Half of all knee replacement patients in public hospitals are waiting more than six and a half months for surgery with one in eight waiting over 12 months. Medibankâs Health Cost and Utilisation report shows the average out of pocket expenses for a hip replacement was $1,144.
Obtain intravenous access, and give a 20 mL/kg isotonic fluid bolus (Ringer lactate or normal saline) to children with severe volume depletion. This should not delay transport to the appropriate facility. Reassessment of perfusion, cardiac function, mentation should take place after each intervention.
Enough fluid needs to be provided so that the dehydration can be prevented. This is especially true if increased water loss occurs because of fever, vomiting or diarrhea. In children, symptoms of dehydration increase as the level of dehydration increases. Infants and children respond well to fluid replacement, and often oral rehydration therapy (ORT) can treat dehydration.