Rehydration strategies in children with severe acute malnutrition Background: (SAM) and severe dehydration are extremely cautious. The World Health Organization (WHO) SAM guidelines advise strongly against intravenous fluids unless the child is shocked or severely dehydrated and unable to tolerate oral fluids. Otherwise, guidelines recommend oral or nasogastric rehydration using low sodium oral...

I ntravenous maintenance fluid is widely used in general paediatric practice and more children who come into hospital receive intravenous fluid than in the past. The intravenous route is frequently used because enteral maintenance or rehydration treatment is more labour intensive and uses valuable staff time; furthermore modern pumps for delivery of fluids are safe. Nevertheless in developing c...

PURPOSE OF REVIEW To review the past year's literature, and selected prior literature relevant to these most recent findings, regarding intravenous fluid choices in the management of critically ill children. RECENT FINDINGS Twenty-eight publications were identified using the keywords pediatrics and intravenous fluid in the PubMed database. The subjects identified included intravenous fluid ch...

BACKGROUND Hyperemesis gravidarum (HG) is the most severe form of nausea and vomiting of pregnancy which can have potentially dangerous complications if untreated. Its treatment is basically supportive as the condition itself is self-limiting. The aim of our study was to evaluate maternal characteristics in patients with HG including risk factors and treatment outcome with respect to improvemen...

Paediatric bacterial meningitis is a serious infection that can result in permanent neurological sequelae or death. Broad-spectrum intravenous antibiotics, started as soon as the condition is suspected, are the mainstay of treatment. Acute resuscitation may also be necessary for patients who are in septic shock. Corticosteroids, careful fluid management and advances in intensive care therapy ha...

INTRODUCTION In December 2003, the residents of Bam, Iran experienced an earthquake that measured 6.6 on the Richter scale and destroyed more than 90% of the city. PROBLEM The purpose of this study was to assess the status of the rescue, evacuation, and transportation of the casualties during the early stages following the earthquake. METHODS A cross-sectional study of 185 casualties who we...

The Fluid Expansion as Supportive Therapy (FEAST study) was an extremely well conducted study that gave unexpected results. The investigators had reported that febrile children with impaired perfusion treated in low-income countries without access to intensive care are more likely to die if they receive bolus resuscitation with albumin or saline compared with no bolus resuscitation at all. In a...