Do We Give Kids IV Fluids Too Freely?

Editor’s Note

Every emergency physician has their own version of a migraine cocktail. Mine includes fluid bolus, prochlorperazine, and ketorolac. But one thing to consider adding, at least in adults, is dexamethasone as it reduces the likelihood of rebound headaches.³

As ACEP’s Choosing Wisely Champion for 2019, I cannot stress this enough: Let’s stop doing things we shouldn’t do—in this case, IV fluids for pediatric gastroenteritis—and spend our time and resources on high-yield interventions.

Read the recommendations at www.choosingwisely.org/societies/american-college-of-emergency-physicians.

—Cedric Dark, MD, MPH, FACEP

References

Freedman SB, Roskind CG, Schuh S, et al. Comparing pediatric gastroenteritis emergency department care in Canada and the United States. Pediatrics. 2021;147(6):e2020030890.
Tomasik E, Ziólkoska E, Kolodziej M, et al. Systematic review with meta-analysis: ondansetron for vomiting in children with acute gastroenteritis. Aliment Pharmacol Ther. 2016;44(5):438-446.
Gelfand AA, Goadsby PJ. A neurologist’s guide to acute migraine therapy in the emergency department. Neurohospitalist. 2012;2(2):51-59.

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Topics: Acute Gastroenteritis Dehydration

About the Authors

Landon Jones, MD

Dr. Jones is associate professor and pediatric emergency medicine fellowship director at the University of Kentucky Department of Emergency Medicine & Pediatrics in Lexington, Kentucky.

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Richard M. Cantor, MD, FAAP, FACEP

Dr. Cantor is professor of emergency medicine and pediatrics, director of the pediatric emergency department, and medical director of the Central New York Regional Poison Control Center at Upstate Medical University in Syracuse, New York.

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Do We Give Kids IV Fluids Too Freely?

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About the Authors

Landon Jones, MD

Richard M. Cantor, MD, FAAP, FACEP

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