Don't Forget the Bubbles

DECEMBER 16, 2024

A Decline in Vaccination Coverage: A Global Issue In 2023, the World Health Organisation (WHO) reported that worldwide immunization rates for key vaccines, including the diphtheria-tetanus-pertussis (DTP3) series, had dropped to 84% from pre-pandemic rates of 86%. have completed their preschool DTaP/IPV booster.

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PEMBlog

MARCH 4, 2025

Transcript Note: This transcript was partially completed with the use of the Descript AI Welcome to PEMCurrents, the Pediatric Emergency Medicine Podcast. As always, I’m your host, Brad Sobolewski, and today we’re focusing on a pathogen that has been making waves in pediatric emergency departments across the country.

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EMDocs

APRIL 27, 2024

A 67-year-old man with a history of hypertension and diabetes presents to the emergency department with right ear pain for 2 weeks. Infectious diseases , 4 (1), 34–39. Infectious diseases, 4(1), 34–39. Updated 2023 Apr 8]. Updated 2023 Apr 8]. and Staphylococcus spp. The Lancet. The Lancet.

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EM Literature of Note

SEPTEMBER 13, 2024

These are each awful, of course, in their own way from a patient- and parent-oriented standpoint, but they’re also quite awful at the population level, overburdening limited pediatric and emergency department resources. since August 2023. RSV, in particular, is a vicious scourge of young and vulnerable infants.

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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. A weak recommendation based on very low quality evidence was made for using CRP to guide diagnosis and treatment.

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

ACEP Now

MAY 10, 2024

In their recent 2023 guidelines, the European Association of Urology gives a strong recommendation against urine testing in most asymptomatic patient populations, including women with well controlled diabetes, post-menopausal woman, nursing home patients and even patients with renal transplants. Published online 2023.

Infectious Diseases 98

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The Skeptics' Guide to EM

JUNE 10, 2023

Date: June 6th, 2023 Reference: Pines, Raja, Bellollo and Carpenter. Jesse Pines is the Chief Clinical Innovation at US Acute Care Solutions and a Clinical Professor and George Washington University and Professor of Emergency Medicine at Drexel University. Date: June 6th, 2023 Reference: Pines, Raja, Bellollo and Carpenter.

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ACEP Now

FEBRUARY 11, 2024

A 25-year-old Venezuelan male presented to a Chicago area emergency department (ED) in early November 2023. There was concern for possible cutaneous leishmaniasis (CL), therefore he was admitted to the hospital for infectious-disease and surgical consultations, as well as to complete a punch biopsy the following day.

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EMDocs

NOVEMBER 4, 2023

Accessed April 26, 2023. aureus infections among patients in the emergency department. Skin and Soft Tissue Infections in the Emergency Department. Emerg Med Clin North Am. Clinical Infectious Disease. Accessed May 2, 2023. Managing a Cutaneous Abscess in the Emergency Department.

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ACEP Now

MARCH 6, 2024

The Sisyphean task remains to try to keep up—and, in that vein—here is a light round of the emergency medicine literature from 2023. 7 The operators involved in the trial were mostly emergency medicine residents or critical care fellows, but this fact does not diminish the generalizability of these observations. percent to 38.3

Research 52

Research Airway Management Stroke Outcomes 52

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. Paediatr Int Child Health. 2024 Jan 11:1-7.

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The Skeptics' Guide to EM

MARCH 18, 2023

Date: February 27, 2023 Reference: Walsh PS, Schnadower D, Zhang Y, Ramgopal S, Shah SS, Wilson PM. Guest Skeptic: Dr. Marisu Rueda-Altez is a pediatric infectious disease fellow at Children’s National Hospital in Washington, DC. Date: February 27, 2023 Reference: Walsh PS, Schnadower D, Zhang Y, Ramgopal S, Shah SS, Wilson PM.

Pediatrics 40

Pediatrics Infectious Diseases Administration Outcomes 40

ALiEM

SEPTEMBER 20, 2024

A 50-year-old male with insulin-dependent Type 2 Diabetes presented to the emergency department with three days of pain and swelling on the right side of his neck. He endorsed progression of his symptoms, reporting that he was now having fevers, myalgias, and intermittent difficulty swallowing solid foods. J Clin Microbiol.

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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. Accessed July 17, 2023. SpO2 is 88%. Hosp Pediatr. 2021;11(1):e1-e5.

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ALiEM

JANUARY 22, 2024

A 40-year-old male, tailor by occupation, was brought to the Emergency Department with complaints of high-grade fever for the past 11 days. Copyright Images and cases from the Society of Academic Emergency Medicine (SAEM) Clinical Images Exhibit at the 2023 SAEM Annual Meeting | Copyrighted by SAEM 2023 – all rights reserved.

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ACEP Now

OCTOBER 26, 2023

The Case A two-year-old female, seen three days ago at different local emergency department (ED)—Children’s General—presents with fever, headache, and neck pain. Accessed October 9, 2023. Accessed October 9, 2023. DR. TALAN is professor of emergency medicine and infectious diseases at UCLA.

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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). Radecki (@emlitofnote) i s an emergency physician and informatician with Christchurch Hospital in Christchurch, New Zealand. Ann Emerg Med.

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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. 2023 Feb;37(3):383-385. References Abdelaal A, Serhan HA, Mahmoud MA, Rodriguez-Morales AJ, Sah R.

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ALiEM

OCTOBER 16, 2023

An otherwise healthy 34-year-old male presented to the Emergency Department with two weeks of anterior neck pain. Copyright Images and cases from the Society of Academic Emergency Medicine (SAEM) Clinical Images Exhibit at the 2023 SAEM Annual Meeting | Copyrighted by SAEM 2023 – all rights reserved.

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RebelEM

AUGUST 3, 2023

JAMA Intern Med 2023. JAMA Intern Med 2023. Paper: Copaescu AM et al. Efficacy of a Clinical Decision Rule to Enable Direct Oral Challenge in Patients With Low-Risk Penicillin Allergy: The PALACE Randomized Trial. References: Copaescu AM et al.

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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). 9,23 Disposition: Dislocation : If successfully reduced in the emergency department may discharge with strict mobility restrictions and Orthopedic follow up.

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EMDocs

OCTOBER 5, 2024

A 62-year-old female patient with a history of recurrent urinary tract infections (UTIs) presents to the emergency department with fever, chills, and dysuria. Consider Infectious Disease consultation prior to any potential discharges. The Lancet Infectious Diseases. Updated 2023 Nov 12].

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EMS Infectious Diseases Sepsis Hospitals 97

EMDocs

JULY 15, 2023

Retrieved March 2, 2023, from [link] Levine, B. essay, Emergency Medicine Residents’ Association. 2023, February 14). Retrieved March 2, 2023, from [link] Smith, J. Retrieved March 2, 2023, from [link] Smith, J. Retrieved March 2, 2023, from [link] Spelman, D. Accessed March 14, 2023.

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EMDocs

DECEMBER 18, 2023

1 The rationale for the shift away from normal saline in 2021 derived from multiple trials, including the Isotonic Solutions and Major Adverse Renal Events Trial (SMART) and Saline Against Lactated Ringer’s or Plasma-Lyte in the Emergency Department (SALT ED). Procalcitonin and sepsis in the Emergency Department: an update.

Sepsis 91

Sepsis Fluid Resuscitation Resuscitation Shock 91

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. This is particularly true for vulnerable adolescents.

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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. Available: [link] Accessed 15 Apr 2023. (5) 2016 Dec;115(6):317-21. PMID: 29094869. (4)

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Infectious Diseases Emergency Department EMS Hospitals 58

Don't Forget the Bubbles

SEPTEMBER 18, 2023

This blog post aims to help familiarise you with some of the most common reasons for prescribing antibiotics in the paediatric emergency department. Antibiotic Use for Common Infections in Pediatric Emergency Departments: A Narrative Review. Antibiotics 2023, 12, 1092. cited 2023 Jan 3]. cited 2023 Jan 3].

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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 81

Pediatrics Infectious Diseases Outcomes Research 81

The Skeptics' Guide to EM

DECEMBER 2, 2023

JAMA July 2023 Date: October 17, 2023 Guest Skeptic: Dr. Alasdair Munro is a clinical research fellow specializing in pediatric infectious disease at the University of Southampton. Case: A 4-year-old girl presents to your emergency department (ED) with fever and nasal drainage.

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Pediatrics Infectious Diseases Emergency Department Research 140

Don't Forget the Bubbles

SEPTEMBER 18, 2024

Case 1 focuses on a case seen in the emergency department and explores the common parental query of a “weak immune system” in a young child who has had several recurrent upper respirator tract infections back-to-back but is otherwise well. A 3 year old boy is brought to emergency department and treated for viral induced wheeze.

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Emergency Department Wellness Infectious Diseases Pediatrics 98

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]. Accessed April 28, 2023. Clinical Infectious Diseases.

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EMDocs

FEBRUARY 8, 2025

Empiric treatment with voriconazole 6 mg/kg twice daily intravenously for 2 doses should be started immediately based on Infectious Disease Society of America (IDSA) guidelines. neoformans mortality: 41-61% (2023) 1,3 Invasive Cryptococcus spp. neoformans mortality: 41-61% (2023) 1,3 Invasive Cryptococcus spp.

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Infectious Diseases EMS COPD Research 72

ALiEM

DECEMBER 20, 2024

Red Book: 2015 Report of the Committee on Infectious Diseases. Eczema herpeticum: making the diagnosis in the emergency department. J Emerg Med. J Emerg Med. In: Kimberlin DW, Brady MT, Jackson MA, Long SS, eds. Elk Grove Village, IL: American Academy of Pediatrics; 2015:432445. 2011 Feb;40(2):167-9.

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ALiEM

DECEMBER 9, 2024

A 25-year-old female with no pertinent past medical history presented to an emergency department in Massachusetts with four days of generalized malaise, myalgias, congestion, low-grade fever, and a rash behind her left knee. The patient denied cough, shortness of breath, chest pain, abdominal pain, nausea, vomiting, and diarrhea.

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Emergency Department CDC EMS Academics 60

Don't Forget the Bubbles

SEPTEMBER 23, 2024

You are working in the paediatric emergency department of a busy District General Hospital. These centres have a close relationship with their patients, but this does not mean they may not turn up at your emergency department! BK virus infection, replication, and diseases in pediatric kidney transplantation.

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Pediatrics Fractures Dehydration Sepsis 52

Mind The Bleep

SEPTEMBER 17, 2024

Introduction Patients regularly present to the emergency department with animal bites. Clinical microbiology and infection: the official publication of the European Society of Clinical Microbiology and Infectious Diseases, 21 Suppl 2, S27–S32. The western journal of emergency medicine, 11(5), 435–441. Eftekari, S.

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Fractures Infectious Diseases Documentation/Coding Hospitals 52

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. 2023 Oct 20. 2023 Oct 16. 2023 Oct 16. 2023 Sep 23. 2023 Oct 31. 2023 Oct 31. 2023 Oct 30.

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