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Choosing Wisely – Investigations for Paediatric Patients presenting with Psychiatric Symptoms

Don't Forget the Bubbles

A 2022 CDC report showed an overall trend of increasing mental health-related ED visits for children and young people aged 0-17 from 2019 to 2022. Published 2022 Jun 13. Published 2022 Feb 25. Mental health-related ED visits for children and young people are common and have been on the rise during the last decade.

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Imported Malaria

Pediatric EM Morsels

More specifically they have seen this trend continue to rise in the era of post-COVID travel (Choy 2022). Another change is the CDC approved the use of IV artesunate for malaria treatment in the US in May 2022. WHO 2022) In a previous PEM morsel, we mentioned Sickle Cell Trait is only protective against P. falciparum.

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Brain Trauma Guidelines for Emergency Medicine

ACEP Now

Confounders to the GCS such as seizure and post-ictal phase, ingestions and drug overdose, as well as medications administered in the prehospital setting that impact GCS score should be documented. National Center for Health Statistics: Mortality Data on CDC WONDER. Accessed 2022, [link]. Prehosp Emerg Care. J Safety Res.

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Pain Management of Common Chief Complaints in the ED

EMDocs

Headache red-flag characteristics include neurological symptoms, thunderclap nature, syncope, trauma, immunocompromised, coagulopathy, fever, rash, seizure, nuchal rigidity, altered mental status, pregnancy, temporal tenderness, jaw claudication, and cancer history. 2022 May;33(2):307-333. Migraines: Migraines cause approximately 1.2

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Cholera: ED presentation, evaluation, and management

EMDocs

2 As of 2022 cholera was estimated to be responsible for over 4 million cases and 143,000 deaths each year, with a case fatality rate of 50% without timely and appropriate treatment. Published online November 14, 2022. Published online June 1, 2022. 1 Other serogroups, commonly known as “non-O1/non-O139 V.

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EM@3AM: Neurosyphilis

EMDocs

bladder incontinence) – 17% Headache – 10% Lighting pains – 10% Often described as sudden, rapidly spreading and disappearing [13] Dizziness – 10% Hearing loss – 10% Seizures – 7% Signs: Hyporeflexia – 50% Sensory impairment (e.g., stacks.cdc.gov/view/cdc/79370 Marra CM. Symptoms: Personality change (i.e., Treatment is supportive.

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ED care of refugee populations from sub-Saharan Africa

EMDocs

She presents with a seven-day history of fever, fatigue, and myalgias associated with decreased oral intake and an episode of seizure-like activity three hours prior to arrival. Additionally, there is no family history of seizure disorders. Background: Refugees on the Rise As of 2022, it was estimated that there were 35.3