Remove Dehydration Remove Infectious Diseases Remove Wellness
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EM@3AM: Leukopenia

EMDocs

Well keep it short, while you keep that EM brain sharp. Bone Marrow Disease: 9.5% Bone Marrow Disease: 9.5% PCP Pneumonia, Sepsis) can be discharged with initiation of Antiretroviral Therapy in consultation with Infectious Disease (ID) physician with full ID evaluation outpatient. 10^9/L) Moderate (0.50.9

EMS 96
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Hemolytic Uremic Syndrome (HUS): Rebaked Morsel

Pediatric EM Morsels

Though most children recover well after STEC is cultured from their stool, some will go on to display the findings that make up HUS. Considering HUS and treating dehydration early has been shown to help keep the dialysis machine away! The most notable varietal of the STEC is E.coli 0157:H7 (do you remember that from medical school?).

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A Sage Moment

Dr. No

It’s not often that Dr No’s flabber gets well and truly ghasted. An extraordinary exchange on twitter (scroll down a page or so to get to the start of the substance, and click here to see the above tweet) has revealed what many have long suspected: SAGE purposely cook the books in its modelling reports.

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Are we on the right TRACT? 

Don't Forget the Bubbles

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. Groups were well matched at baseline. Do you believe the results?

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

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Going beyond the surface material: A podcast episode on cellulitis

PEMBlog

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. What is it?

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Caring for children after a kidney transplant

Don't Forget the Bubbles

Inadequate fluid consumption, combined with factors like hot weather or strenuous physical activity, can lead to gradual dehydration with cumulative effects. This is particularly crucial in younger children who have received a large adult kidney and typically have relatively low creatinine levels when stable and well.