Don't Forget the Bubbles

MARCH 4, 2024

We have teamed up with the team from the Emergency Department at Bristol Royal Hospital, who have used this as a springboard for their journal club. (It’s The children’s Emergency department sees approximately 50,000 presentations per year. Emerg Med J. Paediatr Int Child Health. 2024 Jan 11:1-7.

Hospitals 78

Hospitals Sepsis Fractures Emergency Department 78

ACEP Now

OCTOBER 26, 2023

The Case A two-year-old female, seen three days ago at different local emergency department (ED)—Children’s General—presents with fever, headache, and neck pain. 2 However, many emergency physicians are unaware of this interpretation, instead letting concern for violating HIPAA override patient-care needs. HHS website.

Infectious Diseases 52

Infectious Diseases Documentation/Coding Hospitals Emergency Department 52

ALiEM

MAY 13, 2024

Case Introduction: Child with abdominal pain Wendy is a 7-year-old girl who comes into the emergency department with redness, swelling, and pain on her left calf. J Emerg Med 2018 [6] 327 Prospective cohort study of children 6mo-18yrs comparing clinical assessment to POCUS 90.3% (83.4-94.7%) Pediatr Emerg Care.

Ultrasounds 64

Ultrasounds Pediatrics Emergency Department Wellness 64

Don't Forget the Bubbles

JANUARY 10, 2024

Let’s take the humble blood transfusion – used in emergency departments across the globe and playing a key role in critical care. 2016 Jan 7;4(1). Transfusion Decisions in Severe Anaemia Reducing child mortality remains high on the global health agenda. N Engl J Med. 2019;381(5):420-431. Journal of Intensive Care.

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). 9,23 Disposition: Dislocation : If successfully reduced in the emergency department may discharge with strict mobility restrictions and Orthopedic follow up.

EMS 98

EMS Dislocations Fractures Operations 98

RebelEM

MAY 15, 2024

Read More: Infectious Disease Society of America 2010 Clinical Practice Guidelines Life in the Fast Lane: Febrile Neutropaenia Uptodate: overview of neutropenic fever syndromes EMRAP: Risk stratification of neutropenic fever MDCalc: MASCC Score MDCalc: CISNE Score References: Ahn S, Rice TW, Yeung SJ, Cooksley T. Ann Emerg Med.

Infectious Diseases 101

Infectious Diseases Administration Sepsis Anaphylaxis 101

EMDocs

AUGUST 26, 2023

Sobel, Clinical Practice Guideline for the Management of Candidiasis: 2016 Update by the Infectious Diseases Society of America, Clinical Infectious Diseases , Volume 62, Issue 4, 15 February 2016, Pages e1–e50, [link] Iacopino AM, Wathen WF. Vazquez, Thomas J. Walsh, Theoklis E. Zaoutis, Jack D.

EMS 96

EMS Infectious Diseases Pediatrics Emergency Department 96

EMDocs

DECEMBER 18, 2023

1 The rationale for the shift away from normal saline in 2021 derived from multiple trials, including the Isotonic Solutions and Major Adverse Renal Events Trial (SMART) and Saline Against Lactated Ringer’s or Plasma-Lyte in the Emergency Department (SALT ED). Procalcitonin and sepsis in the Emergency Department: an update.

Sepsis 91

Sepsis Fluid Resuscitation Resuscitation Shock 91

EMDocs

JANUARY 6, 2024

Answer : Cardiac Transplant Complications Epidemiology: There were over 3,000 heart transplants in North America in 2016. 13 Data demonstrate that early consultation with an infectious disease in cases of suspected infection carries mortality benefit. J Am Coll Emerg Physicians Open. Am J Emerg Med.

EMS 89

EMS Infectious Diseases Shock Emergency Department 89

EMDocs

MAY 29, 2023

Louis); Marina Boushra (EM-CCM, Cleveland Clinic Foundation); Brit Long, MD (@long_brit) Case A 54-year-old female with a past medical history of rheumatoid arthritis presents to the emergency department (ED) with generalized fatigue. 2016 Dec;115(6):317-21. The Open Infectious Disease Journal. PMID: 29094869. (4)

Infectious Diseases 58

Infectious Diseases Emergency Department EMS Hospitals 58

Don't Forget the Bubbles

SEPTEMBER 18, 2023

This blog post aims to help familiarise you with some of the most common reasons for prescribing antibiotics in the paediatric emergency department. Antibiotic Use for Common Infections in Pediatric Emergency Departments: A Narrative Review. Randel A, Infectious Disease Society of America. Karageorgos, S.;

Emergency Department 143

Emergency Department Infectious Diseases Pediatrics Sepsis 143

EMDocs

FEBRUARY 8, 2025

Empiric treatment with voriconazole 6 mg/kg twice daily intravenously for 2 doses should be started immediately based on Infectious Disease Society of America (IDSA) guidelines. 22-28 Disposition Consult infectious disease for all IFI patients to ensure appropriate antifungal stewardship. Open Forum Infectious Diseases.

Infectious Diseases 72

Infectious Diseases EMS COPD Research 72

Pediatric EM Morsels

SEPTEMBER 27, 2024

Rashes will always find their way to your emergency department! 2016 Sep;33(5):488-92. Epub 2016 Jun 24. Sure, you may not be wrong calling it a viral exanthem, but you could be more right! Become comfortable with what makes you uncomfortable. References: Daniel SS, Peterman C, Awasthi S. Curr Opin Pediatr.

Allergic Reactions 164

Allergic Reactions Pediatrics Emergency Department EMS 164

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

EMDocs

JANUARY 6, 2025

Open-access image source: By M.Bitton – Own work, CC BY-SA 3.0, [link] Infectious Disease Exposure It is estimated that, on average, refugees seeking refuge in Uganda visit a health facility 1.8 times per month and that 80-120 refugees are screened daily for infectious diseases in the triage and emergency units.

Infectious Diseases 75

Infectious Diseases CDC PPE Rapid Diagnostic Testing 75