EM Literature of Note

SEPTEMBER 13, 2024

These are each awful, of course, in their own way from a patient- and parent-oriented standpoint, but they’re also quite awful at the population level, overburdening limited pediatric and emergency department resources. The two “COVID seasons” of 2020-21 and 2021-22 were excluded from their comparisons.

Emergency Department 87

Emergency Department Pediatrics Administration Wellness 87

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. and Staphylococcus spp. His vital signs are normal except for a temperature of 38.2°C The Lancet.

EMS 105

EMS Infectious Diseases Radiology Radiology 105

PulmCCM

NOVEMBER 6, 2023

Convalescent plasma was also previously shown to be effective at preventing severe disease in outpatients , when given in the first nine days of infection (to mostly unvaccinated U.S. patients infected with the Wuhan/Delta variants in 2020-2021). Sixteen major UK trauma centers participated, some with more experience than others.

Blood Transfusions 98

Blood Transfusions Operations Resuscitation Infectious Diseases 98

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. In 7 studies with 4164 patients, PCT with a cut-off > 0.1 ng/mL (strongly recommended against antibiotics), 0.1-0.25

Infectious Diseases 89

Infectious Diseases Sepsis Emergency Department Point-of-Care Testing 89

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. 2024;89(5):106289 Centers for Disease Control and Prevention. 2021 Wendelboe, A.M. Global measles outbreaks.

Infectious Diseases 59

Infectious Diseases Documentation/Coding Pediatrics CDC 59

PEMBlog

OCTOBER 18, 2023

Initially in the emergency department he was generally well-appearing with normal vital signs. The patient was ultimately discharged on a seven-day total course of cephalexin per Pediatric Infectious Disease recommendations. Exanthematous disease induced by toxic shock syndrome toxin 1 in the early neonatal period.

Infectious Diseases 59

Infectious Diseases Shock Pediatrics Wellness 59

ACEP Now

FEBRUARY 11, 2024

A 25-year-old Venezuelan male presented to a Chicago area emergency department (ED) in early November 2023. There was concern for possible cutaneous leishmaniasis (CL), therefore he was admitted to the hospital for infectious-disease and surgical consultations, as well as to complete a punch biopsy the following day.

Infectious Diseases 52

Infectious Diseases CDC Military Emergency Department 52

ALiEM

SEPTEMBER 20, 2024

A 50-year-old male with insulin-dependent Type 2 Diabetes presented to the emergency department with three days of pain and swelling on the right side of his neck. 2021 Oct;21(5):442-444. doi: 10.1136/practneurol-2021-002928. Epub 2021 May 7. Additional Images Physical Exam Vitals : BP 153/96; HR 110; T 100.0°F;

Academics 70

Academics Emergency Department Infectious Diseases 70

EMDocs

NOVEMBER 4, 2023

McGraw Hill; 2021. aureus infections among patients in the emergency department. Skin and Soft Tissue Infections in the Emergency Department. Emerg Med Clin North Am. Clinical Infectious Disease. Managing a Cutaneous Abscess in the Emergency Department. Ann Emerg Med.

EMS 94

EMS Ultrasounds Emergency Department Infectious Diseases 94

Don't Forget the Bubbles

SEPTEMBER 27, 2023

The parents of two-year-old, previously healthy, Jamie bring him to the Emergency Department with coryzal symptoms, wheezing and difficulty breathing. Respiratory viral panel testing did not reduce antibiotic use in the emergency department. SpO2 is 88%. However, this finding does not seem to apply in all settings.

Emergency Department 84

Emergency Department Pediatrics Point-of-Care Testing Hospitals 84

RebelEM

AUGUST 3, 2023

What They Did: Parallel, 2-arm, noninferiority, open-label, multicenter, international randomized clinical trial Occurred in 6 specialized centers (3 in North America – US & Canada and 3 Outside of North America – Australia) Trial took place from June 2021 to December 2022 Used PEN-FAST to risk stratify patients.

Anaphylaxis 52

Anaphylaxis Allergic Reactions Infectious Diseases Outcomes 52

PEMBlog

AUGUST 30, 2023

2021-051405. Pneumonia in Children Presenting to the Emergency Department with an Asthma Exacerbation. A Prediction Model for Pediatric Radiographic Pneumonia. Pediatrics. 2022 Jan 1;149(1):e2021051405. doi: 10.1542/peds.2021-051405. PMID: 34845493 Florin TA, Carron H, Huang G, Shah SS, Ruddy R, Ambroggio L. JAMA Pediatr.

Pediatrics 52

Pediatrics Best Practices Hospitals Emergency Department 52

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. 29842 Global status report on blood safety and availability 2021: World Health Organization. Transfusion Decisions in Severe Anaemia Reducing child mortality remains high on the global health agenda.

Blood Transfusions 78

Blood Transfusions Research Outcomes Hospitals 78

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 98

EMS Dislocations Fractures Operations 98

EMDocs

DECEMBER 18, 2023

The most recent surviving sepsis campaign (SSC) guidelines were released in 2021, which provided 93 recommendations for evidence-based sepsis management. 1 Since 2021, attempts to identify a single screening tool with optimal sensitivity and specificity to predict which patients will develop sepsis or septic shock have been ongoing.

Sepsis 91

Sepsis Fluid Resuscitation Resuscitation Shock 91

Pediatric EM Morsels

SEPTEMBER 1, 2023

One such vital aspect of pediatric emergency medicine is the appreciation of how psychosocial history impacts a patient’s life and care. As previously mentioned by Dr. Richardson , adolescents use the Emergency Department as their Primary Care resource often. 2021-053458 Szucs LE, Pampati S, Li J, et al.

Pediatrics 164

Pediatrics Emergency Department Fractures EMS 164

EMDocs

JULY 15, 2023

2021, May 18). Infectious Diseases Society of America. Practice guidelines for the diagnosis and management of skin and soft tissue infections: 2014 update by the Infectious Diseases Society of America. She notes increasing redness on her right arm with some associated pain and swelling. link] Davis, L.

EMS 92

EMS Infectious Diseases Shock Ultrasounds 92

PEMBlog

JULY 10, 2024

[link] Centers for Disease Control and Prevention. “Sexually Transmitted Disease Surveillance 2021.” ” Centers for Disease Control and Prevention, 2021. Centers for Disease Control and Prevention. “Sexually Transmitted Infections Treatment Guidelines 2021.”

Pediatrics 52

Pediatrics CDC Seizures Emergency Department 52

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. 2021 Mar;214(5):220–7. Randel A, Infectious Disease Society of America.

Emergency Department 143

Emergency Department Infectious Diseases Pediatrics Sepsis 143

Pediatric EM Morsels

FEBRUARY 2, 2024

Abdel-Haq 2021). Travel dates can help to exclude certain infections by their incubation periods (Abdel-Haq 2021) Physical examination can sometimes reveal concerning features including hepatomegaly , jaundice or a rash that may guide differential. A study of swiss tourists found they compromised 53.4%

Infectious Diseases 164

Infectious Diseases Pediatrics Sepsis Documentation/Coding 164

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! BK virus infection, replication, and diseases in pediatric kidney transplantation.

Pediatrics 52

Pediatrics Fractures Dehydration Sepsis 52

Mind The Bleep

SEPTEMBER 17, 2024

Introduction Patients regularly present to the emergency department with animal bites. 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., Owczarczak-Garstecka, S.C., Fleming, K.M.

Fractures 52

Fractures Infectious Diseases Documentation/Coding Hospitals 52

EMDocs

MARCH 24, 2025

7 The disease spreads primarily through unprotected sexual contact, sharing of contaminated needles, blood transfusions, and from mother to child during childbirth or breastfeeding. 9 Historically, the management of HIV and its complications was primarily the domain of primary care and infectious disease (ID) specialists.

CDC 91

CDC Blood Transfusions Infectious Diseases Sexual Assault 91

EMDocs

DECEMBER 9, 2024

Authors: Noah Kronk, MS-4 (University of Missouri-Columbia); Jessica Pelletier, DO, MHPE (APD, EM Attending Physician, University of Missouri-Columbia, USA) // Reviewed by: Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) Case A 30-year-old female presents to the emergency department (ED) with fever, fatigue, and an extensive rash.

CDC 75

CDC Documentation/Coding Infectious Diseases Dehydration 75

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 75

Infectious Diseases CDC PPE Rapid Diagnostic Testing 75