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Diagnostics and Therapeutics: The Who, What, Where, When and Why of Lumbar Punctures

Taming the SRU

The LP is now a standard procedure and in 2010 well over 135,000 LPs were performed in Emergency Departments throughout the US (3). Scandinavian journal of infectious diseases , 45 (9), 657–663. Clinical infectious diseases : an official publication of the Infectious Diseases Society of America , 39 (9), 1267–1284.

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Fluoroquinolone Use In Children

Pediatric EM Morsels

Myth # 2: Neurologic affects Nervous system adverse events mostly include central concerns (ex, seizures, headaches, dizziness, lightheadedness, sleep disorders, hallucinations) and peripheral neuropathy. BMC Infectious Disease. Meesters 2018) Resistance is growing (likely from inappropriate / overuse)!

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Leucodepletion in Bordetella Pertussis

Don't Forget the Bubbles

Infants usually present in a non-specific manner, following an apnoea, cough, cyanosis, or seizure so a high index of suspicion is required in this age group. The Pediatric Infectious Disease Journal 37(3):p 202-205, March 2018. This involved routing a leucocyte filter into the ECMO circuit. Pediatrics. Nieves et al.

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EM@3AM: Neurosyphilis

EMDocs

bladder incontinence) – 17% Headache – 10% Lighting pains – 10% Often described as sudden, rapidly spreading and disappearing [13] Dizziness – 10% Hearing loss – 10% Seizures – 7% Signs: Hyporeflexia – 50% Sensory impairment (e.g., Centers for Disease Control and Prevention’s Sexually Transmitted Diseases Infection Guidelines.”

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