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. Emerg Radiol. 2013 Aug;20(4):337-9.

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PEMBlog

OCTOBER 18, 2023

PEMPix is the American Academy of Pediatrics Section on Emergency Medicine’s annual visual diagnosis competition. Initially in the emergency department he was generally well-appearing with normal vital signs. Exanthematous disease induced by toxic shock syndrome toxin 1 in the early neonatal period. Nishida, H.,

Infectious Diseases 59

Infectious Diseases Shock Pediatrics Wellness 59

The Skeptics' Guide to EM

MARCH 18, 2023

JAMA Pediatr. 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.

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ALiEM

DECEMBER 20, 2024

References American Academy of Pediatrics: Herpes simplex. Red Book: 2015 Report of the Committee on Infectious Diseases. Elk Grove Village, IL: American Academy of Pediatrics; 2015:432445. Eczema herpeticum: making the diagnosis in the emergency department. J Emerg Med. 2011 Feb;40(2):167-9.

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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.

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Taming the SRU

AUGUST 30, 2023

While PCT may be more specific for bacterial infections, it is flawed by still being rather non-specific and is not validated as a stand-alone diagnostic criteria for infection in the setting of the emergency department. In 7 studies with 4164 patients, PCT with a cut-off > 0.1 ng/mL (strongly recommended against antibiotics), 0.1-0.25

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Infectious Diseases Sepsis Emergency Department Point-of-Care Testing 88

ALiEM

MAY 13, 2024

Read this tutorial on the use of point of care ultrasonography (POCUS) for pediatric soft tissue ultrasonography. Take the ALiEMU PEM POCUS: Soft Tissue Quiz Case Goals List the indications of performing a pediatric soft tissue point-of-care ultrasound (POCUS). Pediatric Soft Tissue POCUS Ultrasound Technique Figure 1.

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PEMBlog

JANUARY 17, 2024

Randomized controlled trial of cephalexin versus clindamycin for uncomplicated pediatric skin infections. Pediatrics. Clinical practice guidelines by the infectious diseases society of america for the treatment of methicillin-resistant Staphylococcus aureus infections in adults and children. 2011 Mar;127(3):e573-80.

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Infectious Diseases Sepsis Wellness Pediatrics 59

EB Medicine

DECEMBER 1, 2018

Additionally, guidelines were reviewed from the american college of emergency physicians, infectious disease society of america, and the american academy of pediatrics. In the emergency department, standard isolation and droplet precautions should be maintained for suspected or confirmed infections.

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EMDocs

JUNE 17, 2023

The Pediatric Infectious Disease Journal. Acute Periorbital Infections: Who Needs Emergent Imaging? Pediatrics. 2009-1709 The post EM@3AM: Periorbital Cellulitis appeared first on emDOCs.net - Emergency Medicine Education. swelling, chemosis, fever, etc.), swelling, chemosis, fever, etc.), doi:10.1097/inf.0000000000003226

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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. Pediatric vaccination during the COVID-19 pandemic. Pediatrics.

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Don't Forget the Bubbles

SEPTEMBER 18, 2024

Case 1 focuses on a case seen in the emergency department and explores the common parental query of a “weak immune system” in a young child who has had several recurrent upper respirator tract infections back-to-back but is otherwise well. A 3 year old boy is brought to emergency department and treated for viral induced wheeze.

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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. Recommendations on RBC Transfusion in General Critically Ill Children Based on Hemoglobin and/or Physiologic Thresholds From the Pediatric Critical Care Transfusion and Anemia Expertise Initiative.

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Critical Care Now

MAY 12, 2022

Reading Time: 5 minutes Ruben Santiago Emergency Medicine Pharmacist and medication hustler at a level I trauma center in Miami, FL. Interests include trauma, toxicology, and infectious diseases. Ann Emerg Med. Arch Pediatr Adolesc Med. 2000; 36(3): 228 – 32. Whatley V, Dodds C, Paul R. 2003;157(12): 1177-80.

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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.

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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.

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Don't Forget the Bubbles

SEPTEMBER 18, 2023

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. Pediatr Infect Dis J. Karageorgos, S.; Hibberd, O.; Med J Aust.

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Pediatric EM Morsels

SEPTEMBER 20, 2024

Diarrhea is one of the most common complaints in the pediatric emergency department, especially in the summer and early fall. Sure this may cause blood in stool, but consider Hemolytic Uremic Syndrome when evaluating pediatric patients with Bloody Diarrhea. Clin Pediatr (Phila). Protect the Kidneys! PMID: 20075028.

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Don't Forget the Bubbles

AUGUST 30, 2023

The parents of 9-month-old Josie bring her into the Emergency Department with coryzal symptoms and difficulty breathing. A secondary analysis of a nationwide study of Emergency Department attendance in America from 2006 to 2008 found that CXRs increase the average length of stay by 27 minutes. Am J Emerg Med.

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Emergency Department Pediatrics Infectious Diseases Research 131

Don't Forget the Bubbles

MARCH 4, 2024

We have teamed up with the team from the Emergency Department at Bristol Royal Hospital, who have used this as a springboard for their journal club. (It’s The children’s Emergency department sees approximately 50,000 presentations per year. International Consensus Criteria for Pediatric Sepsis and Septic Shock.

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Pediatric EM Morsels

SEPTEMBER 27, 2024

” Clearly, not all rashes are related to viral infections (ex, DRESS , RMSF , HSP , Diaper Dermatitis ) and we have previously discussed an approach to pediatric rashes. Rashes will always find their way to your emergency department! Updates on postinfectious skin rashes in pediatric dermatology. Curr Opin Pediatr.

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Allergic Reactions Pediatrics Emergency Department EMS 161

Pediatric EM Morsels

SEPTEMBER 1, 2023

One such vital aspect of pediatric emergency medicine is the appreciation of how psychosocial history impacts a patient’s life and care. As previously mentioned by Dr. Richardson , adolescents use the Emergency Department as their Primary Care resource often. Contemporary Pediatrics, July: 75-80. Pediatrics.

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Don't Forget the Bubbles

SEPTEMBER 27, 2023

The parents of two-year-old, previously healthy, Jamie bring him to the Emergency Department with coryzal symptoms, wheezing and difficulty breathing. Respiratory viral panel testing did not reduce antibiotic use in the emergency department. Hosp Pediatr. Pediatrics. Pediatrics. Pediatr Infect Dis J.

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Emergency Department Pediatrics Point-of-Care Testing Hospitals 84

EMDocs

AUGUST 26, 2023

Sobel, Clinical Practice Guideline for the Management of Candidiasis: 2016 Update by the Infectious Diseases Society of America, Clinical Infectious Diseases , Volume 62, Issue 4, 15 February 2016, Pages e1–e50, [link] Iacopino AM, Wathen WF. Vazquez, Thomas J. Walsh, Theoklis E. Zaoutis, Jack D. J Am Dent Assoc.

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Don't Forget the Bubbles

JANUARY 22, 2024

Choosing Wisely in Paediatric Car e A trainee-led project in a UK tertiary paediatric emergency department looked at the usefulness of blood tests in 101 children. You receive a referral for a 7-year-old Josh, who presented to the emergency department (ED) with a 5-day history of fever, cough, and borderline oxygen saturation.

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Don't Forget the Bubbles

SEPTEMBER 23, 2024

You are working in the paediatric emergency department of a busy District General Hospital. These centres have a close relationship with their patients, but this does not mean they may not turn up at your emergency department! BK virus infection, replication, and diseases in pediatric kidney transplantation.

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Pediatrics Fractures Dehydration Sepsis 52

PEMBlog

JULY 10, 2024

” Emily Labudde, MD, a Pediatric Emergency Medicine fellow at Children’s Healthcare of Atlanta and recent pediatric residency graduate from Cincinnati Children’s discusses the various manifestations of this sexually transmitted infection, and how we can’t miss this very treatable, but sneaky malady. .”

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Pediatrics CDC Seizures Emergency Department 52

EMDocs

MAY 29, 2023

Louis); Marina Boushra (EM-CCM, Cleveland Clinic Foundation); Brit Long, MD (@long_brit) Case A 54-year-old female with a past medical history of rheumatoid arthritis presents to the emergency department (ED) with generalized fatigue. Pediatr Ann. 2014 Oct;43(10):417-20. doi: 10.3928/00904481-20140924-10. PMID: 25290132. (7)

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PEMBlog

SEPTEMBER 27, 2023

The Choosing Wisely Pediatric Emergency Medicine Recommendations The Choosing Wisely Campaign Toolkit Expert Contributors Olivia Ostrow, MD Hospital for Sick Children Toronto, Ontario, Canada olivia.ostrow@sickkids.ca JAMA Pediatr. Hosp Pediatr. Pediatrics. Hosp Pediatr. Do I need proof of the culprit?

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Pediatrics Hospitals Emergency Department Outcomes 52

PEMBlog

AUGUST 30, 2023

The Choosing Wisely Pediatric Emergency Medicine Recommendations The Choosing Wisely Campaign Toolkit Expert Contributors Michele Nypaver, MD University of Michigan Ann Arbor, MI, USA michelen@med.umich.edu Jennifer Thull-Freedman, MD Alberta Children’s Hospital Calgary, Alberta, Canada Jennifer.Thull-Freedman@albertahealthservices.ca

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Don't Forget the Bubbles

NOVEMBER 5, 2023

In JAMA Pediatrics, Lassalle and colleagues studied the association between PPI use and the risk of serious infections (requiring hospitalization) in young children. In the European Journal of Pediatrics, Wang and colleagues studied 2513 patients between 3-18 years of age who presented with vasovagal syncope. Pediatr Nephrol.

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