article thumbnail

Choosing Wisely – Viral Respiratory Panels in children with respiratory symptoms

Don't Forget the Bubbles

Effect of point-of-care testing for respiratory pathogens on antibiotic use in children. Reducing Unnecessary Respiratory Viral Testing to Promote High-Value Care. Establishing benchmarks for the hospitalized care of children with asthma, bronchiolitis, and pneumonia. 2013 Feb;18(1):5-10. Pediatrics.

article thumbnail

Diagnostics: Inflammatory Markers

Taming the SRU

Similarly, a 2013 meta-analysis of 6 studies with 1,006 patients published in the American Journal of Emergency Medicine showed neither CRP nor PCT are sufficient to rule-in or rule-out infective endocarditis, with PCT having a pooled sensitivity of 64% and specificity of 73% and CRP having a pooled sensitivity of 75% and specificity of 73% [40].

Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Trending Sources

article thumbnail

Bubble Wrap PLUS – June 2023

Don't Forget the Bubbles

Guidelines and best evidence Analgesia and sedation in critically ill pediatric patients: an update from the recent guidelines and point of view. 2023 May;182(5):2013-2026 QuantiFERON-TB Gold Plus Performance in Children: A Narrative Review. N Engl J Med. 2023 May 11;388(19):1755-1766. Mondardini MC, et al. Eur J Pediatr. 2023 May 30.

article thumbnail

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. Let me repeat that Gadolinium should always be avoided Nachi: Let’s also briefly touch on a controversial topic -- that of using qualitative urine point of care tests with blood instead of urine.

article thumbnail

Antibiotics in the paediatric emergency department

Don't Forget the Bubbles

However, results may take some time and, as such, rapid point-of-care tests are increasingly used. 2013 Sep 1;88(5):338–40. A throat culture is the gold standard for confirming a bacterial infection. Beware of false positives from colonisation of the throat with streptococcus. Med J Aust. 2021 Mar;214(5):220–7.