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Traveling Ticks: Tickborne Illnesses and International Travel

Pediatric EM Morsels

However, it is often overlooked that tickborne illnesses are among the most common travel-related illnesses globally (CDC Traveller’s Health 2017). CDC 2024) Generally, most ticks require >24 hours of attachment for there to be a risk of transfer of the infectious agent.

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Imported Malaria

Pediatric EM Morsels

Another change is the CDC approved the use of IV artesunate for malaria treatment in the US in May 2022. 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).

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Travel-Related Illnesses in Children

Pediatric EM Morsels

A “Syndromic” Approach for Diagnosing and Managing Travel-Related Infectious Diseases in Children. Infectious Disease Acquisition in Pediatric International Travelers: A 10-Year Review at a Canadian Tertiary Care Hospital. Glob Pediatr Health. 2021 May; 8:1-16. PMID: 34423077 Flores MS, Hickey PW, Fields JH, Ottolini MG.

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ACMT Toxicology Visual Pearl: The Black Eschar

ALiEM

Bacillus anthracis Group A streptococcus Pseudomonas aeruginosa Staphylococcus aureus (Photo credit: CDC/ James H. Anthrax is a serious infectious disease caused by gram positive, rod shaped, bacteria known as Bacillus anthracis [1]. Notify the CDC via the National Notifiable Disease Surveillance System.

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2023 Critical Care Year in Review (Part 1)

PulmCCM

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. Either approach in severe sepsis with shock seems reasonable.

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Reopening After A Hurricane: Steps for Healthcare Facilities to Ensure Safety and Compliance

Total Medical ComplianceHIPAA

For dental facilities only: Dental Unit Waterlines should be shocked then tested before use. If the testing reveals failing water quality, shock and test again. Keep in mind that persons involved in the clean up need to be protected from infectious diseases, chemical exposures, radiation, electrical shock, and potential fire hazards.

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The Latest in Critical Care, 10/30/23 (Issue #18)

PulmCCM

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).

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