RebelEM

FEBRUARY 29, 2024

Patient data anonymized when presented to adjudication committee to avoid detection bias Well-balanced patient characteristics between groups. 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 Sahraei, Z.; Hajiesmaeili, M.

CDC 111

CDC Radiology Radiology Head Injuries 111

Pediatric Education

MAY 14, 2023

The pathophysiology is not well understood but is thought to begin with increased intracranial pressure leading to increased catecholamines and sympathetic storm, which then leads to systemic vasoconstriction and accumulating blood in the pulmonary system. Published online October 21, 2018:bcr-2018-225389. Pediatr Emerg Care.

Pediatrics 40

Pediatrics Infectious Diseases Burns Wellness 40

RebelEM

MAY 15, 2024

The loss of these cells leads to immunosuppression as well as decreased responsiveness of the immune system as a whole Patients with neutropenia will not only get very sick very quickly, but also will have blunted immune response and may not localize signs of infection well Fever or malaise may be their only presenting symptoms.

Infectious Diseases 90

Infectious Diseases Administration Sepsis Anaphylaxis 90

EMDocs

JANUARY 6, 2024

12 This is a variant of coronary artery disease in the allograft vessels, characterized by concentric intimal hyperplasia, as opposed to the eccentric pattern seen in atherosclerosis among non-transplant coronary arteries. 15 The exact incidence or acute coronary syndrome in heart transplant patients is not well characterized.

EMS 80

EMS Infectious Diseases Shock Emergency Department 80

Don't Forget the Bubbles

JANUARY 22, 2024

Blood cultures are commonly drawn for certain focal infections such as pneumonia , skin and soft tissue infections (SSTIs), asthma , bronchiolitis as well and UTIs. Archives of Disease in Childhood 2018; 103: A137-A138. 2018 Oct 15;7(4):e000372. References Adamson J. Alasdair Munro. Br J Sports Med. 2016 ;50(13):826-8.

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

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

Don't Forget the Bubbles

FEBRUARY 24, 2025

They were a well-grown, term infant born in good condition. 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. The other investigations are unremarkable, including a normal CT head. Sounding familiar? Pediatrics.

Pediatrics 59

Pediatrics Outcomes Blood Transfusions Sepsis 59

Don't Forget the Bubbles

SEPTEMBER 18, 2024

. ■ Case 1 focuses on a case seen in the emergency department and explores the common parental query of a “weak immune system” in a young child who has had several recurrent upper respirator tract infections back-to-back but is otherwise well. His parents are both fit and well and there is no family history of any medical conditions.

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. As a sobering reminder, the appearance of the clinical signs and symptoms of rabies herald an almost certain death. 2018.10.103.

Infectious Diseases 52

Infectious Diseases Administration Wellness 52

EMDocs

FEBRUARY 8, 2025

Well keep it short, while you keep that EM brain sharp. 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. She is well appearing with otherwise normal vital signs. Open Forum Infectious Diseases.

Infectious Diseases 65

Infectious Diseases EMS COPD Research 65

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. If you’re unvaccinated and not up to date, well then what are you doing in healthcare? I’ve had patients say, well, I don’t want tetanus. Well, tough Schenectes. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. link] UpToDate Yeh S et al.

Pediatrics 52

Pediatrics PPE Wellness Infectious Diseases 52

ALiEM

DECEMBER 9, 2024

Physical Exam Vitals : BP 128/84; HR 88; Temp 98F; RR 18; SpO2 (on RA) 100% General : Well appearing HEENT : No conjunctival injection Cardiovascular : S1, S2; no murmurs, rubs, or gallops Skin : Erythematous patch with central clearing in left popliteal fossa Laboratory Data WBC : 5.1 2018 Nov 1;154(11):1292-1303. JAMA Dermatol.

Emergency Department 60

Emergency Department CDC EMS Academics 60

Pediatric Education

NOVEMBER 10, 2024

Per the parents through an interpreter the baby was doing well. Note that some people will add clinically important bacterial infections such as Group B Streptococcus , Escherichia coli , and Listeria to this list as well. doi:10.1136/archdischild-2018-316603 Moodley A, Payton KSE. Arch Dis Child Educ Pract Ed. The Term Newborn.

Infectious Diseases 40

Infectious Diseases Pediatrics Seizures Resuscitation 40

Mind The Bleep

SEPTEMBER 17, 2024

Management The management is guided by the examination findings which are covered in the respective chapter, this section will delve into the importance of a number of those steps, as well as further long-term care. Always consider management as per ATLS protocol and SEPSIS 6 if relevant. Ensure the wound has been adequately washed out.

Fractures 52

Fractures Infectious Diseases Documentation/Coding Hospitals 52

EMDocs

NOVEMBER 2, 2024

A broad workup is initiated for altered mental status, including an STD panel, which shows a reactive Venereal Disease Research Laboratory (VDRL) and a negative CT head. Consultation with an infectious disease and neurology specialist can be considered to guide treatment and proper disposition. Neurosyphilis.” doi:10.1212/CON.0000000000000982

EMS 111

EMS Infectious Diseases CDC Research 111

EMDocs

JANUARY 6, 2025

She receives IV calcium gluconate and bicarbonate as well as oral potassium binders for hyperkalemia. Case Resolution The patient and family remain in isolation and receive risk stratification assessment for a notifiable disease of public health concern. Hypoglycemia is managed with IV dextrose. 12 Table 1.

Infectious Diseases 72

Infectious Diseases CDC PPE Rapid Diagnostic Testing 72