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EM@3AM: Pediatric Osteomyelitis

EMDocs

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. Ther Clin Risk Manag. J Pediatr Infect Dis Soc. 2021;10(8):801-844. 2023;19:1039-1049.

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IV fluids in the ED: When do we really need them?

EMDocs

The latest Society of Critical Care Medicine (SCCM) sepsis guidelines from 2021 recommend giving patients with signs of hypoperfusion an initial 30 ml/kg bolus as a best practice statement 13 based on the PROCESS, 14 ARISE, 15 and PROMISE 16 trials. Similar to Andrews et al., For children in well-resourced settings, the data is less clear.