression is formed the first time the medical professional views the patient, usually within seconds. [ 2 ]
The goal of pediatric early warning systems is to alert staff to deterioration in pediatric patients at the earliest possibility to quickly intervene and improve mortality rates. [22] It is based on the idea that using objective clinical indicators and risk assessment tools will improve communication and improve patient care, however, there is ...
Most TKs arrange the classes into two grades: A and B, which are informally called kelas nol kecil (little zero grade) and kelas nol besar (big zero grade) respectively. While this level of education is not compulsory, it is aimed to prepare children for primary schooling. Of the 49,000 kindergartens in Indonesia, 99.35% are privately operated. [9]
Pediatric emergency physicians in the United States take one of two routes of training; one can do a pediatrics residency (3 years) followed by a pediatric emergency fellowship (3 years), [1] or an emergency medicine residency (3–4 years) followed by a pediatric emergency fellowship (2 years). Majority of practicing PEM doctors take the ...
The term pediatrics was first introduced in English in 1859 by Abraham Jacobi. In 1860, he became "the first dedicated professor of pediatrics in the world." [20] Jacobi is known as the father of American pediatrics because of his many contributions to the field. [21] [22] He received his medical training in Germany and later practiced in New ...