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EM@3AM: Leukopenia

EMDocs

PCP Pneumonia, Sepsis) can be discharged with initiation of Antiretroviral Therapy in consultation with Infectious Disease (ID) physician with full ID evaluation outpatient. A 45-year-old outdoor enthusiast presents to the emergency department with fever, headache, myalgias, and malaise. No rash is identified.

EMS 95
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Sternal Osteomyelitis

Don't Forget the Bubbles

Sione, a young Pacific Islander boy, is brought to the emergency department with a 3-day history of acute onset, progressively worsening central chest pain. of child emergency department presentations. 2017 Sep;49(3):223-226. Epub 2017 May 23. He points to his sternum when you ask him where the pain is.

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The resurgence of vaccine preventable infections: Measles and Pertussis

Don't Forget the Bubbles

Whooping Cough: A Cyclical but Preventable Disease Whooping cough, caused by the bacterium Bordetella pertussis , is another infectious disease experiencing a resurgence despite the availability of vaccines. These outbreaks increase the risk of imported cases in other regions, including the UK. Pediatrics. Lancet Infect Dis.

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Diagnostics: Inflammatory Markers

Taming the SRU

While PCT may be more specific for bacterial infections, it is flawed by still being rather non-specific and is not validated as a stand-alone diagnostic criteria for infection in the setting of the emergency department. In 7 studies with 4164 patients, PCT with a cut-off > 0.1 ng/mL (strongly recommended against antibiotics), 0.1-0.25

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The 79th Bubble Wrap x Bristol Royal Hospital For Children

Don't Forget the Bubbles

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.

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Choosing wisely – less can be more

Don't Forget the Bubbles

Choosing Wisely in Paediatric Car e A trainee-led project in a UK tertiary paediatric emergency department looked at the usefulness of blood tests in 101 children. You receive a referral for a 7-year-old Josh, who presented to the emergency department (ED) with a 5-day history of fever, cough, and borderline oxygen saturation.

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Case Report: A Patient With a Fishy Story

ACEP Now

A 41-year-old woman arrived in a Hawaii emergency department with her husband early in the morning. References WHO Department of Food Safety and Zoonoses. National Center for Emerging and Zoonotic Infectious Diseases. Centers for Disease Control and Prevention. Published December 2017.