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EM@3AM: Leukopenia

EMDocs

PCP Pneumonia, Sepsis) can be discharged with initiation of Antiretroviral Therapy in consultation with Infectious Disease (ID) physician with full ID evaluation outpatient. A 45-year-old outdoor enthusiast presents to the emergency department with fever, headache, myalgias, and malaise. No rash is identified.

EMS 95
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Choosing Wisely – Radiographs in children with respiratory symptoms

Don't Forget the Bubbles

The parents of 9-month-old Josie bring her into the Emergency Department with coryzal symptoms and difficulty breathing. A secondary analysis of a nationwide study of Emergency Department attendance in America from 2006 to 2008 found that CXRs increase the average length of stay by 27 minutes. Am J Emerg Med.

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Allergic Reactions and Anaphylaxis

EB Medicine

— In this episode, Sam Ashoo, MD, and TR Eckler, MD, discuss the July 2022 Emergency Medicine Practice article on the Management of Allergic Reactions and Anaphylaxis in the Emergency Department. Intro The number of ED visits and hospitalizations Studies show up to 57% of anaphylactic reactions are not recognized, and epinephrine is not administered (..)

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The resurgence of vaccine preventable infections: Measles and Pertussis

Don't Forget the Bubbles

Whooping Cough: A Cyclical but Preventable Disease Whooping cough, caused by the bacterium Bordetella pertussis , is another infectious disease experiencing a resurgence despite the availability of vaccines. These outbreaks increase the risk of imported cases in other regions, including the UK. Global measles outbreaks.

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REBEL Core Cast 107.0 – Vertebral Osteomyelitis

RebelEM

Executive Summary: 2015 Infectious Disease Society of America (IDSA) Clinical Practice Guidelines for the Diagnosis and Treatment of Native Vertebral Osteomyelitis in Adults. Evaluation and Treatment of Acute Back Pain in the Emergency Department. Orthopedic Emergencies 2015 May; 33(2) 311-26. In: Sherman SC eds.

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EM@3AM: Total Hip Arthroplasty Complications

EMDocs

Infections For stable patients, obtain microbiologic samples prior to antibiotics (per the American Academy of Orthopedic surgery and The Infectious Diseases Society of America). 9,23 Disposition: Dislocation : If successfully reduced in the emergency department may discharge with strict mobility restrictions and Orthopedic follow up.

EMS 98
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REBEL Core Cast 122.0 – Neutropenic Fever

RebelEM

Read More: Infectious Disease Society of America 2010 Clinical Practice Guidelines Life in the Fast Lane: Febrile Neutropaenia Uptodate: overview of neutropenic fever syndromes EMRAP: Risk stratification of neutropenic fever MDCalc: MASCC Score MDCalc: CISNE Score References: Ahn S, Rice TW, Yeung SJ, Cooksley T. Ann Emerg Med.