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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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EM@3AM: Testicular/Scrotal Abscesses

EMDocs

aureus infections among patients in the emergency department. Skin and Soft Tissue Infections in the Emergency Department. Emerg Med Clin North Am. Published 2008 Sep 19. Clinical Infectious Disease. 2008) ISBN:0521871123. Managing a Cutaneous Abscess in the Emergency Department.

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Diagnostics: Inflammatory Markers

Taming the SRU

While PCT may be more specific for bacterial infections, it is flawed by still being rather non-specific and is not validated as a stand-alone diagnostic criteria for infection in the setting of the emergency department. Notably, up to 40% of patients with native vertebral osteomyelitis had a normal WBC [33-34].

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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.

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Antibiotics in the paediatric emergency department

Don't Forget the Bubbles

This blog post aims to help familiarise you with some of the most common reasons for prescribing antibiotics in the paediatric emergency department. Antibiotic Use for Common Infections in Pediatric Emergency Departments: A Narrative Review. Randel A, Infectious Disease Society of America. Karageorgos, S.;

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Immunodeficiencies Module

Don't Forget the Bubbles

Case 1 focuses on a case seen in the emergency department and explores the common parental query of a “weak immune system” in a young child who has had several recurrent upper respirator tract infections back-to-back but is otherwise well. A 3 year old boy is brought to emergency department and treated for viral induced wheeze.

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Mastering Minor Care: Dog Bites

Taming the SRU

Although not every person seeks health care for these injuries, the majority of those that do end up in the emergency department. In 2008, this led to greater than 316,000 emergency department (ED) visits and about 9,500 hospitalizations [1]. Clinical Infectious Diseases. Annals of Emergency Medicine.