Author: Lenore Jarvis MD MEd

Steiner, M. J., DeWalt, D. A., & Byerley, J. S. (2004). Jama. Abstract Conclusions: The initial assessment of dehydration in young children should focus on estimating capillary refill time, skin turgor, and respiratory pattern and using combinations of other signs. The relative imprecision and inaccuracy of available tests limit the ability of clinicians to estimate the […]

Spandorfer, P. R., Alessandrini, E. A., Joffe, M. D., Localio, R., & Shaw, K. N. (2005). Pediatrics. Abstract Conclusions: This trial demonstrated that ORT is as effective as IVF for rehydration of moderately dehydrated children due to gastroenteritis in the emergency department. ORT demonstrated noninferiority for successful rehydration at 4 hours and hospitalization rate. Additionally, therapy […]

Powell, C. V., Priestley, S. J., Young, S., & Heine, R. G. (2011). Pediatrics. Abstract Conclusions: Primary treatment failure and clinical outcomes were similar for RNR and SNR. Although RNR generally reduced the need for hospitalization, discharge home from the ED failed for approximately one-fourth of the patients.

Simpson, J. N., & Teach, S. J. (2011). Current opinion in pediatrics. Abstract Conclusions: Rapid fluid resuscitation is most commonly used for children with moderate-to-severe dehydration, or for patients in shock to restore circulation. Concerns regarding potential for fluid overload and electrolyte disturbances and regarding the method of rehydration (i.e., enteral versus parenteral) raise some […]

Gorelick, M. H., Shaw, K. N., & Murphy, K. O. (1997). Pediatrics. Abstract Conclusions: Conventionally used clinical signs of dehydration are valid and reliable; however, individual findings lack sensitivity. Diagnosis of clinically important dehydration should be based on the presence of at least three clinical findings. dehydration, capillary refill, clinical assessment, interobserver agreement.