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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.

Seizures 281
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Post-Tonsillectomy Hemorrhage: A Three-Pronged Approach

ACEP Now

Secondary hemorrhage occurs between days five and 14 post-operatively, peaking around days five to seven. The literature suggests that approximately 85 percent of these cases require procedural source control in the operating room, highlighting the importance of expediting transport arrangements. 2022 ;279(3):1601-1607.

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Congenital Pulmonary Airway Malformation (CPAM)

Pediatric EM Morsels

I know we already know this, but it especially true when you are talking about trying to obtain images on a wiggling fetus somewhere around the size of a banana. PMID: 28050458 Salerno M, Sessa F, Cocimano G, Roccuzzo S, Esposito M, Pomara C. Congenital Cystic Adenomatoid Malformation (CCAM) Type II: A Rare Case of Sudden Infant Death.

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Post-Tonsillectomy Hemorrhage: ReBaked Morsel

Pediatric EM Morsels

4-17% will rebleed No difference in rebleed rate between those that are treated operatively and those that are observed On average, the second bleed occurs 3-4 days after the first bleed Some bleeds are considered “ delayed post-tonsillectomy hemorrhage ” and can occur over 14 days after tonsillectomy. 2022 Sep-Oct;43(5):103582.

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Contrast Media Shortage of 2022 – Lessons Learned

EMDocs

” – Musings of an American ED resident in July 2022 when US healthcare was affected simultaneously by supply chain issues from GE Healthcare (contrast media) and Abbott Laboratories (Similac baby formula). Under standard operating protocols, residual contrast materials are usually wasted, according to current CDC and JC standards.

Radiology 101
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Elbow Dislocations

RebelEM

2022 Aug 2. Acute elbow dislocation: evaluation and management. J Am Acad Orthop Surg. 1998 Jan-Feb;6(1):15-23. doi: 10.5435/00124635-199801000-00002. PMID: 9692937 Decker N, Norse A. Anterior Elbow Dislocation. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan–. Simple elbow dislocation. Shoulder Elbow.

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Lung Abscess in Children

Pediatric EM Morsels

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.