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Travel-Related Illnesses in Children

Pediatric EM Morsels

2014 Dec;31(6):678-87. However, the destination of travel is also important as helminths have distinct geographical distribution. Pediatric patients with recent travel and fever of unknown origin should be considered for admission if malaria is a possible diagnosis.

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Sickle Cell Disease Module

Don't Forget the Bubbles

Vaccination: PCV13 (pneumococcal vaccination), meningococcal vaccines, and Hib conjugated vaccines are important to prevent life-threatening sepsis. Sickle cell patients also qualify to receive the annual influenza vaccine, since influenza virus infection predisposes to bacterial pneumonia and sepsis caused by S. Pneumococcal sepsis B.

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Bullous Skin Lesions, Meet Emergency Medicine

Taming the SRU

Mortality rates related to bullous skin lesions are typically related to disruption of the skin barrier and include subsequent dehydration, electrolyte imbalances, hypothermia, increased metabolic needs, and secondary infection leading to bacteremia and/or sepsis. Crit Care Med 2014; 42:118. J Am Acad Dermatol 2019; 81:686.

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Bubble Wrap PLUS – July ’23

Don't Forget the Bubbles

Evaluating the Impact of the 2017 Dutch Neonatal Early-Onset Sepsis Guideline. 2023 Jun 14;46:8-23 One-year survival and outcomes of infants born at 22 and 23 weeks of gestation in Sweden 2004-2007, 2014-2016 and 2017-2019. Screen time and preschool children: Promoting health and development in a digital world. Paediatr Child Health.

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emDOCs Revamp – Acute Chest Syndrome

EMDocs

2014 Feb;69(2):144-51. smoke, high ozone levels, smog) Asthma/reactive airway disease (RAD) Diagnostic criteria 7,8 Respiratory symptoms +/- fever (at least 38.0 C or 100.4 2 mcg/kg, max 100 mcg) while obtaining IV access 20 IV/IM ketorolac (1 mg/kg, max 15 mg) Morphine (05-0.1 mg/kg, max 4 mg per dose q20-30min) or hydromorphone (0.01-0.02

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Going beyond the surface material: A podcast episode on cellulitis

PEMBlog

Practice guidelines for the diagnosis and management of skin and soft tissue infections: 2014 update by the Infectious Diseases Society of America. Clin Infect Dis 2014; 59:e10. Full blown sepsis and toxic shock syndrome. You’re concerned about SIRS or sepsis. Clin Infect Dis 2011; 52:e18. Bilateral red limbs?

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Managing a patient with decompensated liver cirrhosis

Mind The Bleep

These include infection & sepsis, GI bleeding, dehydration, AKI, alcohol consumption, constipation, and certain medications. Hepatic encephalopathy in chronic liver disease: 2014 Practice Guideline by the American Association for the Study of Liver Diseases and the European Association for the Study of the Liver. Hepatology.