Taming the SRU

FEBRUARY 5, 2024

The LP is now a standard procedure and in 2010 well over 135,000 LPs were performed in Emergency Departments throughout the US (3). Scandinavian journal of infectious diseases , 45 (9), 657–663. Clinical infectious diseases : an official publication of the Infectious Diseases Society of America , 39 (9), 1267–1284.

Infectious Diseases 97

Infectious Diseases Seizures Ultrasounds Sepsis 97

Pediatric EM Morsels

AUGUST 9, 2024

Neonates presenting to the Emergency Department often cause a lot of uncertainty. Let’s review how Congenital Syphilis may present to our Emergency Departments: Congenital Syphilis : Basics Occurs when the spirochete Treponema pallidum is transmitted from mother to fetus. Is this scalp swelling normal?

Hyperthermia / Hypothermia 152

Hyperthermia / Hypothermia Emergency Department Seizures Pediatrics 152

EB Medicine

JANUARY 17, 2023

— In this episode, Sam Ashoo, MD, and TR Eckler, MD, discuss the July 2022 Emergency Medicine Practice article on the Management of Allergic Reactions and Anaphylaxis in the Emergency Department. Intro The number of ED visits and hospitalizations Studies show up to 57% of anaphylactic reactions are not recognized, and epinephrine is not administered (..)

Allergic Reactions 52

Allergic Reactions Anaphylaxis Infectious Diseases Emergency Department 52

EM Literature of Note

SEPTEMBER 13, 2024

These are each awful, of course, in their own way from a patient- and parent-oriented standpoint, but they’re also quite awful at the population level, overburdening limited pediatric and emergency department resources. “Nirsevimab and Acute Bronchiolitis Episodes in Pediatric Emergency Departments” [link] Tweet

Emergency Department 87

Emergency Department Pediatrics Administration Wellness 87

PEMBlog

OCTOBER 31, 2024

every year, leading to emergency department visits and hospitalizations. A new study conducted by the Pediatric Emergency Care Applied Research Network (PECARN) aimed to determine whether LGG could reduce the severity of gastroenteritis in children. emergency departments. vs. 12.6%, respectively).

Outcomes 105

Outcomes Pediatrics Emergency Department Research 105

EM Curious

JULY 8, 2015

More FOAMed INFECTIOUS DISEASE SMORGASBORD CORE EM PODCAST EPISODE 3 [PODCAST]: Swami sits down to run over some high yield EM topics in the arena of infectious disease, from antibiotic choice in HCAP, to new paradigms in soft tissues infectious. With a bonus brief on disaster management.

Infectious Diseases 52

Infectious Diseases Disaster Management Sepsis Ultrasounds 52

ALiEM

DECEMBER 20, 2024

Red Book: 2015 Report of the Committee on Infectious Diseases. Eczema herpeticum: making the diagnosis in the emergency department. J Emerg Med. In: Kimberlin DW, Brady MT, Jackson MA, Long SS, eds. Elk Grove Village, IL: American Academy of Pediatrics; 2015:432445. Studdiford JS, Valko GP, Belin LJ, Stonehouse AR.

Infectious Diseases 64

Infectious Diseases Pediatrics Academics Emergency Department 64

PulmCCM

NOVEMBER 6, 2023

This could inform responses in future infectious disease outbreaks; one key seems to be to ensure high titers of neutralizing antibody (at least 1:320 in this study) are present in donor plasma. The intervention took place in the emergency department, with device placement by ED physicians.

Blood Transfusions 98

Blood Transfusions Operations Resuscitation Infectious Diseases 98

ACEP Now

FEBRUARY 11, 2024

A 25-year-old Venezuelan male presented to a Chicago area emergency department (ED) in early November 2023. There was concern for possible cutaneous leishmaniasis (CL), therefore he was admitted to the hospital for infectious-disease and surgical consultations, as well as to complete a punch biopsy the following day.

Infectious Diseases 52

Infectious Diseases CDC Military Emergency Department 52

ACEP Now

MAY 10, 2024

3 A narrow spectrum antibiotic such as a single dose of fosfomycin in the emergency department is the way to go and has the added convenience of being a one and done solution that doesn’t require the patient to fill a prescription. Clinical Infectious Diseases. link] Cai T, Mazzoli S, Mondaini N, et al. 2018;219(1):40-51.

Infectious Diseases 98

Infectious Diseases Sepsis Administration Emergency Department 98

The Skeptics' Guide to EM

JUNE 10, 2023

The authors start by discussing diagnostic testing in the emergency department (ED). This includes chapters on pediatrics, geriatrics, cardiac, neurological, surgical, trauma, infectious disease, and other conditions. They explain the epidemiology and statistics behind diagnostic testing.

Telemedicine 71

Telemedicine Infectious Diseases Emergency Department Pediatrics 71

EB Medicine

DECEMBER 1, 2018

Jeff: The information contained in this article comes from articles found on pubmed, the cochrane database, center for disease control, and the world health organization. Additionally, guidelines were reviewed from the american college of emergency physicians, infectious disease society of america, and the american academy of pediatrics.

Emergency Department 40

Emergency Department CDC Infectious Diseases EMS 40

RebelEM

OCTOBER 26, 2023

Enrollment: Recruited patients from primary care offices, emergency departments, and inpatient wards at Children’s Hospital of Philadelphia and UPMC Children’s Hospital of Pittsburgh. Funding: The National Institute of Allergy and Infectious Diseases, Division of Microbiology and Infectious Diseases funded the study.

Pediatrics 81

Pediatrics Infectious Diseases Outcomes Research 81

EM Ottawa

AUGUST 15, 2024

Assessing patients with pleural effusions in the emergency department (ED) can be challenging and unclear. This is largely due to the lack of guidelines around pleural effusions in the ED. In this post, I’ve tried to highlight some key information about an approach to patients presenting with a new pleural effusion.

Emergency Department 77

Emergency Department Infectious Diseases Resuscitation 77

The Skeptics' Guide to EM

MARCH 18, 2023

Guest Skeptic: Dr. Marisu Rueda-Altez is a pediatric infectious disease fellow at Children’s National Hospital in Washington, DC. She is also the […] The post SGEM #397: Give a Little Bit…of Oseltamivir to Pediatric Patients Admitted with Influenza first appeared on The Skeptics Guide to Emergency Medicine. JAMA Pediatr.

Pediatrics 40

Pediatrics Infectious Diseases Administration Outcomes 40

EM Curious

JULY 22, 2015

INFECTIOUS DISEASE TRIO MUCORMYCOSIS, WEST NILE VIRUS & ROCK MOUNTAIN SPOTTED FEVER: [BLOG]: Clinical practice updates that you should know about regarding these uncommon but cannot miss diagnoses. Read on here at Rebel EM. EM Docs Mucormycosis West Nile Virus Rock Mountain Spotted Fever WHO NEEDS A KNEE X-RAY?

Infectious Diseases 52

Infectious Diseases EMS Ultrasounds Administration 52

EMDocs

NOVEMBER 4, 2023

aureus infections among patients in the emergency department. Skin and Soft Tissue Infections in the Emergency Department. Emerg Med Clin North Am. Clinical Infectious Disease. Managing a Cutaneous Abscess in the Emergency Department. Ann Emerg Med. Methicillin-resistant S.

EMS 76

EMS Ultrasounds Emergency Department Infectious Diseases 76

EM Ottawa

AUGUST 22, 2024

Assessing patients with pleural effusions in the emergency department (ED) can be challenging and nuanced. This is largely due to the lack of guidelines around pleural effusions in the ED. In part one we focused on imaging, diagnosis, and management of parapneumonic effusions.

Emergency Department 63

Emergency Department Infectious Diseases Radiology Radiology 63

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

ACEP Now

AUGUST 11, 2024

A 41-year-old woman arrived in a Hawaii emergency department with her husband early in the morning. References WHO Department of Food Safety and Zoonoses. National Center for Emerging and Zoonotic Infectious Diseases. Centers for Disease Control and Prevention. Ciguatera poisoning.

Poisoning 52

Poisoning Infectious Diseases EKG/ECG Emergency Department 52

EM Ottawa

DECEMBER 12, 2024

A 59-year-old man presented to a community Emergency Department with a one-month history of subjective fevers and dyspnea. Due to COVID-19 restrictions, he had only consulted a physician via telephone, during which he was prescribed two courses of antibiotics for presumed pneumonia. Despite treatment, his symptoms persisted.

Emergency Department 61

Emergency Department Infectious Diseases Ultrasounds 61

ACEP Now

OCTOBER 26, 2023

The Case A two-year-old female, seen three days ago at different local emergency department (ED)—Children’s General—presents with fever, headache, and neck pain. DR. TALAN is professor of emergency medicine and infectious diseases at UCLA. Permitted uses and disclosures: exchange for treatment. HHS website.

Infectious Diseases 52

Infectious Diseases Documentation/Coding Hospitals Administration 52

ALiEM

SEPTEMBER 20, 2024

A 50-year-old male with insulin-dependent Type 2 Diabetes presented to the emergency department with three days of pain and swelling on the right side of his neck. He endorsed progression of his symptoms, reporting that he was now having fevers, myalgias, and intermittent difficulty swallowing solid foods.

Academics 70

Academics Emergency Department Infectious Diseases 70

EMDocs

JUNE 17, 2023

The Pediatric Infectious Disease Journal. Acute Periorbital Infections: Who Needs Emergent Imaging? swelling, chemosis, fever, etc.), She reports no vision changes or fever. She remembers rubbing and scratching around her eye a few days ago but does not recall any trauma. Sisli Etfal Hastan Tip Bul. 2019;53(4):409-412.

EMS 80

EMS Infectious Diseases Pediatrics Emergency Department 80

Don't Forget the Bubbles

DECEMBER 16, 2024

Whooping Cough: A Cyclical but Preventable Disease Whooping cough, caused by the bacterium Bordetella pertussis , is another infectious disease experiencing a resurgence despite the availability of vaccines. These outbreaks increase the risk of imported cases in other regions, including the UK.

Infectious Diseases 59

Infectious Diseases Documentation/Coding Pediatrics CDC 59

PulmCCM

JUNE 19, 2023

No drug or combination improved the primary outcome (a composite outcome of hypoxemia, visit to the emergency department, hospitalization, or death). That was in NEJM Aug 18 2022. Metformin also has positive immune-modulatory effects (on cytokine profiles and T-cell immunity).

Infectious Diseases 52

Infectious Diseases Hyperthermia / Hypothermia Outcomes Sepsis 52

ALiEM

DECEMBER 3, 2024

A 26-year-old male with a past medical history of eczema presented to the Emergency Department with a rash for two days. The patient stated he first noticed a rash on his right arm that rapidly spread to his face, chest, and left arm. He reported having similar rashes before but never to this extent.

Academics 60

Academics Emergency Department Infectious Diseases 60

PEMBlog

JULY 29, 2024

Dog bites are unfortunately common in the Emergency Department. Remembering which ones to suture for cosmetic concerns while assuring we reduce the risk of infections is important. Also, most should get antibiotics. Dogmentin! (It’s

Emergency Department 52

Emergency Department Infectious Diseases 52

ALiEM

JANUARY 22, 2024

A 40-year-old male, tailor by occupation, was brought to the Emergency Department with complaints of high-grade fever for the past 11 days. Fever was documented to be 102°F and was not associated with any chills or rigors.

Academics 64

Academics Documentation/Coding Emergency Department Hospitals 64

ALiEM

MAY 13, 2024

Case Introduction: Child with abdominal pain Wendy is a 7-year-old girl who comes into the emergency department with redness, swelling, and pain on her left calf. Point-of-Care Ultrasound on Management of Cellulitis Versus Local Angioedema in the Pediatric Emergency Department. Pediatr Emerg Care. J Emerg Med.

Ultrasounds 64

Ultrasounds Pediatrics Emergency Department Wellness 64

ALiEM

MARCH 11, 2024

In July 2022, a 32-year-old male with a past medical history of HIV (on antiretroviral therapy, CD4 390, viral load undetectable) presented to the emergency department with constitutional symptoms and a rash for 4-5 days.

Academics 56

Academics Documentation/Coding Emergency Department Hospitals 56

Advanced Emergency Nursing from AENJ

JUNE 16, 2015

This is not a feasible practice in the Emergency Department which must deal immediately with an undifferentiated patient. Ordinary hospital practice would be for admission orders to specify Isolation Cart, to ensure that the ward would have one delivered and restocked daily until no longer needed.

PPE 40

PPE Infectious Diseases Emergency Nursing Operations 40

ALiEM

OCTOBER 16, 2023

An otherwise healthy 34-year-old male presented to the Emergency Department with two weeks of anterior neck pain. Symptoms began with several days of pain in his mandibular molars, progressing to pain and swelling in the neck.

Academics 60

Academics Wellness Emergency Department Hospitals 60

ACEP Now

MARCH 6, 2024

7 The operators involved in the trial were mostly emergency medicine residents or critical care fellows, but this fact does not diminish the generalizability of these observations. Many clinicians staffing emergency departments intubate infrequently, as well, and these results are likely applicable to a wide scope of practice.

Research 52

Research Airway Management Stroke Outcomes 52

Don't Forget the Bubbles

JANUARY 10, 2024

Let’s take the humble blood transfusion – used in emergency departments across the globe and playing a key role in critical care. Transfusion Decisions in Severe Anaemia Reducing child mortality remains high on the global health agenda. 8% die in hospital, with a further 12% dying in the six months following discharge.

Blood Transfusions 78

Blood Transfusions Research Outcomes Hospitals 78

Don't Forget the Bubbles

AUGUST 19, 2024

Sione, a young Pacific Islander boy, is brought to the emergency department with a 3-day history of acute onset, progressively worsening central chest pain. of child emergency department presentations. He points to his sternum when you ask him where the pain is. How common is sternal osteomyelitis?

Infectious Diseases 104

Infectious Diseases Pediatrics Emergency Department Hospitals 104

Broome Docs

DECEMBER 9, 2023

Overnight Stay in the Emergency Department and Mortality in Older Patients. Risk of Radiation Exposure to Emergency Department Personnel From Portable Radiographs. J Emerg Med. Droperidol versus ondansetron for nausea treatment within the emergency department. Emerg Med Australas. 2023 Nov 6.

Infectious Diseases 114

Infectious Diseases Emergency Department Stroke Pediatrics 114