Taming the SRU

AUGUST 30, 2023

Spinal Infection: According to the Infectious Disease Society of America’s (IDSA) 2015 guidelines for native vertebral osteomyelitis, CRP and ESR in the setting of protracted back pain have sensitivities ranging from 94 to 100% for ruling out infection and malignancy in these patients. 2018 Aug 1;10(8):a028456. Epub 2018 Oct 19.

Infectious Diseases 89

Infectious Diseases Sepsis Emergency Department Point-of-Care Testing 89

PEMBlog

DECEMBER 7, 2023

2018 Sep 01; 98 (5):283-291. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Available from: [link] Trayes KP, Savage K, Studdiford JS. Annular Lesions: Diagnosis and Treatment. Am Fam Physician.

Infectious Diseases 125

Infectious Diseases 125

Pediatric EM Morsels

AUGUST 9, 2024

Foles, 2024 ] In the US, from 2013-2018, cases increased from 362 to 1,306. Worldwide, congenital syphilis complicates about 1 million pregnancies / year. Hussain, 2023 ] Leads to >300,000 perinatal deaths / year globally. Rates of congenital syphilis are increasing.

Hyperthermia / Hypothermia 154

Hyperthermia / Hypothermia Emergency Department Seizures Pediatrics 154

ACEP Now

JUNE 8, 2023

As a result, the 2019 guidelines from the Infectious Disease Society of America (IDSA) significantly rein in those patients who should receive empiric coverage for MRSA or P. An official clinical practice guideline of the American Thoracic Society and Infectious Diseases Society of America. aeruginosa. 2019;200(7):e45–67.

Infectious Diseases 59

Infectious Diseases Administration Hospitals Shock 59

EMDocs

JULY 1, 2023

Kawasaki disease: epidemiology and etiology. Kawasaki disease: a comprehensive review. 2018; 3: e41-e45. link] Clinical Practice Guidelines: Kawasaki Disease. Kawasaki disease: clinical features and diagnosis. He has had a high fever of > 103°F (39.4°C) C) for the past week. In: Post TW, ed. UpToDate;2022.

EMS 84

EMS Infectious Diseases Pediatrics Research 84

EM Literature of Note

SEPTEMBER 13, 2024

These authors compare the burden of lower respiratory tract infections and bronchiolitis admissions at 15 pediatric emergency departments across 2018 to 2024, with 2023-24 being the first season where nirsevimab was in wide usage.

Emergency Department 87

Emergency Department Pediatrics Administration Wellness 87

The Skeptics' Guide to EM

MARCH 4, 2018

[display_podcast] Date: February 27th, 2018 Reference: Moran et al. display_podcast] Date: February 27th, 2018 Reference: Moran et al. Effect of Cephalexin plus Trimethoprim-Sulfamethoxazole vs Cephalexin Alone on Clinical Cure of Uncomplicated Cellulitis – A Randomized Clinical Trial. JAMA May 2017.

Infectious Diseases 40

Infectious Diseases Documentation/Coding Ultrasounds Outcomes 40

RebelEM

FEBRUARY 29, 2024

Tanaffos 2018 , 17 (2), 110-116. SECONDARY OUTCOMES At day 28 , ceftriaxone group had (vs placebo): Lower VAP risk (20% vs 36%); hazard ratio 0.62 coli Need for broad-spectrum antibiotics after randomization was not different between groups. .; Sahraei, Z.; Hajiesmaeili, M. a Descriptive Longitudinal Study in Iran.

CDC 111

CDC Radiology Radiology Head Injuries 111

Don't Forget the Bubbles

MARCH 18, 2024

Clinical Infectious Diseases [Internet]. Disease severity of Shiga toxin-producingE. 2018 [cited 2023 Dec 3]. Available from: [link] Wong CS, Mooney JC, Brandt JR, Staples AO, Jelacic S, Boster DR, et al. 2012 Mar 19 [cited 2023 Nov 30];55(1):33–41. Eculizumab in Shiga-Toxin producing E. University of Birmingham.

Dehydration 59

Dehydration Infectious Diseases Seizures Pediatrics 59

ALiEM

MAY 13, 2024

J Emerg Med 2018 [6] 327 Prospective cohort study of children 6mo-18yrs comparing clinical assessment to POCUS 90.3% (83.4-94.7%) 2018 Jan;54(1):96-101. 2018 Nov;55(5):693-701. Epub 2018 Aug 28. Study N Methods POCUS Sensitivity (95% CI) POCUS Specificity (95% CI) Conclusions Gottleib et al., 97.4%) 85.4% (78.9-90.2%)

Ultrasounds 64

Ultrasounds Pediatrics Emergency Department Wellness 64

PulmCCM

JULY 10, 2023

A 2018 meta-analysis reviewed here suggested that prolonged infusion of antipseudomonal beta-lactams reduced mortality by 30% compared with shorter infusions, and more observational data has accumulated since that time. Read in Read in Clinical Infectious Diseases

Stroke 52

Stroke Sepsis Infectious Diseases Outcomes 52

Pediatric Education

MAY 14, 2023

A review can be found here Related Cases Disease: Croup | Throat Disorders | Lung Diseases Symptom/Presentation: Cough | Respiratory Distress | Stridor Specialty: Critical Care | Allergy / Pulmonary Diseases | Infectious Diseases Age: Infant To Learn More To view pediatric review articles on this topic from the past year check PubMed.

Pediatrics 40

Pediatrics Infectious Diseases Burns Wellness 40

Northwestern EM Blog

JUNE 16, 2024

Myocardial Infarction Medication Sinus node dysfunction Infectious Disease Hypothermia Metabolic Abnormalities (hypothyroidism, hyperkalemia, ect.) 2018 ACC/AHA/HRS Guideline on the Evaluation and Management of Patients With Bradycardia and Cardiac Conduction Delay. Joglar, J. Marine, J. McLeod, C. Patton, K. Pellegrini, C.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Infectious Diseases Stroke Poisoning 52

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). Hospitals, 2018. 2018 Fall;18(3):242-252. 7,8 Majority are managed operatively. 7,8 Consider fascia iliaca block for symptomatic pain relief.

EMS 94

EMS Dislocations Fractures Operations 94

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. PMID: 1740572.

EMS 90

EMS Infectious Diseases Pediatrics Emergency Department 90

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. Support Care Cancer.

Infectious Diseases 90

Infectious Diseases Administration Sepsis Anaphylaxis 90

EMDocs

JANUARY 6, 2024

It is difficult to distinguish this from ACS secondary to acute plaque rupture in the ED, and management would be similar with antiplatelet agents, anticoagulation until coronary angiography can be performed to assess for the underlying disease process. 13 Cefepime 2 g or Piperacillin-Tazobactam 4.5 J Heart Lung Transplant. Clin Transplant.

EMS 80

EMS Infectious Diseases Shock Emergency Department 80

Don't Forget the Bubbles

JANUARY 22, 2024

Archives of Disease in Childhood 2018; 103: A137-A138. 2018 Oct 15;7(4):e000372. Understanding the utility of blood tests will reduce duplication of normal tests on paediatric wards. References Adamson J. Is blood culture a useful investigation in children admitted to hospital with community-acquired pneumonia? Alasdair Munro.

Emergency Department 90

Emergency Department Best Practices Radiology Radiology 90

Pediatric EM Morsels

APRIL 5, 2024

Globally, ticks are the second most common vector to transmit illnesses after mosquitos (Parola 2018). Jensenius 2004) Scrub typhus is one of the most common infectious disease in rural areas of south and southeastern Asia and the western Pacific. 2018 Mar; 3(1): 8. John H, Jian J, RIchards AL. Trop Med Infect Dis.

CDC 164

CDC Infectious Diseases Pediatrics Shock 164

Don't Forget the Bubbles

SEPTEMBER 18, 2023

Ottawa (ON): Canadian Agency for Drugs and Technologies in Health; 2018 [cited 2022 Dec 28]. The 2020 Australian guideline for prevention, diagnosis and management of acute rheumatic fever and rheumatic heart disease. Randel A, Infectious Disease Society of America. 2018 Oct;47(10):420–3. 2018 Apr;43(2):718–21.

Emergency Department 143

Emergency Department Infectious Diseases Pediatrics Sepsis 143

Pediatric EM Morsels

SEPTEMBER 6, 2024

Kikuchi-Fujimoto Disease: Basics Non-malignant condition of lymph nodes Also known as Histiocytic Necrotizing Lymphadenitis [Perry 2018, Selvanathan 2020, Fusconi 2023, Boone 2023] First described in 1972 by Kikuchi and Fujimoto independently [Perry 2018, Boone 2023] Seen worldwide, but higher prevalence in Japanese and other Asian populations [Perry (..)

Pediatrics 154

Pediatrics Ultrasounds EMS Infectious Diseases 154

Pediatric EM Morsels

OCTOBER 6, 2023

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.

Pediatrics 164

Pediatrics CDC Seizures Documentation/Coding 164

PEMBlog

APRIL 4, 2024

We published the first pediatric SOAR review in AEM Education and Training on the topic of respiratory infectious disease. Our SOAR review provides readers with a curated list of high-quality blog posts on topics of respiratory infectious disease. We want to help you learn! How can I use these findings?

Infectious Diseases 59

Infectious Diseases Pediatrics EMS Academics 59

ALiEM

JUNE 5, 2023

Anthrax is a serious infectious disease caused by gram positive, rod shaped, bacteria known as Bacillus anthracis [1]. Patients suspected of having anthrax should have their disposition and treatment determined in conjunction with your Infectious Disease specialists and your state health department. Published 2020 May 12.

Infectious Diseases 102

Infectious Diseases CDC PPE Military 102

Don't Forget the Bubbles

FEBRUARY 24, 2025

The Pediatric Infectious Disease Journal 37(3):p 202-205, March 2018. Paediatric Critical Care Medicine 19(3):p 254-261 March 2018 Long et al. Impact of rapid leukodepletion on the outcome of severe clinical pertussis in young infants. Pediatrics. 2010;126:e81627 Cherry et al. Nieves et al. Pediatr Infect Dis J.

Pediatrics 59

Pediatrics Outcomes Blood Transfusions Sepsis 59

Don't Forget the Bubbles

SEPTEMBER 18, 2024

Adapted from: Byington et al (2015, Clinical Infectious Disease, [link] ) When to think about primary immunodeficiency? Using TRECs to screen for SCID has been used in the USA since 2018 and UK is currently undertaking a pilot of whether to include it as part of the day 5 newborn bloodspot screen.

Emergency Department 98

Emergency Department Wellness Infectious Diseases Pediatrics 98

Cook County EM Blog

MARCH 31, 2022

Rabies, a neurotropic lyssavirus in the family rhabdoviridae, presents as a progressive encephalopathy known to have the highest case fatality rate of all known infectious diseases. Epub 2018 Nov 22. The bat in question Why it Matters? Evaluating new rabies post-exposure prophylaxis (PEP) regimens or vaccines. 2018.10.103.

Infectious Diseases 52

Infectious Diseases Administration Wellness 52

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 65

Infectious Diseases EMS COPD Research 65

PEMBlog

OCTOBER 31, 2024

2018 Nov 22;379(21):2002-2014. N Engl J Med 2018; 379:2015-2026. Lactobacillus rhamnosus GG versus Placebo for Acute Gastroenteritis in Children. N Engl J Med. doi: 10.1056/NEJMoa1802598. PMID: 30462938; PMCID: PMC6358014. Freedman et al. Multicenter Trial of a Combination Probiotic for Children with Gastroenteritis. Parker et al.

Outcomes 105

Outcomes Pediatrics Emergency Department Research 105

EB Medicine

DECEMBER 1, 2018

Jeff: The information contained in this article comes from articles found on pubmed, the cochrane database, center for disease control, and the world health organization. Additionally, guidelines were reviewed from the american college of emergency physicians, infectious disease society of america, and the american academy of pediatrics.

Emergency Department 40

Emergency Department CDC Infectious Diseases EMS 40

PEMBlog

DECEMBER 4, 2024

Pediatr Rev May 2018; 39 (5): 247–257. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: [link] Pediatrics in Review Heather L. Daniels, Camille Sabella; Bordetella pertussis (Pertussis). link] UpToDate Yeh S et al. Pertussis infection in infants and children: Clinical features and diagnosis.

Pediatrics 52

Pediatrics PPE Wellness Infectious Diseases 52

ALiEM

DECEMBER 9, 2024

2018 Nov 1;154(11):1292-1303. Torbahn G, Hofmann H, Rucker G, Bischoff K, Freitag MH, Dersch R, Fingerle V, Motschall E, Meerpohl JJ, Schmucker C. Efficacy and Safety of Antibiotic Therapy in Early Cutaneous Lyme Borreliosis: A Network Meta-analysis. JAMA Dermatol. doi: 10.1001/jamadermatol.2018.3186. PMID: 30285069; PMCID: PMC6248135.

Emergency Department 60

Emergency Department CDC EMS Academics 60

Pediatric Education

NOVEMBER 10, 2024

Related Cases Disease: Toxoplasmosis Symptom/Presentation: Health Maintenance and Disease Prevention Specialty: Infectious Diseases | Neonatology | Obstetrics / Gynecology Age: Premature Newborn To Learn More To view pediatric review articles on this topic from the past year check PubMed. Arch Dis Child Educ Pract Ed.

Infectious Diseases 40

Infectious Diseases Pediatrics Seizures Resuscitation 40

Mind The Bleep

SEPTEMBER 17, 2024

English hospital episode data analysis (1998–2018) reveal that the rise in dog bite hospital admissions is driven by adult cases. Pathophysiology and burden of infection in patients with diabetes mellitus and peripheral vascular disease: focus on skin and soft-tissue infections. The management of animal bites in the United Kingdom.

Fractures 52

Fractures Infectious Diseases Documentation/Coding Hospitals 52

Don't Forget the Bubbles

NOVEMBER 5, 2023

They analysed the French National Health Insurance registry of all pregnancies and births from 2010 to 2018 and found that there was an increased risk of hospitalization in children who had had a PPI (with adjusted hazard ratios between 1.34 They identified 392 cases and selected 3637 sex- and year of birth matched controls.

Pediatrics 105

Pediatrics Hospitals Infectious Diseases Outcomes 105

EMDocs

NOVEMBER 2, 2024

Consultation with an infectious disease and neurology specialist can be considered to guide treatment and proper disposition. Consultation with laboratory or infectious disease experts is important in selecting appropriate diagnostic testing. Sexually transmitted disease surveillance 2018. Neurosyphilis.”

EMS 111

EMS Infectious Diseases CDC Research 111

ALiEM

DECEMBER 1, 2023

2018 Nov 2;10(11):609. Am J Trop Med Hyg. 2020 Dec 7;104(2):604-611. doi: 10.4269/ajtmh.20-0589. PMID: 33289470 Kennedy PGE, Gershon AA. Clinical Features of Varicella-Zoster Virus Infection. doi: 10.3390/v10110609. PMID: 30400213 Wolff K, Johnson RA Saavedra AP. Fitzpatrick’s Color Atlas of Clinical Dermatology. McGraw Hill. 2013:673-675.

Academics 60

Academics Pediatrics Infectious Diseases 60