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Ancient Indian religious, and scientific learnings from Vedas passed through generations via listening, Sruti, and memorising, Smriti, this tradition is still in practice in many folds of religious education
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According to the German mathematician Georg Cantor, there are three levels of existence: the physical universe, the human mind, and the Mind of God.
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Emergency treatment
z Further boluses of fluid should be given to shocked children who have not had a sustained
improvement to the first bolus given at resuscitation
z Consider inotropes, intubation and invasive arterial blood pressure monitoring particularly if
more than 40 ml/kg of fluid is needed with signs of ongoing shock
z Consider IV third generation cephalosporin in shocked children with no obvious fluid loss as
sepsis is likely
z If a child has a cardiac arrhythmia the appropriate protocol should be followed
z If anaphylaxis is suspected, give IM adrenaline in addition to fluid boluses
z Give an IV infusion of dinoprostone (prostaglandin or PGE2) or alprostadil (PGE1) urgently if ductdependent congenital heart disease is suspected, for instance in neonates with unresponsive
hypoxia or shock
z Surgical advice and intervention may be needed for gastrointestinal emergencies. The following
symptoms and signs may suggest this:
z Symptoms – bilious vomiting, blood per rectum, abdominal pain
z Signs – abdominal tenderness, abdominal mass, abdominal distension
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