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Waiting Room Medicine: The Ethical Conundrum

ACEP Now

As hospital boarding, increased emergency department (ED) volumes, and complexity of patients have increased, so have wait times. Some physicians now coin themselves waiting room medicine specialists as departments schedule a physician in triage or attempt to evaluate patients in whatever spaces might be available.

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Diagnostics: Inflammatory Markers

Taming the SRU

In a small study involving 79 hospitalized children, PCT was found to be elevated in bacterial infections, with a decrease after appropriate antibiotic therapy, and decreased in viral infections [24]. It found no significant difference in antibiotic usage in the group using PCT compared to the usual care group [49]. ng/mL, 0.25-0.5

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You don’t need labs or CT scans in children who have recovered after a simple febrile or first time seizure

PEMBlog

The sodium, calcium, and potassium can be checked in settings with access to rapid point-of-care testing. Electrolytes Think about hyponatremia or hypernatremia (especially at <125 or >160, respectively), hypocalcemia, hypo/hyperkalemia, hypomagnesemia, or hypophosphatemia.

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Choosing Wisely – Viral Respiratory Panels in children with respiratory symptoms

Don't Forget the Bubbles

Do not obtain comprehensive viral panel testing for patients who have suspected respiratory viral illnesses. The parents of two-year-old, previously healthy, Jamie bring him to the Emergency Department with coryzal symptoms, wheezing and difficulty breathing. SpO2 is 88%. Which children need a respiratory viral panel?

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Antibiotics in the paediatric emergency department

Don't Forget the Bubbles

This blog post aims to help familiarise you with some of the most common reasons for prescribing antibiotics in the paediatric emergency department. Antibiotic Use for Common Infections in Pediatric Emergency Departments: A Narrative Review. Conventionally IV antibiotics have been limited to in-hospital use.

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How should we assess febrile infants with a positive viral respiratory test? – results from the FIDO study

Don't Forget the Bubbles

A 7-week-old baby presents to the Emergency Department (ED) with a one-day history of coryza and cough. You perform a viral swab test at ED which comes back positive for SARS-CoV-2. Reattendance and potential IBI diagnosis were assessed via hospital chart review. C with a positive SARS-CoV-2 test?