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Travel-Related Illnesses in Children

Pediatric EM Morsels

A “Syndromic” Approach for Diagnosing and Managing Travel-Related Infectious Diseases in Children. Internationally Acquired Severe Systemic Infections in Febrile Pediatric Travelers Presenting to the Emergency Department. Pediatr Emerg Care. In the 1950’s travel accounted for 25 million international tourists.

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SGEM#422: And It was all Yellow-Nasal Discharge and Antibiotics in Pediatric Sinusitis

The Skeptics' Guide to EM

JAMA July 2023 Date: October 17, 2023 Guest Skeptic: Dr. Alasdair Munro is a clinical research fellow specializing in pediatric infectious disease at the University of Southampton. Case: A 4-year-old girl presents to your emergency department (ED) with fever and nasal drainage. Her vaccinations are all up to date.

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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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Probiotics don’t improve outcomes in children with acute gastroenteritis

PEMBlog

every year, leading to emergency department visits and hospitalizations. A new study conducted by the Pediatric Emergency Care Applied Research Network (PECARN) aimed to determine whether LGG could reduce the severity of gastroenteritis in children. emergency departments. Pediatrics, 2013. Szajewska et al.

Outcomes 105
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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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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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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