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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. European Centre for Disease Prevention and Control. Measles facts [Internet]. cited 2024 Oct 24] WHO.

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Fluoroquinolone Use In Children

Pediatric EM Morsels

None of the patients were documented to have joint disease at follow up. Etminan 2019) In Belgium between 2010 – 2013, of the 262 children treated with fluroquinolones while hospitalized, only 17% were used for labelled indications. BMC Infectious Disease. There were 2523 children included.

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

Taming the SRU

1) However, it wasn’t until the 1890s that purposeful, successful, and safe attempts to access this fluid were documented (2). 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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EM@3AM: Total Hip Arthroplasty Complications

EMDocs

Posterior – Shortened, adducted, internally rotated 5,6 Anterior – Shortened, abducted, externally rotated 5,6 As with all dislocations, perform and document distal neurovascular exam before and after management. 8 Perform and document distal neurovascular exam. 2013 Dec;6(4):350-6. 2018 Fall;18(3):242-252.

EMS 98
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REBEL Core Cast 122.0 – Neutropenic Fever

RebelEM

Pathogens ( Gudiol 2013 ) : The pathogens responsible for neutropenic fever have changed over time. Clinical practice guideline for the use of antimicrobial agents in neutropenic patients with cancer: 2010 update by the infectious diseases society of america, Clinical Infectious Diseases, 2011, 52(4):e56-93.

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Travel-Related Illnesses in Children

Pediatric EM Morsels

In one ED study, ALL cases of missed travel-related illness did not have a documented travel history in their ED note , whereas 90% of the identified travel-related illnesses had a provider documented travel history (Greenky 2022) Those who are visiting friends and relatives (VFR) are typically at highest risk. Glob Pediatr Health.

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Episode 24 - First Trimester Pregnancy Emergencies: Recognition and Management

EB Medicine

This corresponds nicely to a 2013 retrospective study demonstrating a bHCG threshold for the fetal pole to be just below 1400. For a completed abortion, you would expect a closed OS with no IUP on ultrasound with a previously documented IUP. Generally 1500 is used as the cutoff.