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 152

Hyperthermia / Hypothermia Emergency Department Seizures Pediatrics 152

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

JANUARY 25, 2025

PCP Pneumonia, Sepsis) can be discharged with initiation of Antiretroviral Therapy in consultation with Infectious Disease (ID) physician with full ID evaluation outpatient. 0000000000000305 Kazumi Y (2023) The Epidemiology and Outcomes of Leukopenia in Different Populations and Regions. Updated 2023 Aug 23]. Gedefie, A.,

EMS 67

EMS Infectious Diseases Allergic Reactions Fluid Resuscitation 67

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

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 161

CDC Seizures Pediatrics EMS 161

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

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 Administration Emergency Department 98

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 102

Infectious Diseases Emergency Department Administration Academics 102

ALiEM

DECEMBER 20, 2024

Red Book: 2015 Report of the Committee on Infectious Diseases. 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 American Academy of Pediatrics: Herpes simplex.

Infectious Diseases 64

Infectious Diseases Pediatrics Academics Emergency Department 64

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 71

Telemedicine Infectious Diseases Emergency Department Pediatrics 71

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 169

Ultrasounds Pediatrics Operations Hospitals 169

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

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

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

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

RebelEM

OCTOBER 26, 2023

Funding: The National Institute of Allergy and Infectious Diseases, Division of Microbiology and Infectious Diseases funded the study. Accessed 24 October, 2023. Trial Registration: ClinicalTrials.gov: NCT01595529 Population: Inclusion Criteria: Children aged 2 months to 10 years. Diagnosed with UTI. Pediatrics.

Pediatrics 81

Pediatrics Infectious Diseases Outcomes Research 81

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 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 86

Emergency Department Pediatrics Administration Wellness 86

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

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 PPE Documentation/Coding Wellness 52

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

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 Administration 52

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

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.

Pediatrics 52

Pediatrics Rapid Diagnostic Testing Dehydration Outcomes 52

Don't Forget the Bubbles

FEBRUARY 28, 2024

2023; doi: 10.1159/000531034. European Journal of clinical microbiology and infectious diseases. 2023; doi: 10.1159/000531034. Vogel C, Wetzel L, Wutzler P, Gruhn B. Treatment with brivudine in immunocompromised pediatric patients with herpes zoster. Chemotherapy. What did they look at? 1995; 14(4): 318–329. Chemotherapy.

Pediatrics 59

Pediatrics Infectious Diseases Outcomes Research 59

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

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

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 67

EMS Ultrasounds Emergency Department Infectious Diseases 67

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.

Academics 56

Academics Documentation/Coding 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.

Academics 64

Academics Documentation/Coding Emergency Department Hospitals 64

ALiEM

DECEMBER 16, 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. Oral Maxillofac Surg. 2009 Jun;13(2):115-7. doi: 10.1007/s10006-009-0155-7. PMID: 19352731.

Pediatrics 52

Pediatrics Academics Wellness Infectious Diseases 52

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

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 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

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 74

Seizures Shock Infectious Diseases CPR 74

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 269

Infectious Diseases CDC Pediatrics Fractures 269