Pediatric EM Morsels

MARCH 1, 2024

Chest CT Demonstrates parenchymal disease better Allows for operative planning (if needed) Lung Abscess in Children: Management Rarity of the condition affects what is known (no randomized control trials on therapeutic options). 2022 Jul;92(7-8):1850-1855. Epub 2022 Jun 9. PMID: 38206051. ANZ J Surg. doi: 10.1111/ans.17844.

Ultrasounds 173

Ultrasounds Pediatrics Operations Hospitals 173

Don't Forget the Bubbles

JANUARY 15, 2024

Scabies is one of the world’s top 50 infectious diseases , and we thought it deserved the chance to shine. Its impact exceeds that of diseases like dengue fever. . Prevalence of scabies worldwide–an updated systematic literature review in 2022. Scratching the itch: is scabies a truly neglected disease?

Infectious Diseases 101

Infectious Diseases Pediatrics Telemedicine Leadership 101

Broome Docs

DECEMBER 9, 2023

2022 Nov;63(5):645-650. Epub 2022 Oct 12. 2022 Oct 25;7(1):e000886. doi: 10.1136/tsaco-2022-000886. Antibiotic Myths for the Infectious Diseases Clinician. PMID: 32303736 Briggs B, Kalra S, Panacek E. Risk of Radiation Exposure to Emergency Department Personnel From Portable Radiographs. J Emerg Med.

Infectious Diseases 114

Infectious Diseases Emergency Department Stroke Pediatrics 114

Don't Forget the Bubbles

DECEMBER 16, 2024

This contributed to a sharp increase in cases of both diseases in 2024. A review of child deaths in England and Wales from 2019 to 2022 revealed that delayed or missed vaccinations were a contributing factor in 3% of cases. European Centre for Disease Prevention and Control. 2010;375(9716):2134-45. Measles facts [Internet].

Infectious Diseases 59

Infectious Diseases Documentation/Coding Pediatrics CDC 59

Pediatric EM Morsels

AUGUST 2, 2024

Balanitis and Balanoposthitis – Basics Terminology [Assim 2022, Dynamedex 2024, Perkins 2024] Balanitis – Inflammation of the glans penis Posthitis – Inflammation of the foreskin (prepuce) Balanoposthitis – Inflammation of both (ouch!)

Pediatrics 154

Pediatrics Allergic Reactions EMS Infectious Diseases 154

Pediatric EM Morsels

AUGUST 9, 2024

Early Congenital Syphilis Present before 2 years of age [ Hussain, 2023 ; Foles, 2024; Fang, 2022; Morrisroe, 2021 ] Only ~33% of newborns present with symptoms at birth and can be subtle. Congenital Syphilis Epidemiology, Prevention, and Management in the United States: A 2022 Update. 2022 Dec 27;14(12):e33009. PMID: 37604180.

Hyperthermia / Hypothermia 154

Hyperthermia / Hypothermia Emergency Department Seizures Pediatrics 154

EMDocs

JULY 1, 2023

UpToDate;2022. Accessed December 31, 2022. Kawasaki disease: a comprehensive review. link] Clinical Practice Guidelines: Kawasaki Disease. Accessed December 31, 2022. Kawasaki disease: clinical features and diagnosis. Kawasaki disease: clinical features and diagnosis. UpToDate;2022.

EMS 94

EMS Infectious Diseases Pediatrics Research 94

Pediatric EM Morsels

AUGUST 18, 2023

Morley 2022) This myth is: BUSTED. BMC Infectious Disease. Symptoms resolved within 24 hours of withdrawal of the medication. This is the 8 th case report which has identified fluoroquinolone-associated peripheral neuropathy in a child. PMID: 29471791 Morley C, Carvalho de Almeida C, Moloney S. Pediatr Infect Dis J.

Pediatrics 130

Pediatrics Infectious Diseases Seizures Hospitals 130

PulmCCM

DECEMBER 11, 2023

Sepsis, infectious disease Managing septic shock with a restrictive-fluids approach (preferentially using vasopressors after a single liter crystalloid bolus) led to similar outcomes as the usual practice of bolusing large volumes of fluids first. I hope you continue to find it valuable. Wishing you all a safe and happy holiday season!

Sepsis 94

Sepsis Stroke Shock Infectious Diseases 94

Pediatric EM Morsels

AUGUST 11, 2023

2022 Sep;68(9):661-663. Coli Proteus species Non-Abscess infection: Staphylococcus aures = the most common Pseudomonas aeruginosa and others still may be seen Perichondritis of the Ear: Presentation Redness , Pain , and Swelling of the pinna Typically spares the lobule ! References: Kim MM, Goldman RD. Can Fam Physician. doi: 10.46747/cfp.6809661.

Burns 130

Burns Pediatrics EMS Outcomes 130

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

Taming the SRU

AUGUST 30, 2023

Spinal Infection: According to the Infectious Disease Society of America’s (IDSA) 2015 guidelines for native vertebral osteomyelitis, CRP and ESR in the setting of protracted back pain have sensitivities ranging from 94 to 100% for ruling out infection and malignancy in these patients. 2022 Jul 11;11(14):2163. doi: 10.1097/MD.0000000000023315.

Infectious Diseases 89

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

PEMBlog

DECEMBER 7, 2023

Updated 2022 Jul 18]. So I guess send him outside. of note – pityriasis rosea during the first trimester of pregnancy can be dangerous and may cause premature delivery and/or fetal demise. References Litchman G, Nair PA, Le JK. Pityriasis Rosea. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-.

Infectious Diseases 125

Infectious Diseases 125

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. Guest Skeptic: Dr. Marisu Rueda-Altez is a pediatric infectious disease fellow at Children’s National Hospital in Washington, DC. JAMA Pediatr. JAMA Pediatr. Would he benefit from that too?”

Pediatrics 40

Pediatrics Infectious Diseases Administration Outcomes 40

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. Among 475 patients with ARDS due to Covid-19, randomized within 5 days of ventilation to receive convalescent plasma or usual care (i.e.,

Blood Transfusions 98

Blood Transfusions Operations Resuscitation Infectious Diseases 98

American Medical Compliance

JUNE 16, 2023

Besides the physical trauma, these incidents may lead to the transmission of infectious diseases, potentially affecting both their personal and professional lives. Reference CDC (17 October 2022). The consequences of needlestick infections can be severe and life-altering for healthcare workers.

CDC 52

CDC Infectious Diseases Wellness 52

American Medical Compliance

FEBRUARY 2, 2024

COVID-19 Prevention Requirements The Occupational Safety and Health Standards Board decided to approve COVID-19 preventative standards that are not emergency measures on December 15, 2022. These regulations went into effect on February 3, 2023.

Infectious Diseases 52

Infectious Diseases Documentation/Coding PPE Wellness 52

American Medical Compliance

AUGUST 8, 2022

Learn how to keep your staff safe from infectious diseases like monkeypox by taking AMC’s “Infection Control Training for Healthcare Providers” course. NPR (2022, July 24). American Medical Compliance (AMC) is a leader in the industry for compliance, Billing, and HR solutions. References.

CDC 52

CDC Infectious Diseases Research 52

EMDocs

JUNE 17, 2023

The Pediatric Infectious Disease Journal. Rosh Review Website Link Further FOAMed [link] [link] [link] References Baiu I, Melendez E. Periorbital and Orbital Cellulitis. 2020;323(2):196-196. doi:10.1001/jama.2019.18211 2019.18211 Bae C, Bourget D. Periorbital Cellulitis. StatPearls. link] Cürebal B, Şahin A, Dalgıç N.

EMS 97

EMS Infectious Diseases Pediatrics Emergency Department 97

ACEP Now

AUGUST 11, 2024

National Center for Emerging and Zoonotic Infectious Diseases. Centers for Disease Control and Prevention. Updated March 30, 2022. World Health Organization. Published November 2020. Accessed July 15, 2024. Food poisoning from seafood. Accessed July 15, 2024. Friedman MA, Fleming LE, Fernandez M, et al.

Poisoning 52

Poisoning Infectious Diseases EKG/ECG Emergency Department 52

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. 2022 Jul;131:102855.

Academics 56

Academics Documentation/Coding Emergency Department Hospitals 56

Sensible Medicine

JUNE 6, 2023

In late 2022 we learned that a large RCT found that the monoclonal lecanemab appeared to slow progression in AD. But despite that, you don’t want to find that you are the one arguing that amoxicillin directly promotes mucosal healing in the stomach as a way to discount the ever-growing body of evidence that PUD is an infectious disease.

Outcomes 96

Outcomes Infectious Diseases Research Academics 96

Don't Forget the Bubbles

SEPTEMBER 27, 2023

Rapid syndromic testing for respiratory viral infections in children attending the emergency department during COVID-19 pandemic in Lille, France, 2021-2022. 2022 Aug;153:105221. Pediatrics. 2022;149(2):e2020042366 Ouafi M, Dubos F, Engelman I, Lazrek M, Guigon A, Bocket L, Hober D, Alidjinou EK. J Clin Virol. doi: 10.1016/j.jcv.2022.105221.

Emergency Department 84

Emergency Department Pediatrics Point-of-Care Testing Hospitals 84

Don't Forget the Bubbles

JANUARY 22, 2024

Don’t Forget the Bubbles, 2022 Levinson W, Kallewaard M, Bhatia RS, et al. 2022 Sep 13;10:945540. Archives of Disease in Childhood 2020;105:A86-A87. 2019 ;367:l6317. link] Kene Maduemem, Anand Kanani. Choosing Wisely: My liver is fine – QIClearn Kene Maduemem. Shared Decision Making. BMJ Qual Saf. 2015 ;24(2):167-74.

Emergency Department 90

Emergency Department Best Practices Radiology Radiology 90

Don't Forget the Bubbles

FEBRUARY 28, 2024

2022; 11:595478. 2022; 14(2):192. European Journal of clinical microbiology and infectious diseases. Different Clinical Presentations and Outcomes of Disseminated Varicella in Children With Primary and Acquired Immunodeficiencies. Frontier Immunology. Patil A, Goldust M, Wollina U. 1995; 14(4): 318–329. Chemotherapy.

Pediatrics 59

Pediatrics Infectious Diseases Outcomes Research 59

Don't Forget the Bubbles

MARCH 4, 2024

The task force (Society of Critical Care Medicine) was made up of paediatric experts in critical care, emergency medicine, infectious diseases, general paediatrics, nursing, and public health from six continents. doi: 10.1136/emermed-2022-212931. It was then reviewed by an international group of experts. Emerg Med J.

Hospitals 78

Hospitals Sepsis Fractures Emergency Department 78

ACEP Now

MAY 9, 2024

Similarly elevated rates of error, and related harms, are associated with other serious vascular, infectious disease, and cancer-related diagnoses, as well. Rockville (MD): Agency for Healthcare Research and Quality (US); 2022 Dec. References Newman-Toker DE, Peterson SM, Badihian S, et al. Comparative Effectiveness Review, No.

Emergency Department 52

Emergency Department Research Infectious Diseases Hospitals 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

ALiEM

AUGUST 14, 2023

2022] Copyright Images and cases from the Society of Academic Emergency Medicine (SAEM) Clinical Images Exhibit at the 2021 SAEM Annual Meeting | Copyrighted by SAEM 2021 – all rights reserved. West J Emerg Med. 2012 Dec;13(6):499-500. Scleszka Laura, Swan Tricia. October 9, 2020. Can Urine Color Guide Management? online] EMRA.

Academics 52

Academics Wellness Infectious Diseases 52

ALiEM

MAY 13, 2024

2022 Feb 1;38(2):e674-e677. 2022 Jan;79(1):90. Learn More… PEM POCUS Series Ultrasound for the Win Series References Tay ET, Ngai KM, Tsung JW, Sanders JE. Point-of-Care Ultrasound on Management of Cellulitis Versus Local Angioedema in the Pediatric Emergency Department. Pediatr Emerg Care. doi: 10.1097/PEC.0000000000002416.

Ultrasounds 64

Ultrasounds Pediatrics Emergency Department Wellness 64

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

Pediatric Education

MAY 14, 2023

A review can be found here Related Cases Disease: Croup | Throat Disorders | Lung Diseases Symptom/Presentation: Cough | Respiratory Distress | Stridor Specialty: Critical Care | Allergy / Pulmonary Diseases | Infectious Diseases Age: Infant To Learn More To view pediatric review articles on this topic from the past year check PubMed.

Pediatrics 40

Pediatrics Infectious Diseases Burns Wellness 40

ALiEM

AUGUST 21, 2023

Accessed November 30, 2022. References Ritter K, Fitch R. Tenosynovitis. In: Knoop KJ, Stack LB, Storrow AB, Thurman R. The Atlas of Emergency Medicine, 5e. McGraw Hill; 2021. link] Hyatt MT, Bagg MR. Flexor Tenosynovitis. OrthopClin N Am 2017;48:217-27. Pang HN, Teoh LC, Yam AKT, Lee JYL, Puhaindran ME, Tan ABH.

Academics 52

Academics Outcomes Hospitals Wellness 52

PEMBlog

AUGUST 30, 2023

2022 Jan 1;149(1):e2021051405. 2007;150(4):429-433. PMID: 17382126. 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. PMID: 34845493 Florin TA, Carron H, Huang G, Shah SS, Ruddy R, Ambroggio L.

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). 2022 Jul;3(7):543-548. BJO-2022-0026.R1. Southampton (UK): National Institute for Health and Care Research; 2022 Nov. Bone Jt Open.

EMS 98

EMS Dislocations Fractures Operations 98

EMDocs

JULY 15, 2023

Updated 2022 Aug 8]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Infectious Diseases Society of America. Practice guidelines for the diagnosis and management of skin and soft tissue infections: 2014 update by the Infectious Diseases Society of America. Cellulitis and Abscess. Erysipelas.

EMS 94

EMS Infectious Diseases Shock Ultrasounds 94

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. Published 2022 Jun 4. 13 Cefepime 2 g or Piperacillin-Tazobactam 4.5 doi:10.1034/j.1399-0012.1999.130307.x

EMS 91

EMS Infectious Diseases Shock Emergency Department 91