Pediatric EM Morsels

AUGUST 9, 2024

2019, there were 1,875 and this trend has continued to increase (2,157 case in 2020; 2,855 cases in 2021). Early Congenital Syphilis Present before 2 years of age [ Hussain, 2023 ; Foles, 2024; Fang, 2022; Morrisroe, 2021 ] Only ~33% of newborns present with symptoms at birth and can be subtle. 2021 Feb 5;14(2):e240532.

Hyperthermia / Hypothermia 154

Hyperthermia / Hypothermia Emergency Department Seizures Pediatrics 154

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.

Emergency Department 131

Emergency Department Pediatrics Infectious Diseases Research 131

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

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.

EMS 105

EMS Infectious Diseases Radiology Radiology 105

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

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

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

Don't Forget the Bubbles

APRIL 22, 2024

2021 Jan 2;40(1):18-23. 2021 Dec;21(1):1-7. Current Infectious Disease Reports. 2021 Feb 15;37(5):482-7. Acute dacryocystitis in pediatric patients and frequency of nasolacrimal duct patency. Isaza G, Arora S. Probing without irrigation in children with congenital nasolacrimal duct obstruction. 2013 Jun 1:E158-62.

Infectious Diseases 85

Infectious Diseases Sepsis Pediatrics Operations 85

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).

Blood Transfusions 98

Blood Transfusions Operations Resuscitation Infectious Diseases 98

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.

EMS 94

EMS Infectious Diseases Pediatrics Research 94

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.)

Infectious Diseases 52

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.

Academics 70

Academics Emergency Department Infectious Diseases 70

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.

Emergency Department 87

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.

EMS 96

EMS Ultrasounds Emergency Department Infectious Diseases 96

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

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.

Academics 52

Academics Wellness Infectious Diseases 52

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.

Dehydration 59

Dehydration Infectious Diseases Seizures Pediatrics 59

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

Don't Forget the Bubbles

SEPTEMBER 27, 2023

Rapid syndromic testing for respiratory viral infections in children attending the emergency department during COVID-19 pandemic in Lille, France, 2021-2022. Pediatrics. 2022;149(2):e2020042366 Ouafi M, Dubos F, Engelman I, Lazrek M, Guigon A, Bocket L, Hober D, Alidjinou EK. J Clin Virol. 2022 Aug;153:105221. doi: 10.1016/j.jcv.2022.105221.

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

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.

Blood Transfusions 78

Blood Transfusions Research Outcomes Hospitals 78

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.

Pediatrics 52

Pediatrics Best Practices Hospitals Emergency Department 52

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.

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 93

Sepsis Fluid Resuscitation Resuscitation Shock 93

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?

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

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EMS Infectious Diseases Shock Ultrasounds 94

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 EM Morsels

APRIL 5, 2024

Silva-Ramos 2021) Majority of cases arise from travel to South Africa. (Silva-Ramos 2021) Majority of cases arise from travel to South Africa. (Frean 2019) The classic triad described is fever, eschar and rash. Silva-Ramos 2021) Fever and a characteristic eschar (tache noir) are seen 90% of the time.

CDC 164

CDC Infectious Diseases Pediatrics Shock 164

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.

Infectious Diseases 45

Infectious Diseases Administration CDC Pediatrics 45

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 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.

Emergency Department 143

Emergency Department Infectious Diseases Pediatrics Sepsis 143

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).

Pediatrics 164

Pediatrics CDC Seizures Documentation/Coding 164

Don't Forget the Bubbles

FEBRUARY 24, 2025

The Pediatric Infectious Disease Journal 37(3):p 202-205, March 2018. 2021 Oct;10(10):2858-2874. Impact of rapid leukodepletion on the outcome of severe clinical pertussis in young infants. Pediatrics. 2010;126:e81627 Cherry et al. An Observational Study of Severe Pertussis in 100 Infants 120 Days of Age. Nieves et al.

Pediatrics 59

Pediatrics Outcomes Blood Transfusions Sepsis 59

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.

Infectious Diseases 40

Infectious Diseases Administration Pediatrics Wellness 40