EM Ottawa

APRIL 4, 2024

This is also represented in the amount of literature that has been published on the use of PoCUS in 2023. In this post, Dr. Murray reviews 5 articles (with case examples and videos), […] The post Probing 2023: PoCUS Articles to Change Your Practice appeared first on EMOttawa Blog.

Ultrasounds 73

Ultrasounds Infectious Diseases COPD Shock 73

ALiEM

JUNE 5, 2023

Anthrax is a serious infectious disease caused by gram positive, rod shaped, bacteria known as Bacillus anthracis [1]. Patients suspected of having anthrax should have their disposition and treatment determined in conjunction with your Infectious Disease specialists and your state health department. Accessed May 1, 2023.

Infectious Diseases 102

Infectious Diseases CDC PPE Military 102

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.

Infectious Diseases 52

Infectious Diseases CDC Military Emergency Department 52

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. . Scratching the itch: is scabies a truly neglected disease? The Lancet Infectious Diseases. Ziehfreund, S. and Zink, A., 2017 Sep 20.

Infectious Diseases 97

Infectious Diseases Pediatrics Telemedicine Leadership 97

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. A Myriad of Infectious Disease Papers The use of steroids in severe sepsis remains challenging, primarily as proper patient selection is necessary to tease out those with the greatest likelihood of benefit.

Research 52

Research Airway Management Stroke Outcomes 52

Pediatric EM Morsels

AUGUST 9, 2024

Hussain, 2023 ] Leads to >300,000 perinatal deaths / year globally. Congenital syphilis differs from syphilis contracted by an “adult” in that: [ Hussain, 2023 ] T. Syphilis remains a very treatable disease , so early detection is important! Hussain, 2023 ] Excellent prognosis if treated early.

Emergency Department 152

Emergency Department Hyperthermia / Hypothermia Seizures Pediatrics 152

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

ACEP Now

JUNE 8, 2023

As a result, the 2019 guidelines from the Infectious Disease Society of America (IDSA) significantly rein in those patients who should receive empiric coverage for MRSA or P. An official clinical practice guideline of the American Thoracic Society and Infectious Diseases Society of America. Accessed May 13, 2023.

Infectious Diseases 59

Infectious Diseases Administration Hospitals Shock 59

American Medical Compliance

JULY 12, 2023

Advantages and Applications of Telehealth Telehealth offers numerous advantages, including convenience, expanded access to care, and reduced exposure to infectious diseases. Reference Healthcare Dive (6 July 2023). However, a recent study from Epic Systems Corp. Visit [link] for more information.

Wellness 52

Wellness Infectious Diseases 52

American Medical Compliance

FEBRUARY 2, 2024

These regulations went into effect on February 3, 2023. Use of the ATD Standard Cal/OSHA requires employers covered by the Aerosol Transmissible Disease (ATD) Standard (California Code of Regulations, Title 8, Section 5199) to protect employees from airborne infectious disease such as COVID-19 and pathogens transmitted by aerosols.

Infectious Diseases 52

Infectious Diseases Documentation/Coding PPE Wellness 52

The Skeptics' Guide to EM

JUNE 10, 2023

Date: June 6th, 2023 Reference: Pines, Raja, Bellollo and Carpenter. Date: June 6th, 2023 Reference: Pines, Raja, Bellollo and Carpenter. This includes chapters on pediatrics, geriatrics, cardiac, neurological, surgical, trauma, infectious disease, and other conditions.

Telemedicine 69

Telemedicine Infectious Diseases Emergency Department Pediatrics 69

Don't Forget the Bubbles

MARCH 18, 2024

2021 [cited 2023 Nov 30]. 2019 [cited 2023 Nov 30]. 2023 Aug 23 [cited 2023 Nov 30];151. 2016 Oct 10 [cited 2023 Nov 30];281(2):123–48. Clinical Infectious Diseases [Internet]. 2012 Mar 19 [cited 2023 Nov 30];55(1):33–41. Disease severity of Shiga toxin-producingE. Rch.org.au.

Dehydration 59

Dehydration Infectious Diseases Seizures Pediatrics 59

Pediatric EM Morsels

AUGUST 18, 2023

BMC Infectious Disease. PMID: 26407358 Meesters K, Mauel R, Dhont E, Walle JV, De Bruyne P. Systemic Fluoroquinolone Prescriptions for Hospitalized Children in Belgium, Results of a Multicenter Retrospective Drug Utilization Study. PMID: 29471791 Morley C, Carvalho de Almeida C, Moloney S.

Pediatrics 130

Pediatrics Infectious Diseases Hospitals Seizures 130

Pediatric Education

OCTOBER 8, 2023

The diagnosis of a healthy female was made who would be traveling to an area endemic for several infectious diseases. The pediatrician consulted the Centers for Disease Control website for vaccine recommendations for the Congo which indicated the need for malaria prophylaxis as well as Yellow Fever and Typhoid vaccine.

Infectious Diseases 40

Infectious Diseases Pediatrics Military Wellness 40

EM Ottawa

JULY 11, 2024

In Fall 2023, I was working an evening shift at a community hospital when we got a patch. A 3-year-old girl was being brought in by EMS with an out-of-hospital cardiac arrest. CPR was ongoing, and their ETA was 10 minutes. We prepared the ED for the patient’s arrival.

CPR 76

CPR EMS Hospitals Infectious Diseases 76

Taming the SRU

JUNE 12, 2023

Accessed April 28, 2023. Practice guidelines for the diagnosis and management of skin and soft tissue infections: 2014 update by the Infectious Diseases Society of America. Clinical Infectious Diseases. Accessed March 13, 2023. Let’s take a deeper dive into the evidence. To close or not to close?

Infectious Diseases 98

Infectious Diseases Emergency Department Administration Academics 98

ACEP Now

OCTOBER 26, 2023

Accessed October 9, 2023. Accessed October 9, 2023. DR. TALAN is professor of emergency medicine and infectious diseases at UCLA. TALAN is professor of emergency medicine and infectious diseases at UCLA. Published 2011. Permitted uses and disclosures: exchange for treatment. HHS website.

Infectious Diseases 52

Infectious Diseases Hospitals Documentation/Coding Administration 52

Pediatric Education

NOVEMBER 19, 2023

Related Cases Disease: Routine Infant Care Declination | Infant and Newborn Care Symptom/Presentation: Health Maintenance and Disease Prevention Specialty: Neonatology | Infectious Diseases | Obstetrics / Gynecology Age: Newborn To Learn More To view pediatric review articles on this topic from the past year check PubMed.

Infectious Diseases 40

Infectious Diseases Administration Pediatrics Wellness 40

Pediatric Education

OCTOBER 1, 2023

” Currently as of June 2023, there are 35 outbreak countries. Starting in May 2023, a targeted catch-up campaign for polio and measles, mumps and rubella is ongoing in the United Kingdom. List some common vaccine preventable diseases? Accessed June 26, 2023. Accessed June 27, 2023. Accessed June 27, 2023.

Infectious Diseases 40

Infectious Diseases Pediatrics Outcomes Wellness 40

Pediatric EM Morsels

MARCH 1, 2024

Patients with immunocompromised conditions are at risk of Fungal infections. A complicated primary lung abscess, may develop enough structural destruction that then allows for a secondary lung abscess to occur also.

Pediatrics 169

Pediatrics Ultrasounds Operations Hospitals 169

Pediatric EM Morsels

NOVEMBER 3, 2023

This allowed US hospitals to stock the drug to ensure quick treatment of suspected severe cases, rather than having to ship it from the CDC under the prior expanded-access protocol (Thomas 2023). falciparum parasitemia , and no other defined cause of AMS (WHO 2023). falciparum parasitemia , and no other defined cause of AMS (WHO 2023).

Seizures 277

Seizures Pediatrics CDC Infectious Diseases 277

Pediatric EM Morsels

JANUARY 19, 2024

CDC 2023] In 2021, there were over 2800 cases of congenital syphilis, tripled from 2017. CDC 2023] Pseudoparalysis of Parrot – Presentation and Exam Infant presents with lack of movement of one or both upper extremities, and will cry with palpation. Centers for Disease Control and Prevention. April 11, 2023.

Infectious Diseases 267

Infectious Diseases CDC Pediatrics Fractures 267

PEMBlog

DECEMBER 7, 2023

Treasure Island (FL): StatPearls Publishing; 2023 Jan-. 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. Updated 2022 Jul 18]. In: StatPearls [Internet].

Infectious Diseases 125

Infectious Diseases 125

ALiEM

MARCH 11, 2024

2023 Feb;37(3):383-385. 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. References Abdelaal A, Serhan HA, Mahmoud MA, Rodriguez-Morales AJ, Sah R. Eye (Lond). Epub 2022 Jul 27.

Documentation/Coding 56

Documentation/Coding Academics Emergency Department Hospitals 56

ALiEM

JANUARY 22, 2024

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. Epub 2011 Sep 12. PMID: 21911554; PMCID: PMC3193135. View other cases from this Clinical Image Series on ALiEM.

Documentation/Coding 64

Documentation/Coding Academics Emergency Department Hospitals 64

EMDocs

NOVEMBER 4, 2023

Accessed April 26, 2023. Clinical Infectious Disease. Accessed May 2, 2023. Radiographics. 2013;33(3):721-740. doi:10.1148/rg.333125158 333125158 Moore, S and Ryan Pedigo. Scrotal Abscess. In: Knoop KJ, Stack LB, Storrow AB, Thurman R. The Atlas of Emergency Medicine, 5e. McGraw Hill; 2021. Methicillin-resistant S.

EMS 68

EMS Ultrasounds Emergency Department Infectious Diseases 68

Pediatric Education

JULY 30, 2023

Related Cases Disease: HPV (Human Papilloma Virus) | Throat Disorders Symptom/Presentation: Health Maintenance and Disease Prevention | Hoarseness Specialty: Infectious Diseases | Otolaryngology Age: Preschooler To Learn More To view pediatric review articles on this topic from the past year check PubMed. J Laryngol Otol.

Infectious Diseases 40

Infectious Diseases Pediatrics Wellness 40

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. 2023 Mar-Apr;120(2):114-120. Kelen GD, Kaji AH; Consortium of societies of emergency medicine. Ann Emerg Med. 2023;82(3):336-340. Moffett P, Moore G. West J Emerg Med.

Research 52

Research Emergency Department Infectious Diseases Hospitals 52

Don't Forget the Bubbles

SEPTEMBER 18, 2023

Antibiotics 2023, 12, 1092. The 2020 Australian guideline for prevention, diagnosis and management of acute rheumatic fever and rheumatic heart disease. Randel A, Infectious Disease Society of America. cited 2023 Jan 3]. cited 2023 Jan 3]. 2006 [cited 2023 Jan 3];(2). cited 2023 Jan 5].

Emergency Department 142

Emergency Department Infectious Diseases Pediatrics Sepsis 142

ALiEM

OCTOBER 16, 2023

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. Lancet Infect Dis. 2012 Oct;12(10):808-15. doi: 10.1016/S1473-3099(12)70089-0. Epub 2012 May 25. PMID: 22633566.

Wellness 60

Wellness Academics Emergency Department Hospitals 60

Pediatric EM Morsels

OCTOBER 6, 2023

Post-COVID everyone seems to be posting the perfect picture of their travels to the far reaches of the world. While this is an exciting change, it allows transmission of illness to countries where they are not endemic. Recently, a pediatric patient presented to the ED who just returned from abroad with a gastroenteritis presentation.

Pediatrics 161

Pediatrics CDC Seizures Infectious Diseases 161

Taming the SRU

AUGUST 30, 2023

Specific Evidence: Septic arthritis: According to the European Journal of Bone and Joint Infection’s 2023 guidelines for septic arthritis of native joints (SANJO), no blood tests have adequate sensitivity or specificity to either diagnose or exclude SANJO. 2023 Feb 2;388(5):439-452. Updated 2023 Apr 24]. 2022 Jul 11;11(14):2163.

Infectious Diseases 81

Infectious Diseases Sepsis Emergency Department Point-of-Care Testing 81

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.

Sepsis 94

Sepsis Stroke Shock Infectious Diseases 94

Pediatric EM Morsels

AUGUST 11, 2023

This is the 601st Ped EM Morsel ! Having authored 575 ( well, now 576 ) of them, I am often quite convinced that there are no new topics to discuss. Then July happens and we get 14 more amazing interns who help educate me and remind me that there is always more to learn.

Burns 130

Burns Pediatrics EMS Outcomes 130

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 Outcomes 52

EMDocs

JANUARY 11, 2024

Author: Brit Long, MD (@long_brit) // Reviewed by Alex Koyfman, MD (@EMHighAK) The American Heart Association (AHA) and Neurocritical Care Society (NCS) released their 2023 Scientific Statement on the critical care management of post ROSC patients. 2023 Dec 1. Neurocrit Care. doi: 10.1007/s12028-023-01871-6. Epub ahead of print.

Seizures 75

Seizures Shock Infectious Diseases CPR 75

Don't Forget the Bubbles

SEPTEMBER 27, 2023

Accessed July 17, 2023. Decreasing respiratory viral testing in critically ill patients. Hosp Pediatr. 2021;11(1):e1-e5. Making Sense of Respiratory Viral Panel Results. Brennan-Krohn, Thea. American Society for Microbiology. Mattila S, Paalanne N, Honkila M, Pokka T, Tapiainen T. JAMA Netw Open. 2022;5(6):e2216162.

Emergency Department 84

Emergency Department Pediatrics Point-of-Care Testing Hospitals 84