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EM@3AM: Pediatric Osteomyelitis

EMDocs

Which of the following, if present, would put this patient at a higher risk of osteomyelitis? Neonates at higher risk for osteomyelitis include those who are premature and born to mothers with an active infection and those with a complicated delivery, skin infection, urinary tract anomalies, or a central venous catheter.

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emDOCs Podcast – Episode 88: ED Evaluation of Diverticulitis

EMDocs

These risk factors are immunosuppression, recent or current antibiotic use, signs of sepsis, symptoms > 5 days, unstable comorbidity, vomiting, CRP > 14 mg/dL or 140 mg/L, or if there are signs of perforation, bleeding, obstruction, or abscess. Ther Clin Risk Manag. Dis Colon Rectum. 2010 Jun;53(6):896-904.

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IV fluids in the ED: When do we really need them?

EMDocs

Sepsis There has been much controversy over the last two decades around the various nuances of volume resuscitation in ED patients with suspected sepsis, much of which goes beyond the scope of this limited review. Volume status Assessing volume status, especially in critically ill patients, can be challenging. Andrews et al.