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Imported Malaria

Pediatric EM Morsels

falciparum accounts for >70% of cases of imported malaria , primarily seen in those returning from travel in Sub-Saharan Africa (Mischlinger 2020) Other species include P. Travel Medicine and Infectious Disease 44 (2021) 102196. 2020 Mar 11;33(2):e00104-19. vivax , P. malariae , and the less common P. vivax and P.

Seizures 278
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Traveling Ticks: Tickborne Illnesses and International Travel

Pediatric EM Morsels

(CDC 2024) Generally, most ticks require >24 hours of attachment for there to be a risk of transfer of the infectious agent. This is true of hard ticks , which carry the majority of bacteria and viruses which can infect humans (Rochlin 2020) This is not true when the infectious agent is carried by a soft tick.

CDC 161
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Travel-Related Illnesses in Children

Pediatric EM Morsels

A “Syndromic” Approach for Diagnosing and Managing Travel-Related Infectious Diseases in Children. Infectious Disease Acquisition in Pediatric International Travelers: A 10-Year Review at a Canadian Tertiary Care Hospital. Glob Pediatr Health. 2021 May; 8:1-16. PMID: 34423077 Flores MS, Hickey PW, Fields JH, Ottolini MG.

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2023 Critical Care Year in Review (Part 1)

PulmCCM

Sepsis, infectious disease Managing septic shock with a restrictive-fluids approach (preferentially using vasopressors after a single liter crystalloid bolus) led to similar outcomes as the usual practice of bolusing large volumes of fluids first. Either approach in severe sepsis with shock seems reasonable.

Sepsis 94
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EM@3AM: Testicular/Scrotal Abscesses

EMDocs

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. Clinical Infectious Disease. J Emerg Trauma Shock. Published 2008 Sep 19. Cureus 12(7): e8991. doi:10.7759/cureus.8991 8991 ​​Schlossberg D. Cambridge Univ Pr. Insights Imaging.

EMS 80
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The Latest in Critical Care, 7/10/23 (Issue #8)

PulmCCM

In the MERCY trial, 607 critically ill patients with sepsis (most with septic shock) at 26 hospitals in Croatia, Italy, Kazakhstan, and Russia were randomized to receive meropenem by either continuous (3 g / 24 hours) or intermittent administration (1 g every 8 hours). Read in Read in Clinical Infectious Diseases baumannii ).

Stroke 52
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The Latest in Critical Care, 10/30/23 (Issue #18)

PulmCCM

Professional Medical Societies Call for Elimination of SEP-1 The Infectious Diseases Society of America (IDSA), along with societies for emergency medicine physicians and hospitalists, are again speaking up about the ongoing policy experiment known as the Centers for Medicare and Medicaid Severe Sepsis/Septic Shock Management Bundle (SEP-1).

Sepsis 52