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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.

CDC 161
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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).

Seizures 278
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Snake Bites and Children

Pediatric EM Morsels

In the US, the venomous snakes include rattlesnakes , copperheads, cottonmouths/water moccasins , and coral snakes [ CDC, 2021 ] Rattlesnakes live all across the United State s Copperheads inhabit the eastern U.S. If you are managing a snake bite from a snake that does not typically reside in the U.S.,

CDC 130
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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. Notify the CDC via the National Notifiable Disease Surveillance System. Which of the following is the most likely explanation for this skin lesion in a worker handling sheep hides? Chambers J, Yarrarapu SNS, Mathai JK.

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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.

Sepsis 94
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Travel-Related Illnesses in Children

Pediatric EM Morsels

In 2013 this number had reached over 1 billion (Leuthard 2015) Diarrhea is the most common travel-related diagnosis in multiple studies and accounts for around 40 – 60% (Leuthard 2015, Hagmann 2014) Systemic febrile illnesses (18%) and dermatologic disorders (17%) were the next most common (Hagmann 2014) Systemic febrile illnesses most commonly (..)

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Issue #3: The Latest in Critical Care, 6/5/23

PulmCCM

Corticosteroids for community-acquired pneumonia have been studied with inconclusive results, and expert guidelines currently advise against their use except in patients with refractory septic shock. Patients with septic shock or influenza were excluded. standards of care.