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These are the ‘Roids you are looking for – Steroids in the ED

EM Ottawa

From adrenal crises to septic shock, severe community-acquired pneumonia, and even acute pharyngitis, steroids play a pivotal role in managing a variety of conditions encountered in the Emergency Department (ED). In the acute care setting, steroids have various usages and indications, but their usage can often be nuanced.

Shock 113
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EM@3AM: Pediatric Osteomyelitis

EMDocs

A) Factor VIII deficiency B) Hereditary spherocytosis C) Recently reduced closed long bone fracture D) Sickle cell disease Correct answer: D Osteomyelitis is a bacterial infection of the bone typically caused by hematogenous spread of a bloodborne bacteria. Clinical Presentation of Acute Osteomyelitis in the Pediatric Emergency Department.

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PEMPix 2023 Online Case 3: The Only Thing We Have to Fear

PEMBlog

Initially in the emergency department he was generally well-appearing with normal vital signs. Neonatal Toxic Shock Syndrome C. Neonatal Toxic Shock Syndrome-Like Exanthematous Disease E. This condition is Induced by the superantigen toxic shock syndrome toxin-1 (TSST-1), produced by Staphylococcus aureus.

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The 79th Bubble Wrap x Bristol Royal Hospital For Children

Don't Forget the Bubbles

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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Diagnostics: Inflammatory Markers

Taming the SRU

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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EM@3AM: Testicular/Scrotal Abscesses

EMDocs

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. Scrotal pyocele: Uncommon urologic emergency. J Emerg Trauma Shock. Ann Emerg Med. N Engl J Med.

EMS 96
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Case Report: A Rare, Urgent Testicular Complication

ACEP Now

Case A 37-year-old white male with no past medical history presented to the emergency department (ED) for left testicular pain, redness, and swelling. Scrotal pyocele: uncommon urologic emergency. J Emerg Trauma Shock. The pain and swelling returned days later, which prompted the patient to present to the ED.