Pediatric EM Morsels

NOVEMBER 3, 2023

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 278

Seizures Pediatrics CDC Infectious Diseases 278

Don't Forget the Bubbles

MARCH 4, 2024

This was a secondary outcome embedded in the Travel Fever study – a multi-centre, retrospective diagnostic accuracy study for imported malaria. This compared the reference test (standard microscopy) with the index test (standard rapid diagnostic test (RDT)). doi: 10.1136/emermed-2022-212931.

Hospitals 78

Hospitals Sepsis Fractures Emergency Department 78

EMDocs

MARCH 11, 2024

Laboratory testing was not immediately available. The clinical picture of this patient was consistent with hypovolemic shock secondary to acute cholera infection. 16 In resource-constrained settings, rapid diagnostic tests (RDTs) on stool samples offer a viable option. Published online November 14, 2022.

Dehydration 90

Dehydration CDC Rapid Diagnostic Testing Fluid Resuscitation 90

EMDocs

JANUARY 6, 2025

Surgical wound debridement and dressing are performed and the malaria rapid diagnostic test (MRDT) is noted to be positive. Based on available hospital resources, the patient is treated for septic shock secondary to pneumonia and an infected wound using broad-spectrum antibiotics and IV crystalloid fluids.

Infectious Diseases 57

Infectious Diseases CDC PPE Rapid Diagnostic Testing 57