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Pediatric DKA and HHS

EB Medicine

In this episode, Sam Ashoo, MD, and TR Eckler, MD, discuss the November 2023 Pediatric Emergency Medicine Practice article, Pediatric Diabetes: Management of Acute Complications in the Emergency Department and some of the highlights from the other EB Medicine articles published in November.

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Pediatric Electrolyte Emergencies

EB Medicine

Announcements: The interactive Clinical Pathways have launched and they are available for free! — In this episode, Sam Ashoo, MD, and TR Eckler, MD, discuss the February 2023 Pediatric Emergency Medicine Practice article on Pediatric Electrolyte Emergencies: Recognition and Management in the Emergency Department — History Point-of-care (..)

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Waiting Room Medicine: The Ethical Conundrum

ACEP Now

A 2020 scoping review reported 38 interventions to improve patient care. Other interventions have included expanded point-of-care testing, frequent vitals, ED observation units, computerized clinical support systems, and activation of additional services such as scribes, mental health providers, and pharmacists.

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Choosing Wisely – Viral Respiratory Panels in children with respiratory symptoms

Don't Forget the Bubbles

Accessed July 17, 2023. Effect of point-of-care testing for respiratory pathogens on antibiotic use in children. 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.

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Diagnostics: Inflammatory Markers

Taming the SRU

A 2017 review in the American Journal of Emergency Medicine reiterates that no single inflammatory markers (including CRP, ESR, and PCT) can be used as a stand-alone test to confirm or exclude infection, but instead advocates for using the tests as adjunctive information for emergency physicians to shape their pre-test probability of infection [26].

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Noisy, low amplitude ECG in a patient with chest pain

Dr. Smith's ECG Blog

The patient was tremulous and severely hypoglycemic by point-of-care testing. The September 15, 2023 post — for PTA ( Pulse-Tap Artifact ). The April 6, 2023 post — excessive baseline artifact misdiagnosed as AFib ( instead of sinus rhythm with AV Wenckebach — as in Figure-4 in this post ).

EKG/ECG 64
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Bubble Wrap PLUS – June 2023

Don't Forget the Bubbles

2023 May;182(5):2077-2088. 2023 Jun;59(6):786-793. 2023 May 13. 2023 May 12:fetalneonatal-2022-324935. 2023 May 10. 2023 May;38(5):1411-1425. 2023 May;182(5):1965-1976. 2023 May;38(5):1449-1458. Clinical practice – latest insights in optimizing the care of children with Down syndrome.