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Congenital Syphilis

Pediatric EM Morsels

Neonates presenting to the Emergency Department often cause a lot of uncertainty. Let’s review how Congenital Syphilis may present to our Emergency Departments: Congenital Syphilis : Basics Occurs when the spirochete Treponema pallidum is transmitted from mother to fetus. Emerg Radiol. 2013 Aug;20(4):337-9.

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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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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. Epidemiol Infect.

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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. In 7 studies with 4164 patients, PCT with a cut-off > 0.1

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PEMPix 2023 Online Case 3: The Only Thing We Have to Fear

PEMBlog

Initially in the emergency department he was generally well-appearing with normal vital signs. The patient was ultimately discharged on a seven-day total course of cephalexin per Pediatric Infectious Disease recommendations. Exanthematous disease induced by toxic shock syndrome toxin 1 in the early neonatal period.

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Choosing Wisely – Viral Respiratory Panels in children with respiratory symptoms

Don't Forget the Bubbles

The parents of two-year-old, previously healthy, Jamie bring him to the Emergency Department with coryzal symptoms, wheezing and difficulty breathing. Respiratory viral panel testing did not reduce antibiotic use in the emergency department. 2013 Feb;18(1):5-10. SpO2 is 88%. Pediatrics. J Clin Virol. 2022.105221.

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Are we on the right TRACT? 

Don't Forget the Bubbles

Let’s take the humble blood transfusion – used in emergency departments across the globe and playing a key role in critical care. Geneva: World Health Organization; 2013. Transfusion Decisions in Severe Anaemia Reducing child mortality remains high on the global health agenda. Centre for Tropical Medicine and Global Health.