Don't Forget the Bubbles

SEPTEMBER 27, 2023

There may be a role in viral respiratory panels for children admitted to the hospital or intensive care unit. Of note, during COVID-19 , some hospitals used RVPs to differentiate patients who had been infected with SARS-CoV-2 from other viral infections. Finally, viral testing may also play a role in disease tracking during outbreaks.

Emergency Department 84

Emergency Department Pediatrics Point-of-Care Testing Hospitals 84

PulmCCM

JULY 10, 2023

In the MERCY trial, 607 critically ill patients with sepsis (most with septic shock) at 26 hospitals in Croatia, Italy, Kazakhstan, and Russia were randomized to receive meropenem by either continuous (3 g / 24 hours) or intermittent administration (1 g every 8 hours). Read in Read in Clinical Infectious Diseases

Stroke 52

Stroke Sepsis Infectious Diseases Outcomes 52

Don't Forget the Bubbles

MARCH 18, 2024

The Royal Children’s Hospital in Melbourne summarises them in an easy-to-follow flow diagram (figure 1). Think about nutrition References The Royal Children’s Hospital Melbourne. Clinical Infectious Diseases [Internet]. Disease severity of Shiga toxin-producingE. Royal Hospital for Children- Nephrology.

Dehydration 59

Dehydration Infectious Diseases Seizures Pediatrics 59

Don't Forget the Bubbles

JANUARY 10, 2024

Severe anaemia is a common and life-threatening cause of hospital admission in children in sub-Saharan Africa. 8% die in hospital, with a further 12% dying in the six months following discharge. Population 6171 children from three hospitals in Uganda and one in Malawi were assessed for eligibility.

Blood Transfusions 78

Blood Transfusions Research Outcomes Hospitals 78

EMDocs

NOVEMBER 16, 2024

Infections For stable patients, obtain microbiologic samples prior to antibiotics (per the American Academy of Orthopedic surgery and The Infectious Diseases Society of America). Hospitals, 2018. 2013 Dec;6(4):350-6. 7,8 Majority are managed operatively. 7,8 Consider fascia iliaca block for symptomatic pain relief.

EMS 98

EMS Dislocations Fractures Operations 98

RebelEM

MAY 15, 2024

Pathogens ( Gudiol 2013 ) : The pathogens responsible for neutropenic fever have changed over time. Follow your hospital’s protocol (if available). High Risk Patients will need hospitalization and IV antibiotics. Clin Microbiol Infect 2013; 19:474 Klastersky J. Raad, II, et al., Gibson C, Berliner N.

Infectious Diseases 101

Infectious Diseases Administration Sepsis Anaphylaxis 101

Pediatric EM Morsels

APRIL 5, 2024

(Jensenius 2004) Scrub typhus is one of the most common infectious disease in rural areas of south and southeastern Asia and the western Pacific. Kyasanur Forest Disease (KFD). Tickborne Disease Abroad. Diseases Spread by Ticks. Travel and tick-borne diseases: Lyme disease and beyond.

CDC 164

CDC Infectious Diseases Pediatrics Wellness 164

Pediatric EM Morsels

FEBRUARY 2, 2024

Hospitalization for travel-related illness are around 10% for both VFR and tourists (Leuthard 2015) Multiple studies have reported the most common travel infections in various countries. A “Syndromic” Approach for Diagnosing and Managing Travel-Related Infectious Diseases in Children. Glob Pediatr Health. 2021 May; 8:1-16.

Infectious Diseases 164

Infectious Diseases Pediatrics Sepsis Documentation/Coding 164

Don't Forget the Bubbles

SEPTEMBER 18, 2023

Conventionally IV antibiotics have been limited to in-hospital use. However, the Intravenous ceftriaxone at home versus intravenous flucloxacillin in hospital for children with cellulitis” ( CHOICE ) randomised control trial challenged this dogma. Randel A, Infectious Disease Society of America. 2013 Sep 1;88(5):338–40.

Emergency Department 143

Emergency Department Infectious Diseases Pediatrics Sepsis 143

PEMBlog

JANUARY 17, 2024

Camargo, Clinical Trial: Comparative Effectiveness of Cephalexin Plus Trimethoprim-Sulfamethoxazole Versus Cephalexin Alone for Treatment of Uncomplicated Cellulitis: A Randomized Controlled Trial, Clinical Infectious Diseases, Volume 56, Issue 12, 15 June 2013, Pages 1754–1762, [link] Liu C, Bayer A, Cosgrove SE, et al.

Infectious Diseases 59

Infectious Diseases Sepsis Wellness Pediatrics 59

Don't Forget the Bubbles

FEBRUARY 24, 2025

Two-month-old Isla presents to their local hospital following a prolonged apnoea at home. Since the introduction of the Pertussis vaccination in pregnancy, from 2013 to the end of October 2024, there have been 31 deaths in infants under 3 months with confirmed Pertussis (eleven of which occurred in 2025). Ann Intensive Care.

Pediatrics 59

Pediatrics Outcomes Blood Transfusions Sepsis 59

Don't Forget the Bubbles

SEPTEMBER 18, 2024

Adapted from: Byington et al (2015, Clinical Infectious Disease, [link] ) When to think about primary immunodeficiency? Clinical predictors of primary immunodeficiency diseases in children. Allergy Asthma Immunol Res 2013; 5: 88–95. Clinical features that identify children with primary immunodeficiency diseases.

Emergency Department 98

Emergency Department Wellness Infectious Diseases Pediatrics 98

PEMBlog

OCTOBER 31, 2024

every year, leading to emergency department visits and hospitalizations. Pediatrics, 2013. 2013 Sep;38(5):467-76. Epub 2013 Jul 10. Introduction Acute gastroenteritis affects millions of children in the U.S. However, for pediatric gastroenteritis, the evidence suggests they do not provide significant benefits.

Outcomes 105

Outcomes Pediatrics Emergency Department Research 105

Pediatric Education

NOVEMBER 19, 2023

The family lived about 90 minutes away from the hospital had wanted a home birth but had decided to deliver at a hospital because of the hypertension. They declined several routine screenings and treatments in the hospital including no Hepatitis B vaccine, Vitamin K administration and hearing screening. Pediatrics. BMC Pediatr.

Infectious Diseases 40

Infectious Diseases Administration Pediatrics Wellness 40

Don't Forget the Bubbles

SEPTEMBER 23, 2024

You are working in the paediatric emergency department of a busy District General Hospital. Infections are the most common reason for hospitalization within the first two years of transplant and are much more likely than rejection. Have there been any previous episodes of hospitalization since receiving the transplant?

Pediatrics 52

Pediatrics Fractures Dehydration Sepsis 52

Mind The Bleep

SEPTEMBER 17, 2024

Epidemiology The number of animal bites presented to A&E is largely underestimated, as many who are bit don’t present to receive medical care 1 or won’t receive treatment in a hospital setting so they are not counted in the statistics for bites 2. Nevertheless, approximately 1-2% of attendances per year to A&E are from bites 3.

Fractures 52

Fractures Infectious Diseases Documentation/Coding Hospitals 52

EMDocs

NOVEMBER 2, 2024

Neurology is consulted, treatment is started, and the patient is admitted to the hospital for further management. Consultation with an infectious disease and neurology specialist can be considered to guide treatment and proper disposition. 2013 Dec;51(12):4060-6. Sexually transmitted disease surveillance 2018.

EMS 115

EMS Infectious Diseases CDC Research 115

ALiEM

DECEMBER 6, 2024

While in Ghana, she volunteered at a refugee hospital, ate street food, and was exposed to local animals. Although mild cases of dengue can be treated supportively, more severe cases typically require hospitalization. 2013: bcr2013201598. She also noticed a diffuse, intermittently pruritic rash on her trunk and extremities.

Academics 64

Academics Emergency Department Shock Hospitals 64

EMDocs

MARCH 24, 2025

7 The disease spreads primarily through unprotected sexual contact, sharing of contaminated needles, blood transfusions, and from mother to child during childbirth or breastfeeding. 9 Historically, the management of HIV and its complications was primarily the domain of primary care and infectious disease (ID) specialists.

CDC 91

CDC Blood Transfusions Infectious Diseases Sexual Assault 91