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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). vivax and P. malariae , and P.

Seizures 278
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Mycoplasma Pneumonia in Children

Pediatric EM Morsels

Mycoplasma Pneumonia: Epidemiology According to the CDC , infections from Mycoplasma pneumnoniae have increased in the US, especially in young children. Keep in mind, there can be extrapulmonary manifestations as well! After a prolonged period of low incidence , M. pneumoniae re-emgerged in 2023 after the COVID pandemic.

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Typhoid Fever in Children

Pediatric EM Morsels

(Forster, 2021) Transmission is by Fecal-Oral route (Chiodini 2018) Incubation period 6-30 days after exposure (Chiodini 2018) Salmonella typhi produces an endotoxin although its clinical significance is not yet well understood (Gibani 2019) Two typhoid vaccines are available for those > 6 m/o and are 50-80% effective. Clin Infect Dis.

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Brain Trauma Guidelines for Emergency Medicine

ACEP Now

Confounders to the GCS such as seizure and post-ictal phase, ingestions and drug overdose, as well as medications administered in the prehospital setting that impact GCS score should be documented. National Center for Health Statistics: Mortality Data on CDC WONDER. CDC’s efforts to improve traumatic brain injury surveillance.

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Case Report: Toxic Hypoglycemic Syndrome

ACEP Now

1 In severe cases altered mental status, seizures, coma, or even death have been observed. Francis Hospital and Medical Center, as well as an assistant professor at University of Connecticut School of Medicine and Quinnipiac University School of Medicine. Centers for Disease Control (CDC). Toxicology Rep. 2019;6:656-65.

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"The crowner hath sat on her and finds it Christian burial." [Hamlet]

Advanced Emergency Nursing from AENJ

All efforts to identify the decedent by hospital staff, law enforcement agencies or social service agencies should be well documented in the medical records. This includes subdural hematomas, comas, paraplegia, quadriplegia, fractures and seizure disorders, regardless of the time interval between the injury and death. 2003 Revision.

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The Latest in Critical Care, 10/23/23 (Issue #17)

PulmCCM

Cefepime crosses the blood-brain barrier, and dozens of case reports have associated the drug with seizures, encephalopathy, delirium, and coma, with a possibly increased incidence of neurologic adverse effects among patients with renal failure or sepsis.