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Choosing Wisely – Radiographs in children with respiratory symptoms

Don't Forget the Bubbles

The parents of 9-month-old Josie bring her into the Emergency Department with coryzal symptoms and difficulty breathing. A secondary analysis of a nationwide study of Emergency Department attendance in America from 2006 to 2008 found that CXRs increase the average length of stay by 27 minutes. Am J Emerg Med.

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The Mycoplasma Comeback: Why This Atypical Pneumonia is Back – A PEMCurrents Podcast

PEMBlog

Clin Infect Dis 2019; 68:13. Centers for Disease Control and Prevention , Centers for Disease Control and Prevention, 18 Oct. Transcript Note: This transcript was partially completed with the use of the Descript AI Welcome to PEMCurrents, the Pediatric Emergency Medicine Podcast. 2024 Dec;56(1):2386636. Epub 2024 Aug 3.

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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

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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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You don’t need to order comprehensive viral panels for most patients

PEMBlog

For more specific recommendations related to diagnosis and management of SARS-CoV-2, please see www.aap.org/en/pages/2019-novel-coronavirus-covid-19-infections/ ) · Hospitalized patients where tests impacts cohorting decisions, like in intensive care. Reasons to not order a comprehensive respiratory viral panel (i.e.,

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The resurgence of vaccine preventable infections: Measles and Pertussis

Don't Forget the Bubbles

Similarly, the global vaccine coverage of children who received a first dose of measles vaccine was 83% in 2023, compared to pre-pandemic levels of 86% in 2019. This is the benchmark required to effectively halt transmission of these highly contagious diseases. This contributed to a sharp increase in cases of both diseases in 2024.

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Congenital Syphilis

Pediatric EM Morsels

Neonates presenting to the Emergency Department often cause a lot of uncertainty. Let’s review how Congenital Syphilis may present to our Emergency Departments: Congenital Syphilis : Basics Occurs when the spirochete Treponema pallidum is transmitted from mother to fetus. Is this scalp swelling normal?