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RCEM Learning
April 2024
Apr 4, 2024
Vicky Price from the Society of Acute Medicine discusses the synergy between acute and emergency medicine. They explore challenges in collaboration between departments, addressing workload pressures and advocating for unified patient care. The podcast also delves into the impact of administering antibiotics to brain injury patients to prevent pneumonia and improve outcomes.
01:55:17
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Quick takeaways
- IV fluids in hyperemesis gravidarum should avoid dextrose to prevent Wernicke's encephalopathy.
- Weighing patients to assess dehydration severity is vital in hyperemesis gravidarum management.
Deep dives
Treatment Recommendations for Hyperemesis Gravidarum
Medications like Zofran and Metoclopramide are recommended as first and second line treatments for hyperemesis gravidarum. IV fluids should be administered cautiously with avoidance of dextrose-containing fluids to prevent Wernicke's encephalopathy. Consideration should be given to community care first with oral antiemetics and dietary advice before escalating to IV antiemetics if needed.
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