EM Cases · Paediatric fluid and electrolyte management
Dehydrated toddler — Holliday-Segar, isotonic maintenance, and sodium safety
ACEM Fellowship station on paediatric fluid prescriptions, 4-2-1 rule, isotonic maintenance, and controlled correction of hyponatraemia.
On this page
Study tools
Target exams
ACEMFRCEMABEMFRCPCCCFPEMEBEEM
Prompt
A 14 kg toddler with gastroenteritis, moderate dehydration, Na 128 mmol/L.
Station brief
Format. Clinical-management station, 11 minutes.
References3ShowHide
- [1]Holliday MA, Segar WE The maintenance need for water in parenteral fluid therapy. Pediatrics, 1957.PMID 13431307
- [2]National Institute for Health and Care Excellence Intravenous fluid therapy in children and young people in hospital NICE guideline NG29, 2020.Source
- [3]Sarnaik AP, Meert K, Hackbarth R, et al. Management of hyponatremic seizures in children with hypertonic saline: a safe and effective strategy Crit Care Med, 1991.PMID 2055051