Pediatric EM Morsels

DECEMBER 20, 2024

pneumoniae re-emgerged in 2023 after the COVID pandemic. Mycoplasma Pneumonia: Epidemiology According to the CDC , infections from Mycoplasma pneumnoniae have increased in the US, especially in young children. After a prolonged period of low incidence , M.

CDC 164

CDC Seizures Pediatrics EMS 164

EMDocs

APRIL 20, 2024

Spoon Feed This external validation compared the 2023 Duke-International Society for Cardiovascular Infectious Diseases Diagnostic (ISCVID) Criteria against various other criteria for diagnosing infective endocarditis (IE) and found the 2023 Duke-ISCVID Criteria had the best test characteristics. Epub 2023 Sep 19. #3:

Infectious Diseases 98

Infectious Diseases Pediatrics Resuscitation Hospitals 98

Don't Forget the Bubbles

AUGUST 19, 2024

Accessed Jul 1, 2023. Accessed Jul 2, 2023. 2023 Feb 9:e202201449. Accessed Jul 2, 2023. Clinical Practice Guideline by the Pediatric Infectious Diseases Society and the Infectious Diseases Society of America: 2021 Guideline on Diagnosis and Management of Acute Hematogenous Osteomyelitis in Pediatrics.

Infectious Diseases 104

Infectious Diseases Pediatrics Emergency Department Hospitals 104

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

PEMBlog

OCTOBER 18, 2023

The patient was ultimately discharged on a seven-day total course of cephalexin per Pediatric Infectious Disease recommendations. Exanthematous disease induced by toxic shock syndrome toxin 1 in the early neonatal period. Neonatal Toxic Shock Syndrome-Like Exanthematous Disease in North America. 2023; 40( 2): 349- 351.

Infectious Diseases 59

Infectious Diseases Shock Pediatrics Wellness 59

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%. 2023 UK Government. have completed their preschool DTaP/IPV booster.

Infectious Diseases 59

Infectious Diseases Documentation/Coding Pediatrics CDC 59

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

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 101

Infectious Diseases Pediatrics Telemedicine Leadership 101

ALiEM

DECEMBER 3, 2024

[Updated 2023 Jul 31]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. link] 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. In: StatPearls [Internet].

Academics 60

Academics Emergency Department Infectious Diseases 60

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.

Hyperthermia / Hypothermia 154

Hyperthermia / Hypothermia Emergency Department Seizures Pediatrics 154

JournalFeed

APRIL 13, 2024

Wednesday Spoon Feed : This external validation compared the 2023 Duke-International Society for Cardiovascular Infectious Diseases Diagnostic (ISCVID) Criteria against various other criteria for diagnosing infective endocarditis (IE) and found the 2023 Duke-ISCVID Criteria had the best test characteristics.

Infectious Diseases 52

Infectious Diseases 52

EMDocs

APRIL 27, 2024

Infectious diseases , 4 (1), 34–39. Infectious diseases, 4(1), 34–39. Updated 2023 Apr 8]. Updated 2023 Apr 8]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. and Staphylococcus spp. 2 F ungal involvement (usually Aspergillus fumigatus ), especially in immunocompromised patients.

EMS 105

EMS Infectious Diseases Radiology Radiology 105

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 89

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

PEMBlog

MARCH 4, 2025

After a lull during the COVID 19 pandemic, cases reemerged in 2023 and continued to climb into 2024. It binds to the epithelial cells in the upper and lower respiratory tract, triggering an immune response that leads to mucosal damage, increased mucus production, and impaired gas exchange.

Pediatrics 94

Pediatrics Military CDC Hospitals 94

PEMBlog

JANUARY 21, 2025

Updated 2023 Jan 23]. Updated 2023 Jun 20]. Features, Evaluation, and Treatment of Coronavirus (COVID-19) [Updated 2023 Aug 18]. References Boktor SW, Hafner JW. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-.Available Available from: [link] Jain H, Schweitzer JW, Justice NA.

Rapid Diagnostic Testing 52

Rapid Diagnostic Testing Pediatrics Dehydration Outcomes 52

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 Seizures Hospitals 130

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

Infectious Diseases Sepsis Emergency Department Administration 98

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

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 73

Telemedicine Infectious Diseases Emergency Department Pediatrics 73

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

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

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.

Ultrasounds 173

Ultrasounds Pediatrics Operations Hospitals 173

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

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

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

EM Literature of Note

SEPTEMBER 13, 2024

since August 2023. These authors compare the burden of lower respiratory tract infections and bronchiolitis admissions at 15 pediatric emergency departments across 2018 to 2024, with 2023-24 being the first season where nirsevimab was in wide usage.

Emergency Department 87

Emergency Department Pediatrics Administration Wellness 87

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 77

CPR EMS Hospitals Infectious Diseases 77

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

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

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 96

EMS Ultrasounds Emergency Department Infectious Diseases 96

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 Documentation/Coding Hospitals Emergency Department 52

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

ALiEM

SEPTEMBER 20, 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. J Clin Microbiol. 1985 Aug;22(2):245-9. doi: 10.1128/jcm.22.2.245-249.1985. 22.2.245-249.1985. PMID: 4031037; PMCID: PMC268368.

Academics 70

Academics Emergency Department Infectious Diseases 70

Don't Forget the Bubbles

MARCH 4, 2024

The task force (Society of Critical Care Medicine) was made up of paediatric experts in critical care, emergency medicine, infectious diseases, general paediatrics, nursing, and public health from six continents. 2023 Nov; doi:10.1016/j.annemergmed.2023.10.008 2023 Oct 2;6(10). Annals of Emergency Medicine. 2023.37810.

Hospitals 78

Hospitals Sepsis Fractures Emergency Department 78

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

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 98

Seizures Shock Infectious Diseases CPR 98

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.

Academics 64

Academics Documentation/Coding Emergency Department Hospitals 64