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Fluoroquinolone Use In Children

Pediatric EM Morsels

None of the patients were documented to have joint disease at follow up. Wirth 2018) One study including 4.4 Meesters 2018) Resistance is growing (likely from inappropriate / overuse)! BMC Infectious Disease. There were 2523 children included. 451 pediatric patients were included. Pediatr Infect Dis J.

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Diagnostics and Therapeutics: The Who, What, Where, When and Why of Lumbar Punctures

Taming the SRU

1) However, it wasn’t until the 1890s that purposeful, successful, and safe attempts to access this fluid were documented (2). 2018) Epidemiology of lumbar punctures in hospitalized patients in the United States. Scandinavian journal of infectious diseases , 45 (9), 657–663. A., & Koehler, P. Glimåker, M., Glennie, L.,

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SGEM#209: Cephalexin – You Are My Only One for Uncomplicated Cellulitis

The Skeptics' Guide to EM

[display_podcast] Date: February 27th, 2018 Reference: Moran et al. display_podcast] Date: February 27th, 2018 Reference: Moran et al. Exclusions: There were 26 exclusions in their supplemental documentation. JAMA May 2017. In the case of purulent skin infections though, MRSA is the most common cause.

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EM@3AM: Total Hip Arthroplasty Complications

EMDocs

Posterior – Shortened, adducted, internally rotated 5,6 Anterior – Shortened, abducted, externally rotated 5,6 As with all dislocations, perform and document distal neurovascular exam before and after management. 8 Perform and document distal neurovascular exam. Hospitals, 2018. 2018 Fall;18(3):242-252.

EMS 94
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REBEL Core Cast 122.0 – Neutropenic Fever

RebelEM

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. Coding for Mucositis.

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Choosing wisely – less can be more

Don't Forget the Bubbles

A QIP performed in a paediatric intensive care unit aimed to reduce unnecessary LFT requests by implementing a blood test request form and a table of common investigations to facilitate and document discussion between the nursing and medical teams. Archives of Disease in Childhood 2018; 103: A137-A138. 2018 Oct 15;7(4):e000372.

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Typhoid Fever in Children

Pediatric EM Morsels

Forster, 2021) Transmission is by Fecal-Oral route (Chiodini 2018) Incubation period 6-30 days after exposure (Chiodini 2018) Salmonella typhi produces an endotoxin although its clinical significance is not yet well understood (Gibani 2019) Two typhoid vaccines are available for those > 6 m/o and are 50-80% effective.