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Pediatric DKA and HHS

EB Medicine

In this episode, Sam Ashoo, MD, and TR Eckler, MD, discuss the November 2023 Pediatric Emergency Medicine Practice article, Pediatric Diabetes: Management of Acute Complications in the Emergency Department and some of the highlights from the other EB Medicine articles published in November.

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Waiting Room Medicine: The Ethical Conundrum

ACEP Now

As hospital boarding, increased emergency department (ED) volumes, and complexity of patients have increased, so have wait times. Some physicians now coin themselves waiting room medicine specialists as departments schedule a physician in triage or attempt to evaluate patients in whatever spaces might be available. J Emerg Med.

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Pediatric Electrolyte Emergencies

EB Medicine

— In this episode, Sam Ashoo, MD, and TR Eckler, MD, discuss the February 2023 Pediatric Emergency Medicine Practice article on Pediatric Electrolyte Emergencies: Recognition and Management in the Emergency Department — History Point-of-care testing I/O lines Presentation, differential, and treatment of: Hyponatremia Hypernatremia Hypokalemia (..)

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Choosing Wisely – Viral Respiratory Panels in children with respiratory symptoms

Don't Forget the Bubbles

Do not obtain comprehensive viral panel testing for patients who have suspected respiratory viral illnesses. The parents of two-year-old, previously healthy, Jamie bring him to the Emergency Department with coryzal symptoms, wheezing and difficulty breathing. SpO2 is 88%. Making Sense of Respiratory Viral Panel Results.

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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. Evaluation of fever in the emergency department. ng/mL (strongly recommended against antibiotics), 0.1-0.25

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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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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.