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Imported Malaria

Pediatric EM Morsels

2016 Apr; 32(4): 227–231. Worldwide, children <5 years old account for 76% of deaths related to malaria, but these are predominantly in Sub-Saharan Africa (WHO 2022) P. vivax , P. malariae , and the less common P. knowlesi and P. simium (Forgie 2022) P. vivax and P. falciparum parasitemia , and no other defined cause of AMS (WHO 2023).

Seizures 278
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The 79th Bubble Wrap x Bristol Royal Hospital For Children

Don't Forget the Bubbles

This study retrospectively identified 1,414 children, presenting to 15 UK EDs (2016 -2017), who had been screened for malaria. This was a secondary outcome embedded in the Travel Fever study – a multi-centre, retrospective diagnostic accuracy study for imported malaria. Paediatr Int Child Health. 2024 Jan 11:1-7. PMID: 38212934.

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ED care of refugee populations from sub-Saharan Africa

EMDocs

Surgical wound debridement and dressing are performed and the malaria rapid diagnostic test (MRDT) is noted to be positive. International Monetary Fund; 2016. Centers for Disease Control and Prevention; 2016. Intravenous (IV) crystalloids, IV paracetamol (acetaminophen), and IV dextrose are administered.