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

ACEP Now

MAY 10, 2024

Patients with flank pain (which would suggest pyelonephritis) as well as patients meeting two or more SIRS criteria (which would suggest sepsis) comprise a higher risk group. Clinical Infectious Diseases. Let’s look at three young female patients with differing symptom severities. link] Cai T, Mazzoli S, Mondaini N, et al.

Infectious Diseases 98

Infectious Diseases Sepsis Emergency Department Administration 98

PulmCCM

NOVEMBER 6, 2023

Intuitively, plasma seemed even less likely to help the very sickest of the sick— those mechanically ventilated with ARDS from Covid-19, whose mortality rate was well over 50% at many centers. The intervention took place in the emergency department, with device placement by ED physicians. Only it turns out, it did help.

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. He noted spending about five days walking through a jungle, as well as traversing rivers. Discussion As the refugee crisis continues, and asylum seekers visit emergency departments all over the U.S.,

Infectious Diseases 52

Infectious Diseases CDC Military Emergency Department 52

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. Well, this may not be completely true.

Infectious Diseases 52

Infectious Diseases Disaster Management Sepsis Ultrasounds 52

Taming the SRU

AUGUST 30, 2023

As the name would suggest, inflammatory markers are biological markers of, well, inflammation. 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.

Infectious Diseases 89

Infectious Diseases Sepsis Emergency Department Point-of-Care Testing 89

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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Emergency Department Best Practices Radiology Radiology 90

EMDocs

JUNE 17, 2023

The Pediatric Infectious Disease Journal. Acute Periorbital Infections: Who Needs Emergent Imaging? insect bite, scratch, etc.) or nearby infection (e.g., URI, dacryocystitis, blepharitis, impetigo, hordeolum, etc.) swelling, chemosis, fever, etc.), She reports no vision changes or fever. Sisli Etfal Hastan Tip Bul.

EMS 97

EMS Infectious Diseases Pediatrics Emergency Department 97

ACEP Now

MAY 9, 2024

It has been well over a year since the controversial publication of the Agency for Healthcare Research and Quality (AHRQ) report on diagnostic errors in the emergency department (ED). Radecki (@emlitofnote) i s an emergency physician and informatician with Christchurch Hospital in Christchurch, New Zealand. Ann Emerg Med.

Emergency Department 52

Emergency Department Research Infectious Diseases Hospitals 52

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. They may be well-circumscribed or may have irregular borders. Well-circumscribed abscess with heterogeneous debris C. Pediatr Emerg Care. PMID: 34398861.

Ultrasounds 64

Ultrasounds Pediatrics Emergency Department Wellness 64

ALiEM

OCTOBER 16, 2023

An otherwise healthy 34-year-old male presented to the Emergency Department with two weeks of anterior neck pain. Additional Images Physical Exam Vitals : BP 115/80; HR 120; T 101°F; RR 16; O2 sat 97% General : Well appearing in no acute distress HEENT : Poor dentition, mild trismus. The floor of the mouth is unremarkable.

Academics 60

Academics Wellness Emergency Department Hospitals 60

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. The patient also complained of shortness of breath for one week associated with a dry cough, as well as an altered sensorium for one day.

Academics 64

Academics Documentation/Coding Emergency Department Hospitals 64

RebelEM

AUGUST 3, 2023

. >50mg QID hydrocortisone [or steroid equivalent]) Results: 382 adults were randomized 377 patients included in the analysis >84% of patients received a single-dose amoxicillin challenge Median age: 51 years 5% were female 446 out of 643 screened patients were eligible to participate (69%) 382 out of 446 eligible patients were enrolled (86%) (..)

Anaphylaxis 52

Anaphylaxis Allergic Reactions Infectious Diseases Outcomes 52

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. Groups were well matched at baseline. Transfusion Decisions in Severe Anaemia Reducing child mortality remains high on the global health agenda. Do you believe the results?

Blood Transfusions 78

Blood Transfusions Research Outcomes Hospitals 78

EMDocs

OCTOBER 5, 2024

A 62-year-old female patient with a history of recurrent urinary tract infections (UTIs) presents to the emergency department with fever, chills, and dysuria. Consider Infectious Disease consultation prior to any potential discharges. The Lancet Infectious Diseases. 2017/01/01/;17(1):78-85.

EMS 98

EMS Infectious Diseases Sepsis Hospitals 98

EB Medicine

APRIL 2, 2019

Show Notes Jeff: Welcome back to EMplify, the podcast corollary to EB Medicine’s Emergency Medicine Practice. This month, we’re moving from the trauma bay back to a more private setting, to discuss Emergency Department Diagnosis and Treatment of Sexually Transmitted Diseases.

Infectious Diseases 40

Infectious Diseases Emergency Department Sexual Assault CDC 40

RebelEM

MAY 15, 2024

The loss of these cells leads to immunosuppression as well as decreased responsiveness of the immune system as a whole Patients with neutropenia will not only get very sick very quickly, but also will have blunted immune response and may not localize signs of infection well Fever or malaise may be their only presenting symptoms.

Infectious Diseases 98

Infectious Diseases Administration Sepsis Anaphylaxis 98

EMDocs

DECEMBER 18, 2023

1 The rationale for the shift away from normal saline in 2021 derived from multiple trials, including the Isotonic Solutions and Major Adverse Renal Events Trial (SMART) and Saline Against Lactated Ringer’s or Plasma-Lyte in the Emergency Department (SALT ED). Procalcitonin and sepsis in the Emergency Department: an update.

Sepsis 93

Sepsis Fluid Resuscitation Resuscitation Shock 93

EMDocs

JULY 15, 2023

The patient reported feeling better, pain and other symptoms were well controlled 24 hours after starting antibiotics and pain medication. The border may be raised, but erysipelas does not cause overt superficial skin lesions that other infectious rashes might cause (e.g., Infectious Diseases Society of America.

EMS 94

EMS Infectious Diseases Shock Ultrasounds 94

EMDocs

JANUARY 6, 2024

12 This is a variant of coronary artery disease in the allograft vessels, characterized by concentric intimal hyperplasia, as opposed to the eccentric pattern seen in atherosclerosis among non-transplant coronary arteries. 15 The exact incidence or acute coronary syndrome in heart transplant patients is not well characterized.

EMS 91

EMS Infectious Diseases Shock Emergency Department 91

PEMBlog

JULY 10, 2024

Patients with neurologic complaints should undergo CSF testing as well. Last, but not least, remember that in some cases you’re telling your patient about their disease and possibly some dishonesty from their partner. Trepanemal tests, such as the FTA ABS, are used as confirmation in the setting of a positive non trepanemal test.

Pediatrics 52

Pediatrics CDC Seizures Emergency Department 52

Pediatric EM Morsels

FEBRUARY 2, 2024

A “Syndromic” Approach for Diagnosing and Managing Travel-Related Infectious Diseases in Children. Internationally Acquired Severe Systemic Infections in Febrile Pediatric Travelers Presenting to the Emergency Department. Pediatr Emerg Care. Glob Pediatr Health. 2021 May; 8:1-16. 2015 Aug; 45(8): 231–243.

Infectious Diseases 164

Infectious Diseases Pediatrics Sepsis Documentation/Coding 164

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. What is it?

Infectious Diseases 59

Infectious Diseases Sepsis Wellness Pediatrics 59

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.

Emergency Department 98

Emergency Department Wellness Infectious Diseases Pediatrics 98

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

Taming the SRU

JUNE 12, 2023

Although not every person seeks health care for these injuries, the majority of those that do end up in the emergency department. In 2008, this led to greater than 316,000 emergency department (ED) visits and about 9,500 hospitalizations [1]. Clinical Infectious Diseases. Annals of Emergency Medicine.

Infectious Diseases 103

Infectious Diseases Emergency Department Administration Academics 103

EMDocs

FEBRUARY 8, 2025

Well keep it short, while you keep that EM brain sharp. Empiric treatment with voriconazole 6 mg/kg twice daily intravenously for 2 doses should be started immediately based on Infectious Disease Society of America (IDSA) guidelines. She is well appearing with otherwise normal vital signs. Open Forum Infectious Diseases.

Infectious Diseases 74

Infectious Diseases EMS COPD Research 74

PEMBlog

MARCH 24, 2025

OK, well, um, the evidence is great that dex reduces the rate of return visits to Emergency Departments and Doctor’s offices. Does it take a catchy post-grunge alt rock song to remind you that all patient with croup should get a dose of dexamethasone before disposition? So there’s that. Lyrics [chorus] Dex!

Emergency Department 59

Emergency Department Wellness Infectious Diseases 59

ALiEM

DECEMBER 9, 2024

A 25-year-old female with no pertinent past medical history presented to an emergency department in Massachusetts with four days of generalized malaise, myalgias, congestion, low-grade fever, and a rash behind her left knee. The patient denied cough, shortness of breath, chest pain, abdominal pain, nausea, vomiting, and diarrhea.

Emergency Department 60

Emergency Department CDC EMS Academics 60

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! How does your differential diagnosis change? What about your diagnostic workup?

Pediatrics 52

Pediatrics Fractures Dehydration Sepsis 52

Mind The Bleep

SEPTEMBER 17, 2024

Introduction Patients regularly present to the emergency department with animal bites. Management The management is guided by the examination findings which are covered in the respective chapter, this section will delve into the importance of a number of those steps, as well as further long-term care. link] Quinn, J.

Fractures 52

Fractures Infectious Diseases Documentation/Coding Hospitals 52

EMDocs

NOVEMBER 25, 2024

volvulus as well as improvements in the diagnosis and treatment of this morbid disease. This article aims to create emergency clinician awareness of onchocerciasis as a potential cause of visual and dermatologic complaints and will highlight appropriate diagnosis and management strategies. 7 Approximately 14.6

Infectious Diseases 74

Infectious Diseases Emergency Department EMS Administration 74

EMDocs

JANUARY 6, 2025

She receives IV calcium gluconate and bicarbonate as well as oral potassium binders for hyperkalemia. Case Resolution The patient and family remain in isolation and receive risk stratification assessment for a notifiable disease of public health concern. Hypoglycemia is managed with IV dextrose. 12 Table 1.

Infectious Diseases 75

Infectious Diseases CDC PPE Rapid Diagnostic Testing 75