PEMBlog

OCTOBER 18, 2023

The night prior to presentation, mom noticed he was not feeding as well and seemed fussy. Initially in the emergency department he was generally well-appearing with normal vital signs. Infants with NTED generally remain well-appearing and do not meet toxic shock syndrome (TSS) criteria. Overnight, she had to wake him to feed.

Infectious Diseases 59

Infectious Diseases Shock Pediatrics Wellness 59

PulmCCM

NOVEMBER 6, 2023

Intuitively, plasma seemed even less likely to help the very sickest of the sick— those mechanically ventilated with ARDS from Covid-19, whose mortality rate was well over 50% at many centers. patients infected with the Wuhan/Delta variants in 2020-2021). Only it turns out, it did help. Or could, anyway.

Blood Transfusions 98

Blood Transfusions Operations Resuscitation Infectious Diseases 98

Taming the SRU

AUGUST 30, 2023

As the name would suggest, inflammatory markers are biological markers of, well, inflammation. A 2015 meta-analysis of 9 studies consisting of 725 patients published in the International Journal of Infectious Diseases found PCT far superior to CRP, with PCT having a sensitivity of 90 and specificity of 98% [36]. J Med Virol.

Infectious Diseases 89

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

ACEP Now

FEBRUARY 11, 2024

He noted spending about five days walking through a jungle, as well as traversing rivers. 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. Click to enlarge.)

Infectious Diseases 52

Infectious Diseases CDC Military Emergency Department 52

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 92

EMS Infectious Diseases Pediatrics Research 92

RCEM Learning

APRIL 9, 2024

The FRCEM SBA is a theoretical exam mapped to the full Emergency Medicine 2021 curriculum. Maintain a Positive Mindset and Well-being: Exam preparation can be demanding, so it’s important to take care of your mental and physical well-being.

Infectious Diseases 52

Infectious Diseases Airway Management Resuscitation Poisoning 52

EM Literature of Note

SEPTEMBER 13, 2024

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. The two “COVID seasons” of 2020-21 and 2021-22 were excluded from their comparisons.

Emergency Department 87

Emergency Department Pediatrics Administration Wellness 87

ALiEM

AUGUST 21, 2023

History of trauma or penetrating injury and immunocompromised status should raise suspicion for infectious flexor tenosynovitis; common pathogens include Staphylococcus and Streptococcus species. Treatment includes emergent consultation with orthopedics or hand surgery as well as early initiation of IV antibiotics. McGraw Hill; 2021.

Academics 52

Academics Outcomes Hospitals Wellness 52

ALiEM

AUGUST 14, 2023

Treatment is appropriate antibiotics and improved foley hygiene, foley exchange as well as improved bowel regimen to increase stool transit time. It is predominantly found in women, chronically catheterized, institutionalized, and constipated patients. References Meekins Pauline, Ramsay Amy, Ramsay Michael. Purple Urine Bag Syndrome.

Academics 52

Academics Wellness Infectious Diseases 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 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

These were presented as hazard ratios and included fever at presentation, previous transfusion ever, haemoglobinuria, malaria, sickle cell disease on enrolment, HIV, evidence of sepsis, malnutrition, shock, hypothermia, and dehydration. Groups were well matched at baseline. Were the study groups similar at the start of the trial?

Blood Transfusions 78

Blood Transfusions Research Outcomes Hospitals 78

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

EMDocs

JULY 15, 2023

The patient reported feeling better, pain and other symptoms were well controlled 24 hours after starting antibiotics and pain medication. The border may be raised, but erysipelas does not cause overt superficial skin lesions that other infectious rashes might cause (e.g., 2021, May 18). Infectious Diseases Society of America.

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

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 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

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

They were a well-grown, term infant born in good condition. The Pediatric Infectious Disease Journal 37(3):p 202-205, March 2018. 2021 Oct;10(10):2858-2874. The other investigations are unremarkable, including a normal CT head. Before this admission, there was no significant past medical history. Sounding familiar?

Pediatrics 59

Pediatrics Outcomes Blood Transfusions Sepsis 59

Pediatric Education

NOVEMBER 19, 2023

They felt he was breastfeeding well and had only mild jaundice. His examination was normal and the diagnosis of a well newborn infant was made. mg/dL which was well below treatment threshold. Some infants may need car seat tolerance screening as well. 2021-055554 Shaw MA, Liu A. BMC Pediatr. 2021;21(Suppl 1):350.

Infectious Diseases 40

Infectious Diseases Administration Pediatrics Wellness 40

Don't Forget the Bubbles

SEPTEMBER 23, 2024

This is particularly crucial in younger children who have received a large adult kidney and typically have relatively low creatinine levels when stable and well. Additionally, any child with a kidney transplant might have some degree of chronic kidney disease (CKD). When in doubt, call the team. and Hirsch, H.H., Chandran, M.M.

Pediatrics 52

Pediatrics Fractures Dehydration Sepsis 52

Don't Forget the Bubbles

MARCH 17, 2025

The Global Impact of Scabies Scabies affects around 100 million people globally at any given time, placing it in the top 50 infectious diseases in terms of disability-adjusted life years. Its impact exceeds that of diseases like dengue fever. Both of these agents are well-established and routinely used safely within UK practice.

Outcomes 59

Outcomes Infectious Diseases Pediatrics Research 59

Mind The Bleep

SEPTEMBER 17, 2024

Management The management is guided by the examination findings which are covered in the respective chapter, this section will delve into the importance of a number of those steps, as well as further long-term care. Sci Rep 11, 1767 (2021). Always consider management as per ATLS protocol and SEPSIS 6 if relevant. Tulloch, J.S.P.,

Fractures 52

Fractures Infectious Diseases Documentation/Coding Hospitals 52

Dr. No

JANUARY 27, 2022

The effect of this rule, as noted, is that the infectious diseases listed, including covid–19, almost always trump other potentially valid underlying causes of death. With the caveats established, Table 1 shows the average annual numbers of deaths for common causes for 2015-2019, and the numbers in 2020 and 2021.

Documentation/Coding 52

Documentation/Coding Infectious Diseases Wellness 52

Mind The Bleep

NOVEMBER 20, 2024

Infectious disease (ID) is much more than simply collecting blood cultures; it’s a dynamic and exciting specialty that offers the opportunity to work with patients of all ages, varying acuities, and diverse clinical presentations. Contents What makes ID a great career choice? What makes ID a great career choice?

Infectious Diseases 52

Infectious Diseases Research Sepsis Patient Safety 52

EMDocs

NOVEMBER 2, 2024

A broad workup is initiated for altered mental status, including an STD panel, which shows a reactive Venereal Disease Research Laboratory (VDRL) and a negative CT head. Consultation with an infectious disease and neurology specialist can be considered to guide treatment and proper disposition. 27,4 (2021): 1018-1039.

EMS 115

EMS Infectious Diseases CDC Research 115

EMDocs

JANUARY 6, 2025

She receives IV calcium gluconate and bicarbonate as well as oral potassium binders for hyperkalemia. Case Resolution The patient and family remain in isolation and receive risk stratification assessment for a notifiable disease of public health concern. Hypoglycemia is managed with IV dextrose. 12 Table 1.

Infectious Diseases 75

Infectious Diseases CDC PPE Rapid Diagnostic Testing 75