ACEP Now

FEBRUARY 11, 2024

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. Global leishmaniasis surveillance: 2021, assessing the impact of the COVID-19 pandemic. Click to enlarge.)

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Infectious Diseases CDC Military Emergency Department 52

RCEM Learning

APRIL 9, 2024

The FRCEM SBA is a theoretical exam mapped to the full Emergency Medicine 2021 curriculum. For more details regarding the MRCEM Primary like who can sit the exam, where the exam takes place and how it is marked and when the results are given visit the RCEM Exam pages.

Infectious Diseases 52

Infectious Diseases Airway Management Resuscitation Poisoning 52

ALiEM

SEPTEMBER 20, 2024

2021 Oct;21(5):442-444. doi: 10.1136/practneurol-2021-002928. Epub 2021 May 7. A thorough investigation of associated symptoms is imperative as these may represent sequelae of septic emboli. References Foo EC, Tanti M, Cliffe H, Randall M. Lemierre’s syndrome. Pract Neurol. PMID: 33963085. J Clin Microbiol.

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Academics Emergency Department Infectious Diseases 70

EMDocs

JULY 1, 2023

Kawasaki disease: a comprehensive review. link] Clinical Practice Guidelines: Kawasaki Disease. Updated January 2021. Kawasaki disease: clinical features and diagnosis. Incomplete (atypical) Kawasaki disease. He has had a high fever of > 103°F (39.4°C) C) for the past week. Arch Med Sci Atheroscler Dis.

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EMS Infectious Diseases Pediatrics Research 76

EM Literature of Note

SEPTEMBER 13, 2024

The two “COVID seasons” of 2020-21 and 2021-22 were excluded from their comparisons. Most regions used a strategy in which nirsevimab was provided to new births during RSV season, as well as other young infants born prior to the onset of the season.

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Emergency Department Pediatrics Administration Wellness 87

EMDocs

NOVEMBER 4, 2023

McGraw Hill; 2021. Clinical Infectious Disease. Radiographics. 2013;33(3):721-740. doi:10.1148/rg.333125158 333125158 Moore, S and Ryan Pedigo. Scrotal Abscess. In: Knoop KJ, Stack LB, Storrow AB, Thurman R. The Atlas of Emergency Medicine, 5e. Accessed April 26, 2023. Methicillin-resistant S. Published 2008 Sep 19.

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Pediatric Education

NOVEMBER 19, 2023

Related Cases Disease: Routine Infant Care Declination | Infant and Newborn Care Symptom/Presentation: Health Maintenance and Disease Prevention Specialty: Neonatology | Infectious Diseases | Obstetrics / Gynecology Age: Newborn To Learn More To view pediatric review articles on this topic from the past year check PubMed.

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Infectious Diseases Administration Pediatrics Wellness 40

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.

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Infectious Diseases Documentation/Coding Pediatrics CDC 59

Don't Forget the Bubbles

MARCH 18, 2024

2021 [cited 2023 Nov 30]. Clinical Infectious Diseases [Internet]. Disease severity of Shiga toxin-producingE. Some children need transfusion of packed red cells or platelets. Think about nutrition References The Royal Children’s Hospital Melbourne. Clinical Practice Guidelines : Haematuria [Internet]. Rch.org.au.

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Dehydration Infectious Diseases Seizures Pediatrics 59

ALiEM

AUGUST 21, 2023

McGraw Hill; 2021. Copyright Images and cases from the Society of Academic Emergency Medicine (SAEM) Clinical Images Exhibit at the 2021 SAEM Annual Meeting | Copyrighted by SAEM 2021 – all rights reserved. References Ritter K, Fitch R. Tenosynovitis. In: Knoop KJ, Stack LB, Storrow AB, Thurman R. 2007;89(8):1742-1748.

Academics 52

Academics Outcomes Hospitals Wellness 52

ALiEM

AUGUST 14, 2023

2022] Copyright Images and cases from the Society of Academic Emergency Medicine (SAEM) Clinical Images Exhibit at the 2021 SAEM Annual Meeting | Copyrighted by SAEM 2021 – all rights reserved. Available at: [link] [Accessed 19 Dec. View other cases from this Clinical Image Series on ALiEM.

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Academics Wellness Infectious Diseases 52

Northwestern EM Blog

JUNE 16, 2024

Myocardial Infarction Medication Sinus node dysfunction Infectious Disease Hypothermia Metabolic Abnormalities (hypothyroidism, hyperkalemia, ect.) 2021, October 1). CARDIAC OUTPUT = STROKE VOLUME X HEART RATE Treatment Algorithm for Symptomatic Bradycardia [2-4]: What are common causes of symptomatic bradycardia [2]?

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Infectious Diseases Stroke Poisoning 52

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. 2017.07.048 Sexually transmitted disease surveillance, 2021. Centers for Disease Control and Prevention. Centers for Disease Control and Prevention. July 22, 2021.

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Infectious Diseases CDC Pediatrics Fractures 269

PulmCCM

OCTOBER 30, 2023

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

Sepsis Shock Hospitals Infectious Diseases 52

Don't Forget the Bubbles

JANUARY 10, 2024

29842 Global status report on blood safety and availability 2021: World Health Organization. Comparison of transfusion reactions in children and adults: A systematic review and meta-analysis. Pediatr Blood Cancer. 2022;69(9):e29842. doi:10.1002/pbc.29842 Available from: [link] Pocket book of hospital care for children: Second edition.

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Blood Transfusions Research Outcomes Hospitals 78

Pediatric EM Morsels

OCTOBER 6, 2023

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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Pediatrics CDC Seizures Documentation/Coding 161

Don't Forget the Bubbles

AUGUST 19, 2024

Clinical Practice Guideline by the Pediatric Infectious Diseases Society and the Infectious Diseases Society of America: 2021 Guideline on Diagnosis and Management of Acute Hematogenous Osteomyelitis in Pediatrics. 2021 Sep 23;10(8):801-844. Bone and joint infection. Accessed Jul 2, 2023. PMID: 34350458.

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Infectious Diseases Pediatrics Emergency Department Hospitals 104

Pediatric EM Morsels

AUGUST 18, 2023

Ross 2021) Predisposing risk factors including older age , trauma to tendons or joints , and a family history of MAEs. BMC Infectious Disease. There was an increased risk of tendon rupture (1.9 per 100,000) when compared to comparison antibiotic. The risk of tendonitis was similarly very small. Binz 2015). Pediatrics.

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Pediatrics Infectious Diseases Seizures Hospitals 130

Broome Docs

DECEMBER 9, 2023

2021 Jun 15;72(12):2095-2100. Antibiotic Myths for the Infectious Diseases Clinician. I don’t think there is anything controversial here (Choosing Wisely usually just states the way too obvious anyway), Daneman N, Cheng Y, Gomes T, Guan J, Mamdani MM, Saxena FE, Juurlink DN. Clin Infect Dis. doi: 10.1093/cid/ciaa395.

Infectious Diseases 114

Infectious Diseases Emergency Department Stroke Pediatrics 114

PEMBlog

OCTOBER 18, 2023

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. Neonatal Toxic Shock Syndrome-Like Exanthematous Disease in North America. References Takahashi, N.,

Infectious Diseases 59

Infectious Diseases Shock Pediatrics Wellness 59

Pediatric EM Morsels

SEPTEMBER 20, 2024

2021 May;232:200-206.e4. Epub 2021 Jan 5. Predicting Adverse Outcomes for Shiga Toxin-Producing Escherichia coli Infections in Emergency Departments. doi: 10.1016/j.jpeds.2020.12.077. 2020.12.077. PMID: 33417918; PMCID: PMC8084908. The post Hemolytic Uremic Syndrome (HUS): Rebaked Morsel appeared first on Pediatric EM Morsels.

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Pediatrics Ultrasounds Dehydration Emergency Department 161

Don't Forget the Bubbles

AUGUST 30, 2023

2019.1439 Amir Kirolos and others, A Systematic Review of Clinical Practice Guidelines for the Diagnosis and Management of Bronchiolitis, The Journal of Infectious Diseases , Volume 222, Issue Supplement_7, 1 November 2020, Pages S672–S679, [link] Frazier SB, Walls C, Jain S, Plemmons G, Johnson DP. Published 2021 Oct 22.

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Emergency Department Pediatrics Infectious Diseases Research 131

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.

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

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.

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Sepsis Fluid Resuscitation Resuscitation Shock 75

Pediatric EM Morsels

SEPTEMBER 1, 2023

Sex 1/3 US high schoolers are having sex [ Youth Risk Behavior Survey 2021 ] Adolescents with higher levels of risky sexual behavior are more likely to report the ED as their usual source of care. Wilson, 2000 ] Is this dysuria a UTI or could this be chlamydia that could re-present with pelvic inflammatory disease next week?

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Pediatrics Emergency Department Fractures EMS 161

EMDocs

APRIL 27, 2024

Infectious diseases , 4 (1), 34–39. Infectious diseases, 4(1), 34–39. and Staphylococcus spp. 2 F ungal involvement (usually Aspergillus fumigatus ), especially in immunocompromised patients. The changing face of malignant (necrotising) external otitis: clinical, radiological, and anatomic correlations. The Lancet.

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EMS Infectious Diseases Radiology Radiology 96

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. Barton, E., & Featherstone, P. Assessment of antibiotic treatment of cellulitis and Erysipelas.

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EMS Infectious Diseases Shock Ultrasounds 76

Mind The Bleep

SEPTEMBER 17, 2024

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. Clinical microbiology and infection: the official publication of the European Society of Clinical Microbiology and Infectious Diseases, 21 Suppl 2, S27–S32.

Fractures 52

Fractures Infectious Diseases Documentation/Coding Hospitals 52

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 Outcomes Infectious Diseases 52

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

Pediatric Education

SEPTEMBER 24, 2023

What other infectious diseases are toxin-mediated? doi:10.2217/fmb-2021-0167 Centers for Disease Control. The vaccine may also be changing as the pertussis component may be moving to a nasal vaccine to improve pertussis’s immunogenicity. Questions for Further Discussion 1. A review can be found here 2. Diphtheria.

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Infectious Diseases Administration CDC Pediatrics 45

First 10 EM

MAY 8, 2023

In Canada, there were 96 cases of congenital syphilis in 2021, as compared […] The post Syphilis: A rapid review appeared first on First10EM. Across North America, we are seeing syphilis rates unheard of since we abandoned the lambskin condom. (OK,

Infectious Diseases 52

Infectious Diseases 52

PEMBlog

AUGUST 30, 2023

2021-051405. Ramgopal S, Ambroggio L, Lorenz D, Shah SS, Ruddy RM, Florin TA. 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.

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Pediatrics Best Practices Hospitals Emergency Department 52

Don't Forget the Bubbles

SEPTEMBER 18, 2023

BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health; 2021 [cited 2022 Dec 28]. The 2020 Australian guideline for prevention, diagnosis and management of acute rheumatic fever and rheumatic heart disease. 2021 Mar;214(5):220–7. Randel A, Infectious Disease Society of America. Med J Aust.

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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). 2021 Aug 31. 2021 Mar;33(1):11-17. Epub 2021 Mar 2. Epub 2021 Jun 12. 7,8 Majority are managed operatively. Hospitals, 2018.

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EMS Dislocations Fractures Operations 88

Don't Forget the Bubbles

SEPTEMBER 23, 2024

References UK Renal Registry (2023) UK Renal Registry 25th Annual Report – data to 31/12/2021, Bristol, UK. BK virus infection, replication, and diseases in pediatric kidney transplantation. Asymptomatic hypertension Other systemic illness impacting upon fluid intake, medication and renal transplant function (e.g. and Hirsch, H.H.,

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Pediatrics Fractures Dehydration Sepsis 52

PulmCCM

NOVEMBER 25, 2024

Surveyed infectious disease experts advise about 14 days of antibiotic treatment for most patients with bloodstream infections, especially the critically ill. Epub 2021 Sep 9. Antibiotic Treatment for 7 versus 14 Days in Patients with Bloodstream Infections. Clin Microbiol Infect. 2022 Apr;28(4):550-557. doi: 10.1016/j.cmi.2021.09.001.

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