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Travel-Related Illnesses in Children

Pediatric EM Morsels

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. 2022 Jun:56:113-116.

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SGEM#468: Wide Open Monocytes – Using MDW to Diagnose Sepsis

The Skeptics' Guide to EM

Monocyte distribution width (MDW) as a screening tool for early detecting sepsis: a systematic review and meta-analysis. Clinical Chemistry and Laboratory Medicine 2022; 60(5):786-792 Clin Chem Lab Med. Background: Rapid and accurate diagnosis of sepsis is critical, as early intervention can significantly reduce patient mortality.

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2023 Critical Care Year in Review (Part 1)

PulmCCM

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. Either approach in severe sepsis with shock seems reasonable.

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EM@3AM: Leukopenia

EMDocs

PCP Pneumonia, Sepsis) can be discharged with initiation of Antiretroviral Therapy in consultation with Infectious Disease (ID) physician with full ID evaluation outpatient. General approach to infectious diseases evaluation. A Rational Approach to Clinical Infectious Diseases. 101,33 (2022): e30116.

EMS 80
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EM@3AM: Kawasaki Disease

EMDocs

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.

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The Latest in Critical Care, 10/30/23 (Issue #18)

PulmCCM

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).

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Issue #5: The Latest in Critical Care, 6/19/23

PulmCCM

That was in NEJM Aug 18 2022. Read in Lancet Infectious Diseases Severe hypothyroidism, although rare, may be under-recognized in the ICU and lead to worse outcomes during critical illness, authors of a case series argue. Sepsis was a main trigger, and hypothermia and shock were as common (>50%) as coma. and FT4 (0-7.8