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How should we assess febrile infants with a positive viral respiratory test? – results from the FIDO study

Don't Forget the Bubbles

A 7-week-old baby presents to the Emergency Department (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. 40 of these cases occurred in infants with negative viral testing, giving a rate of 3.8% Parents have recorded a temperature of 38°C at home.

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Emergency Physician Provides HIV and Hepatitis C Testing, Counseling to Underserved Communities

ACEP Now

At the time, those who wanted to get tested for HIV had to go to receive an hour of counseling and then wait a week for their results. As the science was progressing into point-of-care testing, Dr. Calderon and her colleagues started testing different options for providing HIV counseling in the ED.

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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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You don’t need labs or CT scans in children who have recovered after a simple febrile or first time seizure

PEMBlog

The sodium, calcium, and potassium can be checked in settings with access to rapid point-of-care testing. Electrolytes Think about hyponatremia or hypernatremia (especially at <125 or >160, respectively), hypocalcemia, hypo/hyperkalemia, hypomagnesemia, or hypophosphatemia.