Pediatric EM Morsels

FEBRUARY 2, 2024

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. Malaria requires 3 negative thick and thin smears over 12 hours to fully exclude. 2021 May; 8:1-16.

Infectious Diseases 161

Infectious Diseases Pediatrics Sepsis Documentation/Coding 161

EMDocs

OCTOBER 10, 2024

Sepsis is diagnosed and antibiotics started for the first time. High level amputation is considered, but she dies of sepsis and multiorgan failure on hospital day 7. She had no persistent vomiting, was not dehydrated and had no fever. It reveals a 7.5 An I & D of the thigh produces foul-smelling pus.

Documentation/Coding 75

Documentation/Coding Hospitals Sepsis Infectious Diseases 75

PEMBlog

JANUARY 17, 2024

Camargo, Clinical Trial: Comparative Effectiveness of Cephalexin Plus Trimethoprim-Sulfamethoxazole Versus Cephalexin Alone for Treatment of Uncomplicated Cellulitis: A Randomized Controlled Trial, Clinical Infectious Diseases, Volume 56, Issue 12, 15 June 2013, Pages 1754–1762, [link] Liu C, Bayer A, Cosgrove SE, et al.

Infectious Diseases 59

Infectious Diseases Sepsis Wellness Pediatrics 59

Don't Forget the Bubbles

JANUARY 10, 2024

These were presented as hazard ratios and included fever at presentation, previous transfusion ever, haemoglobinuria, malaria, sickle cell disease on enrolment, HIV, evidence of sepsis, malnutrition, shock, hypothermia, and dehydration. Sepsis indicators and malaria positivity did not modify the risk.

Blood Transfusions 78

Blood Transfusions Outcomes Research Hospitals 78

Don't Forget the Bubbles

SEPTEMBER 23, 2024

Inadequate fluid consumption, combined with factors like hot weather or strenuous physical activity, can lead to gradual dehydration with cumulative effects. Differential Diagnosis of Acute Issues Dehydration Every child will have a minimum daily fluid intake goal to achieve. Consider sepsis and treat it accordingly.

Pediatrics 52

Pediatrics Fractures Dehydration Sepsis 52

EMDocs

DECEMBER 9, 2024

Source: By Dr Graham Beards – Own work, CC BY-SA 4.0, [link] Less common physical exam findings associated with mpox complications can include secondary skin infections, proctitis, bronchopneumonia, diarrhea and dehydration, eye-related issues, and, in very rare cases, encephalitis.

CDC 58

CDC Documentation/Coding Infectious Diseases Dehydration 58