Taming the SRU

AUGUST 30, 2023

Spinal Infection: According to the Infectious Disease Society of America’s (IDSA) 2015 guidelines for native vertebral osteomyelitis, CRP and ESR in the setting of protracted back pain have sensitivities ranging from 94 to 100% for ruling out infection and malignancy in these patients. days (secondary endpoint) [51]. J Arthroplasty.

Infectious Diseases 89

Infectious Diseases Sepsis Emergency Department Point-of-Care Testing 89

Don't Forget the Bubbles

APRIL 22, 2024

2013 Jun 1:E158-62. Current Infectious Disease Reports. Clinical and Investigative Medicine. Luo B, Li M, Xiang N, Hu W, Liu R, Yan X. The microbiologic spectrum of dacryocystitis. BMC ophthalmology. 2021 Dec;21(1):1-7. Pinar-Sueiro S, Sota M, Lerchundi TX, Gibelalde A, Berasategui B, Vilar B, Hernandez JL.

Infectious Diseases 85

Infectious Diseases Sepsis Pediatrics Operations 85

PulmCCM

JULY 10, 2023

In the ELAN trial, 2013 patients were randomized to undergo either “later” anticoagulation with a direct oral anticoagulant (DOAC)—generally following the above parameters, or “early” (day 6 or 7 after a large stroke, day 3 or 4 for moderate strokes). Read in Read in Clinical Infectious Diseases

Stroke 52

Stroke Sepsis Infectious Diseases Outcomes 52

Pediatric Education

OCTOBER 8, 2023

The diagnosis of a healthy female was made who would be traveling to an area endemic for several infectious diseases. The pediatrician consulted the Centers for Disease Control website for vaccine recommendations for the Congo which indicated the need for malaria prophylaxis as well as Yellow Fever and Typhoid vaccine.

Infectious Diseases 40

Infectious Diseases Pediatrics Military Wellness 40

Don't Forget the Bubbles

MARCH 18, 2024

Clinical Infectious Diseases [Internet]. Disease severity of Shiga toxin-producingE. GG&C Paediatric Guidelines- Kidney Diseases. Available from: [link] Wong CS, Mooney JC, Brandt JR, Staples AO, Jelacic S, Boster DR, et al. 2012 Mar 19 [cited 2023 Nov 30];55(1):33–41. Toxins (Basel).

Dehydration 59

Dehydration Infectious Diseases Seizures Pediatrics 59

Don't Forget the Bubbles

SEPTEMBER 27, 2023

2013 Feb;18(1):5-10. Establishing benchmarks for the hospitalized care of children with asthma, bronchiolitis, and pneumonia. Pediatrics. 2014 Sep;134(3):555-62. doi: 10.1542/peds.2014-1052. Power M, Fell G, Wright M. Principles for high-quality, high-value testing. Evid Based Med. doi: 10.1136/eb-2012-100645. Rao S, Lamb MM, Moss A, et al.

Emergency Department 84

Emergency Department Pediatrics Point-of-Care Testing Hospitals 84

Don't Forget the Bubbles

JANUARY 10, 2024

Geneva: World Health Organization; 2013. Available from: [link] Pocket book of hospital care for children: Second edition. Guidelines for the management of common childhood illnesses. Centre for Tropical Medicine and Global Health. Kathryn Maitland: Improving childhood mortality with limited resources.

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). 2013 Dec;6(4):350-6. Some non-displaced fractures and patients with poor baseline functional status may be managed non-operatively. doi: 10.31486/toj.17.0079.

EMS 98

EMS Dislocations Fractures Operations 98

RebelEM

MAY 15, 2024

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.

Infectious Diseases 101

Infectious Diseases Administration Sepsis Anaphylaxis 101

Pediatric EM Morsels

SEPTEMBER 1, 2023

For a 16-year-old girl who presents to the ED with a forearm fracture, asking confidentially about the home environment can help us differentiate an accidental vs. assault If we don’t ask, we won’t know Education Bullying is a known risk factor for suicide [Borowsky 2013] A child NOT enrolled in school is another red flag for human trafficking.

Pediatrics 164

Pediatrics Emergency Department Fractures EMS 164

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 Shock 164

Pediatric EM Morsels

FEBRUARY 2, 2024

A “Syndromic” Approach for Diagnosing and Managing Travel-Related Infectious Diseases in Children. Infectious Disease Acquisition in Pediatric International Travelers: A 10-Year Review at a Canadian Tertiary Care Hospital. In the 1950’s travel accounted for 25 million international tourists. Glob Pediatr Health.

Infectious Diseases 164

Infectious Diseases Pediatrics Sepsis Documentation/Coding 164

EB Medicine

JANUARY 2, 2019

This corresponds nicely to a 2013 retrospective study demonstrating a bHCG threshold for the fetal pole to be just below 1400. Nachi: There is a wealth of literature on this topic and Dr. So to get us all on the same page, the discriminatory zone is the b-HCG at which an IUP is expected to be seen on ultrasound.

Ultrasounds 40

Ultrasounds Radiology Radiology Infectious Diseases 40

Don't Forget the Bubbles

SEPTEMBER 18, 2023

The 2020 Australian guideline for prevention, diagnosis and management of acute rheumatic fever and rheumatic heart disease. Randel A, Infectious Disease Society of America. 2013 Sep 1;88(5):338–40. Med J Aust. 2021 Mar;214(5):220–7. IDSA Updates Guideline for Managing Group A Streptococcal Pharyngitis. Am Fam Physician.

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

The Skeptics' Guide to EM

DECEMBER 2, 2023

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. Identifying children likely to benefit from antibiotics for acute sinusitis: a randomized clinical trial.

Pediatrics 140

Pediatrics Infectious Diseases Emergency Department Research 140

Don't Forget the Bubbles

FEBRUARY 24, 2025

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). The Pediatric Infectious Disease Journal 37(3):p 202-205, March 2018. Ann Intensive Care. Pediatrics.

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

Pediatrics, 2013. 2013 Sep;38(5):467-76. Epub 2013 Jul 10. Rapid adoption of Lactobacillus rhamnosus GG for acute gastroenteritis. Szajewska et al. Meta-analysis: Lactobacillus GG for treating acute gastroenteritis in children–updated analysis of randomised controlled trials. Aliment Pharmacol Ther. doi: 10.1111/apt.12403.

Outcomes 105

Outcomes Pediatrics Emergency Department Research 105

Pediatric Education

NOVEMBER 19, 2023

Related Cases Disease: Routine Infant Care Declination | Infant and Newborn Care Symptom/Presentation: Health Maintenance and Disease Prevention Specialty: Neonatology | Infectious Diseases | Obstetrics / Gynecology Age: Newborn To Learn More To view pediatric review articles on this topic from the past year check PubMed.

Infectious Diseases 40

Infectious Diseases Administration Pediatrics Wellness 40

Pediatric Education

JANUARY 26, 2025

Related Cases Disease: Common Cold | Sinusitis Symptom/Presentation: Rhinitis Specialty: General Pediatrics | Infectious Diseases | Otolaryngology Age: Preschooler To Learn More To view pediatric review articles on this topic from the past year check PubMed. 2013-1071 Ramadan HH, Chaiban R, Makary C. Pediatrics.

Radiology 40

Radiology Radiology Pediatrics Infectious Diseases 40

Pediatric Education

APRIL 2, 2023

2021;325(19):2013. What advice do you give to mothers’ partners to help support them breastfeeding? 2021;184(6). doi:10.1016/j.cell.2021.02.031 2021.02.031 Perl SH, Uzan-Yulzari A, Klainer H, et al. SARS-CoV-2-Specific Antibodies in Breast Milk After COVID-19 Vaccination of Breastfeeding Women. doi:10.1001/jama.2021.5782

Infectious Diseases 40

Infectious Diseases Pediatrics Research Wellness 40

Pediatric Education

OCTOBER 1, 2023

Related Cases Disease: Polio and Post-Polio Syndrome | Immunization Symptom/Presentation: Health Maintenance and Disease Prevention Specialty: Preventive Medicine and Health Maintenance | Infectious Diseases | Medical History Age: All To Learn More To view pediatric review articles on this topic from the past year check PubMed.

Infectious Diseases 40

Infectious Diseases Pediatrics Outcomes Wellness 40

Don't Forget the Bubbles

SEPTEMBER 23, 2024

Hebert MF et Al (2013) Interpreting tacrolimus concentrations during pregnancy and postpartum.Transplantation 95:908–915 Liverman, R., Asymptomatic hypertension Other systemic illness impacting upon fluid intake, medication and renal transplant function (e.g. Prytuła, A. and van Gelder, T., Pediatric Nephrology , 34 (1), pp.31-43.

Pediatrics 52

Pediatrics Fractures Dehydration Sepsis 52

Mind The Bleep

SEPTEMBER 17, 2024

Pathophysiology and burden of infection in patients with diabetes mellitus and peripheral vascular disease: focus on skin and soft-tissue infections. Clinical microbiology and infection: the official publication of the European Society of Clinical Microbiology and Infectious Diseases, 21 Suppl 2, S27–S32. C., & Westgarth, C.

Fractures 52

Fractures Infectious Diseases Documentation/Coding Hospitals 52

EMDocs

NOVEMBER 2, 2024

Consultation with an infectious disease and neurology specialist can be considered to guide treatment and proper disposition. Consultation with laboratory or infectious disease experts is important in selecting appropriate diagnostic testing. 2013 Dec;51(12):4060-6. Sexually transmitted disease surveillance 2018.

EMS 115

EMS Infectious Diseases CDC Research 115

ALiEM

DECEMBER 6, 2024

2013: bcr2013201598. References Schaefer TJ, Panda PK, Wolford RW. Dengue fever. StatPearls. Updated November 14, 2022. Accessed August 5, 2023. link] report=reader. Kenzaka T, Kumabe A. Skin rash from dengue fever. BMJ Case Rep.

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 92

CDC Blood Transfusions Infectious Diseases Sexual Assault 92

ALiEM

DECEMBER 1, 2023

2013:673-675. 2018 Nov 2;10(11):609. doi: 10.3390/v10110609. PMID: 30400213 Wolff K, Johnson RA Saavedra AP. Fitzpatrick’s Color Atlas of Clinical Dermatology. McGraw Hill.

Academics 60

Academics Pediatrics Infectious Diseases 60