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Travel-Related Illnesses in Children

Pediatric EM Morsels

In one ED study, ALL cases of missed travel-related illness did not have a documented travel history in their ED note , whereas 90% of the identified travel-related illnesses had a provider documented travel history (Greenky 2022) Those who are visiting friends and relatives (VFR) are typically at highest risk. Pediatr Emerg Care.

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Medical Malpractice Insights: Brain Abscess

EMDocs

He has been ill for 3 days with abdominal pain, fever, diarrhea, and vomiting, and his father thinks his son is dehydrated. Exam documents that he is alert and oriented but “tired appearing” and “not appearing post-ictal.” Defense : The EP did address the seizure when he documented “not post-ictal.” EM is a “team sport.”

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Failure to thrive

Don't Forget the Bubbles

It is commonly seen in the first couple of years of life and accounts for 1-5% of paediatric hospital admissions for those under two. Failure to thrive’ has many definitions We use standardized charts to document infant growth. Are there signs of significant dehydration or malnutrition? It is not a diagnosis.

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Bubble Wrap PLUS – January 2024

Don't Forget the Bubbles

The Bubble Wrap Plus is a monthly paediatric Journal Club reading list from Professor Jaan Toelen (University Hospitals Leuven) and Dr Anke Raaijmakers (Sydney Children’s Hospital). Reviews and opinion articles Use of POCUS for the assessment of dehydration in pediatric patients-a narrative review. Musolino AM, et al.

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Behavioural and Psychological Symptoms of Dementia (BPSD)

Mind The Bleep

It is a very common presentation or comorbidity to see in community services and general hospital. ICD-10 codes: F00-03 are the ICD codes for dementia and its subtypes F02. ICD-10 codes: F00-03 are the ICD codes for dementia and its subtypes F02.

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Could you have prevented this young man's cardiac arrest?

Dr. Smith's ECG Blog

Written by Pendell Meyers We received a call from an outside hospital asking to transfer a "traumatic post arrest" patient. They stated that the patient was coded for 20 minutes, including multiple doses of epinephrine, and they also gave glucose, calcium, and bicarb. By history, this patient HAD at least one of these conditions.

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Diffuse Subendocardial Ischemia on the ECG. Left main? 3-vessel disease? No!

Dr. Smith's ECG Blog

Clinical Course The paramedic activated a “Code STEMI” alert and transported the patient nearly 50 miles to the closest tertiary medical center. Author continued : STE in aVR is often due to left main coronary artery obstruction (OR 4.72), and is associated with in-hospital cardiovascular mortality (OR 5.58). What do you see?

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