Emergency department oral rehydration of children: The best solution?

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Abstract

Oral rehydration therapy is widely recommended as the standard therapy for children with mild to moderate dehydration due to otherwise uncomplicated gastroenteritis. The use of oral rehydration in place of intravenous rehydration has. however, been limited, including in the emergency department (ED) setting. Much of the resistance to use of oral rehydration in the ED is due to logistic difficulties with its administration. The authors review, the history and scientific background of oral rehydration, provide guidelines for its use. discuss the barriers to its adoption in the ED setting and strategies by which they may be overcome, acknowledge the limitations to its use, and suggest areas for future research.

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