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

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

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 101

Infectious Diseases Emergency Department Administration Academics 101

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).

Documentation/Coding 56

Documentation/Coding Academics Emergency Department Hospitals 56

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

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

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.

Research 52

Research Emergency Department Infectious Diseases Hospitals 52

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 Outcomes Hyperthermia / Hypothermia Sepsis 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

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

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 86

Infectious Diseases Sepsis Emergency Department Point-of-Care Testing 86

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

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

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 74

Pediatrics Infectious Diseases Outcomes Research 74

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 161

Pediatrics Emergency Department Fractures EMS 161

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 66

EMS Infectious Diseases Shock Ultrasounds 66

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 63

EMS Infectious Diseases Shock Emergency Department 63

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 53

Infectious Diseases Emergency Department EMS Hospitals 53

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 72

EMS Infectious Diseases Pediatrics Emergency Department 72

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 Outcomes Infectious Diseases 52

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 65

Sepsis Fluid Resuscitation Resuscitation Shock 65

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