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As hospital boarding, increased emergencydepartment (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.
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
The sodium, calcium, and potassium can be checked in settings with access to rapid point-of-caretesting. Electrolytes Think about hyponatremia or hypernatremia (especially at <125 or >160, respectively), hypocalcemia, hypo/hyperkalemia, hypomagnesemia, or hypophosphatemia.
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 EmergencyDepartment with coryzal symptoms, wheezing and difficulty breathing. SpO2 is 88%. Which children need a respiratory viral panel?
This blog post aims to help familiarise you with some of the most common reasons for prescribing antibiotics in the paediatric emergencydepartment. Antibiotic Use for Common Infections in Pediatric EmergencyDepartments: A Narrative Review. Conventionally IV antibiotics have been limited to in-hospital use.
A 7-week-old baby presents to the EmergencyDepartment (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?
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