EB Medicine

JANUARY 17, 2023

Intro The number of ED visits and hospitalizations Studies show up to 57% of anaphylactic reactions are not recognized, and epinephrine is not administered in up to 80% of cases.

Allergic Reactions 52

Allergic Reactions Anaphylaxis Infectious Diseases Emergency Department 52

PulmCCM

NOVEMBER 6, 2023

open label) at 17 sites in Belgium in 2020-2022, 35% of those receiving plasma died at 28 days, vs. 45% of the usual care patients — a number needed to treat of 10 to save one life. The intervention took place in the emergency department, with device placement by ED physicians.

Blood Transfusions 98

Blood Transfusions Operations Resuscitation Infectious Diseases 98

Taming the SRU

AUGUST 30, 2023

While PCT may be more specific for bacterial infections, it is flawed by still being rather non-specific and is not validated as a stand-alone diagnostic criteria for infection in the setting of the emergency department. ng/mL had a pooled sensitivity and specificity of 55% and 76%, respectively [44]. ng/mL, 0.25-0.5

Infectious Diseases 89

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

Don't Forget the Bubbles

SEPTEMBER 27, 2023

The parents of two-year-old, previously healthy, Jamie bring him to the Emergency Department with coryzal symptoms, wheezing and difficulty breathing. Respiratory viral panel testing did not reduce antibiotic use in the emergency department. 2022 Aug;153:105221. SpO2 is 88%. Pediatrics. J Clin Virol. 2022.105221.

Emergency Department 84

Emergency Department Pediatrics Point-of-Care Testing Hospitals 84

Don't Forget the Bubbles

MARCH 4, 2024

We have teamed up with the team from the Emergency Department at Bristol Royal Hospital, who have used this as a springboard for their journal club. (It’s The children’s Emergency department sees approximately 50,000 presentations per year. Emerg Med J. doi: 10.1136/emermed-2022-212931. PMID: 38212934.

Hospitals 78

Hospitals Sepsis Fractures Emergency Department 78

The Skeptics' Guide to EM

MARCH 18, 2023

Guest Skeptic: Dr. Marisu Rueda-Altez is a pediatric infectious disease fellow at Children’s National Hospital in Washington, DC. She is also the […] The post SGEM #397: Give a Little Bit…of Oseltamivir to Pediatric Patients Admitted with Influenza first appeared on The Skeptics Guide to Emergency Medicine. JAMA Pediatr.

Pediatrics 40

Pediatrics Infectious Diseases Administration Outcomes 40

Don't Forget the Bubbles

JANUARY 22, 2024

Choosing Wisely in Paediatric Car e A trainee-led project in a UK tertiary paediatric emergency department looked at the usefulness of blood tests in 101 children. You receive a referral for a 7-year-old Josh, who presented to the emergency department (ED) with a 5-day history of fever, cough, and borderline oxygen saturation.

Emergency Department 90

Emergency Department Best Practices Radiology Radiology 90

EMDocs

JUNE 17, 2023

The Pediatric Infectious Disease Journal. Acute Periorbital Infections: Who Needs Emergent Imaging? swelling, chemosis, fever, etc.), She reports no vision changes or fever. She remembers rubbing and scratching around her eye a few days ago but does not recall any trauma. Periorbital and Orbital Cellulitis. 2020;323(2):196-196.

EMS 96

EMS Infectious Diseases Pediatrics Emergency Department 96

ALiEM

MARCH 11, 2024

In July 2022, a 32-year-old male with a past medical history of HIV (on antiretroviral therapy, CD4 390, viral load undetectable) presented to the emergency department with constitutional symptoms and a rash for 4-5 days. Epub 2022 Jul 27. The 2022 outbreak and the pathobiology of the monkeypox virus. Eye (Lond).

Academics 56

Academics Documentation/Coding Emergency Department Hospitals 56

ACEP Now

AUGUST 11, 2024

A 41-year-old woman arrived in a Hawaii emergency department with her husband early in the morning. National Center for Emerging and Zoonotic Infectious Diseases. Centers for Disease Control and Prevention. Updated March 30, 2022. World Health Organization. Published November 2020.

Poisoning 52

Poisoning Infectious Diseases EKG/ECG Emergency Department 52

ACEP Now

MAY 9, 2024

It has been well over a year since the controversial publication of the Agency for Healthcare Research and Quality (AHRQ) report on diagnostic errors in the emergency department (ED). He is the Annals of Emergency Medicine podcast co-host and Journal Club editor. Kelen GD, Kaji AH; Consortium of societies of emergency medicine.

Emergency Department 52

Emergency Department Research Infectious Diseases Hospitals 52

ALiEM

MAY 13, 2024

Case Introduction: Child with abdominal pain Wendy is a 7-year-old girl who comes into the emergency department with redness, swelling, and pain on her left calf. Point-of-Care Ultrasound on Management of Cellulitis Versus Local Angioedema in the Pediatric Emergency Department. Pediatr Emerg Care. J Emerg Med.

Ultrasounds 64

Ultrasounds Pediatrics Emergency Department Wellness 64

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

PEMBlog

AUGUST 30, 2023

2022 Jan 1;149(1):e2021051405. Pneumonia in Children Presenting to the Emergency Department with an Asthma Exacerbation. Ramgopal S, Ambroggio L, Lorenz D, Shah SS, Ruddy RM, Florin TA. A Prediction Model for Pediatric Radiographic Pneumonia. Pediatrics. doi: 10.1542/peds.2021-051405. 2021-051405. JAMA Pediatr.

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). 9,23 Disposition: Dislocation : If successfully reduced in the emergency department may discharge with strict mobility restrictions and Orthopedic follow up.

EMS 98

EMS Dislocations Fractures Operations 98

Pediatric EM Morsels

SEPTEMBER 1, 2023

One such vital aspect of pediatric emergency medicine is the appreciation of how psychosocial history impacts a patient’s life and care. As previously mentioned by Dr. Richardson , adolescents use the Emergency Department as their Primary Care resource often. Pediatrics June 2022; 149 (6): e2021053458. Pediatrics.

Pediatrics 164

Pediatrics Emergency Department Fractures EMS 164

EMDocs

JULY 15, 2023

essay, Emergency Medicine Residents’ Association. Updated 2022 Aug 8]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. emDOCs.net – Emergency Medicine Education. Infectious Diseases Society of America. She notes increasing redness on her right arm with some associated pain and swelling.

EMS 92

EMS Infectious Diseases Shock Ultrasounds 92

EMDocs

DECEMBER 18, 2023

Multiple studies published in 2022 have indicated that, despite disagreement surrounding prognostic accuracy, no such screening tool so far exists. The Infectious Diseases Society of America (IDSA) guidelines provide the most up-to-date guidance on appropriate agent choice. Intensive Care Med. 2021;47:1181–1247. 2021;57(9):920.

Sepsis 91

Sepsis Fluid Resuscitation Resuscitation Shock 91

EMDocs

JANUARY 6, 2024

It is difficult to distinguish this from ACS secondary to acute plaque rupture in the ED, and management would be similar with antiplatelet agents, anticoagulation until coronary angiography can be performed to assess for the underlying disease process. A 63-year-old man presents to the emergency department for dyspnea on exertion.

EMS 89

EMS Infectious Diseases Shock Emergency Department 89

EMDocs

MAY 29, 2023

Louis); Marina Boushra (EM-CCM, Cleveland Clinic Foundation); Brit Long, MD (@long_brit) Case A 54-year-old female with a past medical history of rheumatoid arthritis presents to the emergency department (ED) with generalized fatigue. Updated 2022 May 8]. Updated 2022 Jul 18]. The Open Infectious Disease Journal.

Infectious Diseases 58

Infectious Diseases Emergency Department EMS Hospitals 58

Don't Forget the Bubbles

SEPTEMBER 18, 2023

This blog post aims to help familiarise you with some of the most common reasons for prescribing antibiotics in the paediatric emergency department. Antibiotic Use for Common Infections in Pediatric Emergency Departments: A Narrative Review. 2022 Dec;41(12):947–52. 2022 Jun;58(6):1007–12. Karageorgos, S.;

Emergency Department 143

Emergency Department Infectious Diseases Pediatrics Sepsis 143

Pediatric EM Morsels

FEBRUARY 2, 2024

In one ED study, ALL cases of missed travel-related illness did not have a documented travel history in their ED note , whereas 90% of the identified travel-related illnesses had a provider documented travel history (Greenky 2022) Those who are visiting friends and relatives (VFR) are typically at highest risk. Am J Emerg Med.

Infectious Diseases 164

Infectious Diseases Pediatrics Sepsis Documentation/Coding 164

RebelEM

OCTOBER 26, 2023

Enrollment: Recruited patients from primary care offices, emergency departments, and inpatient wards at Children’s Hospital of Philadelphia and UPMC Children’s Hospital of Pittsburgh. Funding: The National Institute of Allergy and Infectious Diseases, Division of Microbiology and Infectious Diseases funded the study.

Pediatrics 81

Pediatrics Infectious Diseases Outcomes Research 81

PulmCCM

JUNE 19, 2023

No drug or combination improved the primary outcome (a composite outcome of hypoxemia, visit to the emergency department, hospitalization, or death). That was in NEJM Aug 18 2022. Metformin also has positive immune-modulatory effects (on cytokine profiles and T-cell immunity).

Infectious Diseases 52

Infectious Diseases Hyperthermia / Hypothermia Outcomes Sepsis 52

Taming the SRU

JUNE 12, 2023

Although not every person seeks health care for these injuries, the majority of those that do end up in the emergency department. In 2008, this led to greater than 316,000 emergency department (ED) visits and about 9,500 hospitalizations [1]. Clinical Infectious Diseases. Annals of Emergency Medicine.

Infectious Diseases 103

Infectious Diseases Emergency Department Administration Academics 103

EMDocs

FEBRUARY 8, 2025

Empiric treatment with voriconazole 6 mg/kg twice daily intravenously for 2 doses should be started immediately based on Infectious Disease Society of America (IDSA) guidelines. 22-28 Disposition Consult infectious disease for all IFI patients to ensure appropriate antifungal stewardship. Open Forum Infectious Diseases.

Infectious Diseases 72

Infectious Diseases EMS COPD Research 72

ALiEM

DECEMBER 9, 2024

A 25-year-old female with no pertinent past medical history presented to an emergency department in Massachusetts with four days of generalized malaise, myalgias, congestion, low-grade fever, and a rash behind her left knee. Lyme Disease. Centers for Disease Control and Prevention. 2022, Jan 19. Lyme disease.

Emergency Department 60

Emergency Department CDC EMS Academics 60

Don't Forget the Bubbles

SEPTEMBER 23, 2024

You are working in the paediatric emergency department of a busy District General Hospital. These centres have a close relationship with their patients, but this does not mean they may not turn up at your emergency department! Post-transplant lymphoproliferative disease after pediatric kidney transplant.

Pediatrics 52

Pediatrics Fractures Dehydration Sepsis 52

Don't Forget the Bubbles

NOVEMBER 5, 2023

In the Pediatric Infectious Disease Journal, Guo and colleagues assessed the difference in clinical characteristics between viral pneumonia and Mycoplasma pneumoniae in a large Chinese cohort. Trends in Anesthesia/Sedation for Computed Tomography and Magnetic Resonance Imaging Encounters in Pediatric Emergency Departments, 2012-2022.

Pediatrics 105

Pediatrics Hospitals Infectious Diseases Outcomes 105

EMDocs

NOVEMBER 25, 2024

Vision loss carries a high degree of morbidity and is associated with higher all-cause mortality, 4 and it is our role as emergency providers to recognize potentially reversible causes of such adverse outcomes. million infected people suffer from skin disease and 1.15 7 Approximately 14.6 million from partial or complete blindness.

Infectious Diseases 73

Infectious Diseases Emergency Department EMS Administration 73

ALiEM

DECEMBER 6, 2024

A 21-year-old otherwise healthy female presented to the Emergency Department with a fever after recently returning from Ghana. Updated November 14, 2022. She reported intermittent fever, headache with photophobia, diarrhea, joint pains, and generalized weakness. References Schaefer TJ, Panda PK, Wolford RW. Dengue fever.

Academics 64

Academics Emergency Department Shock Hospitals 64

EMDocs

DECEMBER 9, 2024

Authors: Noah Kronk, MS-4 (University of Missouri-Columbia); Jessica Pelletier, DO, MHPE (APD, EM Attending Physician, University of Missouri-Columbia, USA) // Reviewed by: Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) Case A 30-year-old female presents to the emergency department (ED) with fever, fatigue, and an extensive rash.

CDC 75

CDC Documentation/Coding Infectious Diseases Dehydration 75

EMDocs

JANUARY 6, 2025

Case Resolution The patient and family remain in isolation and receive risk stratification assessment for a notifiable disease of public health concern. Background: Refugees on the Rise As of 2022, it was estimated that there were 35.3 10 This burden of infectious disease is markedly higher than for the general population.

Infectious Diseases 75

Infectious Diseases CDC PPE Rapid Diagnostic Testing 75