The Skeptics' Guide to EM

MARCH 18, 2023

Association of early oseltamivir with improved outcomes in hospitalized children with influenza, 2007-2020. Guest Skeptic: Dr. Marisu Rueda-Altez is a pediatric infectious disease fellow at Children’s National Hospital in Washington, DC. JAMA Pediatr. JAMA Pediatr. Would he benefit from that too?” JAMA Pediatr.

Pediatrics 40

Pediatrics Infectious Diseases Administration Outcomes 40

EMDocs

NOVEMBER 4, 2023

aureus infections among patients in the emergency department. Skin and Soft Tissue Infections in the Emergency Department. Emerg Med Clin North Am. doi:10.1186/1757-1626-1-165 Hackett B, Sletten Z, Bridwell R E (July 03, 2020) Testicular Abscess and Ischemia Secondary to Epididymo-orchitis. Ann Emerg Med.

EMS 80

EMS Ultrasounds Emergency Department Infectious Diseases 80

ACEP Now

AUGUST 11, 2024

A 41-year-old woman arrived in a Hawaii emergency department with her husband early in the morning. Baker , a Hawaii-based emergency physician with a long-standing interest in toxicology, finds himself both fascinated and concerned by the dangers posed by natural toxins like ciguatera and manmade ones like methamphetamine.

Poisoning 52

Poisoning Infectious Diseases EKG/ECG Emergency Department 52

ALiEM

MAY 13, 2024

Case Introduction: Child with abdominal pain Wendy is a 7-year-old girl who comes into the emergency department with redness, swelling, and pain on her left calf. Ann Emerg Med 2020 [5] 2,656 Systematic review of adult and pediatric studies 94.6% (89.4-97.4%) Pediatr Emerg Care. J Emerg Med. Ann Emerg Med.

Ultrasounds 64

Ultrasounds Pediatrics Emergency Department Wellness 64

Don't Forget the Bubbles

DECEMBER 16, 2024

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.

Infectious Diseases 59

Infectious Diseases Documentation/Coding Pediatrics CDC 59

Don't Forget the Bubbles

JANUARY 10, 2024

Let’s take the humble blood transfusion – used in emergency departments across the globe and playing a key role in critical care. In 2020, the TRACT investigators shared their results with key stakeholders at a meeting with paediatric and blood transfusion groups from Africa. That’s exactly what they did.

Blood Transfusions 78

Blood Transfusions Research Outcomes Hospitals 78

Pediatric EM Morsels

SEPTEMBER 20, 2024

Diarrhea is one of the most common complaints in the pediatric emergency department, especially in the summer and early fall. Predicting Adverse Outcomes for Shiga Toxin-Producing Escherichia coli Infections in Emergency Departments. Epub 2010 Jan 13. PMID: 20075028. Schnadower, D., Finkelstein, Y.,Desai, Bergmann, K.,

Pediatrics 161

Pediatrics Ultrasounds Dehydration Emergency Department 161

Don't Forget the Bubbles

AUGUST 30, 2023

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.

Emergency Department 131

Emergency Department Pediatrics Infectious Diseases Research 131

Taming the SRU

AUGUST 30, 2023

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. However, these observations have failed to be validated at a larger level and should be taken with caution.

Infectious Diseases 88

Infectious Diseases Sepsis Emergency Department Point-of-Care Testing 88

EMDocs

APRIL 27, 2024

A 67-year-old man with a history of hypertension and diabetes presents to the emergency department with right ear pain for 2 weeks. Infectious diseases , 4 (1), 34–39. Infectious diseases, 4(1), 34–39. Otology & Neurotology 41(8):p 1004-1011, September 2020. | and Staphylococcus spp. The Lancet.

EMS 96

EMS Infectious Diseases Radiology Radiology 96

Critical Care Now

MAY 12, 2022

Reading Time: 5 minutes Ruben Santiago Emergency Medicine Pharmacist and medication hustler at a level I trauma center in Miami, FL. Interests include trauma, toxicology, and infectious diseases. 2020; 11: 1 – 5. 2020; 11: 1 – 5. J Prim Care Community Health. Hand C, Harvey I. Br J Gen Pract.

Infectious Diseases 52

Infectious Diseases Stroke Administration Emergency Department 52

Mind The Bleep

SEPTEMBER 17, 2024

Introduction Patients regularly present to the emergency department with animal bites. Pathophysiology and burden of infection in patients with diabetes mellitus and peripheral vascular disease: focus on skin and soft-tissue infections. Human and other mammalian bite injuries of the hand: evaluation and management. Markeson, D.,

Fractures 52

Fractures Infectious Diseases Documentation/Coding Hospitals 52

Don't Forget the Bubbles

JANUARY 22, 2024

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.

Emergency Department 90

Emergency Department Best Practices Radiology Radiology 90

Don't Forget the Bubbles

SEPTEMBER 18, 2023

This blog post aims to help familiarise you with some of the most common reasons for prescribing antibiotics in the paediatric emergency department. Antibiotic Use for Common Infections in Pediatric Emergency Departments: A Narrative Review. 2020 May;10(5):e035343. 2020 Nov 18;m4238. 2020 May;220:132-138.e2.

Emergency Department 143

Emergency Department Infectious Diseases Pediatrics Sepsis 143

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). 9,23 Disposition: Dislocation : If successfully reduced in the emergency department may discharge with strict mobility restrictions and Orthopedic follow up.

EMS 88

EMS Dislocations Fractures Operations 88

EMDocs

AUGUST 26, 2023

2020 Nov 7;18(1):22. 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. Licensed under CC BY-SA 3.0 Clin Mol Allergy.

EMS 82

EMS Infectious Diseases Pediatrics Emergency Department 82

Don't Forget the Bubbles

SEPTEMBER 23, 2024

You are working in the paediatric emergency department of a busy District General Hospital. These centres have a close relationship with their patients, but this does not mean they may not turn up at your emergency department! Post-transplant lymphoproliferative disease after pediatric kidney transplant.

Pediatrics 52

Pediatrics Fractures Dehydration Sepsis 52

EMDocs

MAY 29, 2023

Louis); Marina Boushra (EM-CCM, Cleveland Clinic Foundation); Brit Long, MD (@long_brit) Case A 54-year-old female with a past medical history of rheumatoid arthritis presents to the emergency department (ED) with generalized fatigue. 2020 Jan 1;153(1):14-29. The Open Infectious Disease Journal. Pediatr Ann.

Infectious Diseases 54

Infectious Diseases Emergency Department EMS Hospitals 54

EMDocs

NOVEMBER 25, 2024

Vision loss carries a high degree of morbidity and is associated with higher all-cause mortality, 4 and it is our role as emergency providers to recognize potentially reversible causes of such adverse outcomes. million infected people suffer from skin disease and 1.15 Vision 2020: update on onchocerciasis. 7 Approximately 14.6

Infectious Diseases 63

Infectious Diseases Emergency Department EMS Administration 63

EMDocs

JANUARY 6, 2025

Open-access image source: By M.Bitton – Own work, CC BY-SA 3.0, [link] Infectious Disease Exposure It is estimated that, on average, refugees seeking refuge in Uganda visit a health facility 1.8 times per month and that 80-120 refugees are screened daily for infectious diseases in the triage and emergency units.

Infectious Diseases 67

Infectious Diseases CDC PPE Rapid Diagnostic Testing 67

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 61

Infectious Diseases EMS COPD Research 61