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Travel-Related Illnesses in Children

Pediatric EM Morsels

In one ED study, ALL cases of missed travel-related illness did not have a documented travel history in their ED note , whereas 90% of the identified travel-related illnesses had a provider documented travel history (Greenky 2022) Those who are visiting friends and relatives (VFR) are typically at highest risk. Abdel-Haq 2021).

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The resurgence of vaccine preventable infections: Measles and Pertussis

Don't Forget the Bubbles

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. European Centre for Disease Prevention and Control. 2024;89(5):106289 Centers for Disease Control and Prevention.

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How Late Can You Give Routine Newborn Care?

Pediatric Education

Young infants presenting with conjunctivitis should have their medical charts reviewed for maternal sexually transmitted infection screening status as well as if actual administration of a topical antibiotic to the infants eyes was documented, remembering that only Neisseria gonorrohea is treated with erythromycin. BMC Pediatr. Pediatrics.

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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
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Typhoid Fever in Children

Pediatric EM Morsels

The most common countries of acquisition were Bangladesh, India, Nepal, and Pakistan (Forster 2021) For travelers, the peak incidence occurs at age 10 and those who are visiting to their country of birth. Rauniyar 2021) Up to 10% of patients may present with constipation as opposed to diarrhea. Shah 2021).

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Fluoroquinolone Use In Children

Pediatric EM Morsels

None of the patients were documented to have joint disease at follow up. Ross 2021) Predisposing risk factors including older age , trauma to tendons or joints , and a family history of MAEs. BMC Infectious Disease. There were 2523 children included. 451 pediatric patients were included. Binz 2015). Pediatrics.

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Animal Bites

Mind The Bleep

Document clearly: The location of all wounds Medical photography or drawn labelled diagrams can aid in explaining the exact location. Sci Rep 11, 1767 (2021). Pathophysiology and burden of infection in patients with diabetes mellitus and peripheral vascular disease: focus on skin and soft-tissue infections. Tulloch, J.S.P.,