RebelEM

OCTOBER 26, 2023

PMID: 37358858 Clinical Question: In children aged 2 months to 10 years who exhibit clinical improvement after 5 days of antimicrobial therapy for UTIs, is short-course (5 days) oral antimicrobial therapy as effective as standard-course (10 days) therapy in preventing treatment failure and related outcomes? Diagnosed with UTI.

Pediatrics 81

Pediatrics Infectious Diseases Outcomes Research 81

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

Taming the SRU

JUNE 12, 2023

Accessed April 28, 2023. Finally, a randomized-control trial found that prophylactic antibiotics for dog bite wounds did not statistically change infection outcomes and was not cost-effective, recommending that prophylactic antibiotics only be used in high-risk wounds [12]. Clinical Infectious Diseases. 2010;59(02):1-9.

Infectious Diseases 102

Infectious Diseases Emergency Department Administration Academics 102

Don't Forget the Bubbles

FEBRUARY 28, 2024

2023; doi: 10.1159/000531034. Outcomes were: (1) crusting of the lesions; then (2) complete healing of lesions -the end goal of treatment. Was the exposure and outcome accurately measured to minimise bias? There were no objective tests to confirm disease clearance. 2023; doi: 10.1159/000531034. Chemotherapy.

Pediatrics 59

Pediatrics Infectious Diseases Outcomes Research 59

Pediatric Education

OCTOBER 1, 2023

Despite this tremendously positive outcome, there still are continued threats against polio eradication. ” 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. Accessed June 26, 2023.

Infectious Diseases 40

Infectious Diseases Pediatrics Outcomes Wellness 40

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

Pediatric EM Morsels

AUGUST 11, 2023

Infections there become complicated very quickly and the outcomes can be very poor. Inpatient Vs Outpatient Therapy No standard approach… but… here is what I say: “ Always Fear Infections in the Hands, Feet, or Face.” ” Those areas have very important and delicate structures.

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 75

Seizures Shock Infectious Diseases CPR 75

EMDocs

OCTOBER 5, 2024

12 Complications Inadequate empiric therapy can lead to treatment delays and worse outcomes. Imipenem confers highest risk of seizures ESBL-E are often hospital acquired infections and can prolong hospital stay or lead to worse outcomes. Consider Infectious Disease consultation prior to any potential discharges.

EMS 74

EMS Infectious Diseases Sepsis Hospitals 74

EMDocs

NOVEMBER 16, 2024

13 Management: Dislocation As with all dislocation, early reduction improves outcomes. Infections For stable patients, obtain microbiologic samples prior to antibiotics (per the American Academy of Orthopedic surgery and The Infectious Diseases Society of America). Arthroplasty 5 , 2 (2023). 2023 Dec 1;6(12):e2345883.

EMS 68

EMS Dislocations Fractures Operations 68

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. Safety and efficacy of a nitrous oxide procedural sedation programme in a paediatric emergency department: a decade of outcomes. 2023 Nov; doi:10.1016/j.annemergmed.2023.10.008

Hospitals 78

Hospitals Sepsis Fractures Emergency Department 78

RebelEM

AUGUST 3, 2023

JAMA Intern Med 2023. Authors determined they would need to enroll 380 patients (190/group) to achieve a statistical power of 80%, assuming an event rate in the control group of 4% of which neither was achieved however if the control group had a lower prevalence of the outcome (i.e. JAMA Intern Med 2023.

Anaphylaxis 52

Anaphylaxis Allergic Reactions Outcomes Infectious Diseases 52

EMDocs

DECEMBER 18, 2023

8 Based on multiple randomized controlled trials (RCTs), SSC 2021 guidelines suggest against using procalcitonin as a screening method to guide initiation of antibiotic therapy, as no difference in clinical outcomes was appreciated. 36 However, the literature has failed to prove that the double coverage has any effect on clinical outcomes.

Sepsis 65

Sepsis Fluid Resuscitation Resuscitation Shock 65

Don't Forget the Bubbles

SEPTEMBER 23, 2024

Consider CMV, EBV and BK-polyoma virus infections: Patients are often on prophylaxis for a variable length of time, with differing outcomes. CMV can present as a nonspecific viral illness or tissue-invasive CMV disease. Obesity: Obesity, whether before or after transplant, is linked to worse outcomes. and Hirsch, H.H.,

Pediatrics 52

Pediatrics Fractures Dehydration Sepsis 52

Pediatric Education

JUNE 25, 2023

.” They also reviewed other topical antiseptics such as acetic acid, povidone-iodine and aluminum acetate (Burow’s solution) but it was “…not possible to know whether there is a difference between the groups for any other outcome.” Accessed April 11, 2023. Accessed April 11, 2023. Sex Transm Dis.

Infectious Diseases 40

Infectious Diseases Pediatrics Seizures Outcomes 40

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. Reviews and opinion articles An update on the role of fluid overload in the prediction of outcome in acute kidney injury. 2023 Oct 20.

Pediatrics 105

Pediatrics Hospitals Infectious Diseases Outcomes 105