Pediatric EM Morsels

JANUARY 19, 2024

In 2021 there were almost 177,000 cases of syphilis. CDC 2023] In 2021, there were over 2800 cases of congenital syphilis, tripled from 2017. Pereira 2017] If pathologic fractures occur, may be misdiagnosed as non-accidental trauma. [Li 2017.07.048 Sexually transmitted disease surveillance, 2021. July 22, 2021.

Infectious Diseases 271

Infectious Diseases CDC Pediatrics Fractures 271

EMDocs

MARCH 9, 2025

A) Factor VIII deficiency B) Hereditary spherocytosis C) Recently reduced closed long bone fracture D) Sickle cell disease Correct answer: D Osteomyelitis is a bacterial infection of the bone typically caused by hematogenous spread of a bloodborne bacteria. C) is seen in 76.3% CRP >1.0 sensitivity of 91.5%, CRP >2.0

Pediatrics 52

Pediatrics EMS Infectious Diseases Fractures 52

Taming the SRU

AUGUST 30, 2023

Spinal Infection: According to the Infectious Disease Society of America’s (IDSA) 2015 guidelines for native vertebral osteomyelitis, CRP and ESR in the setting of protracted back pain have sensitivities ranging from 94 to 100% for ruling out infection and malignancy in these patients. 2021; 93: 4358–4369. J Med Virol.

Infectious Diseases 89

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

EMDocs

NOVEMBER 16, 2024

6 Periprosthetic fracture Occurs at an estimated rate of 3.5-4.1%. 5 CT if concern for occult fracture. Periprosthetic Fractures Pain prior to injury may point toward underlying pathology like infection, implant loosening, etc. Unified classification system used to describe periprosthetic hip fractures. 10% of patients.

EMS 98

EMS Dislocations Fractures Operations 98

Pediatric EM Morsels

SEPTEMBER 1, 2023

For a 16-year-old girl who presents to the ED with a forearm fracture, asking confidentially about the home environment can help us differentiate an accidental vs. assault If we don’t ask, we won’t know Education Bullying is a known risk factor for suicide [Borowsky 2013] A child NOT enrolled in school is another red flag for human trafficking.

Pediatrics 164

Pediatrics Emergency Department Fractures EMS 164

Don't Forget the Bubbles

SEPTEMBER 23, 2024

Kidney transplant recipients have a higher risk of fractures. Kidney transplant recipients are at higher risk of rickets and fractures. (13) References UK Renal Registry (2023) UK Renal Registry 25th Annual Report – data to 31/12/2021, Bristol, UK. Ask about the frequency of intermittent catheterization, if applicable.

Pediatrics 52

Pediatrics Fractures Dehydration Sepsis 52

Mind The Bleep

SEPTEMBER 17, 2024

Feel: Palpate the area of the bite to feel for areas of tenderness as this could indicate a fracture or infection. There should be a minimum of 2 views in the plain film, or 3 in the hands if there is a suspicion of a fracture. Sci Rep 11, 1767 (2021). Regular medications. Assess neurovascular status distal to the bite.

Fractures 52

Fractures Infectious Diseases Documentation/Coding Hospitals 52