EMDocs

JUNE 17, 2023

We’ll keep it short, while you keep that EM brain sharp. The Pediatric Infectious Disease Journal. 2009-1709 The post EM@3AM: Periorbital Cellulitis appeared first on emDOCs.net - Emergency Medicine Education. An 8-year-old boy with no medical history born full term presents with left eyelid swelling for 2 days.

EMS 91

EMS Infectious Diseases Pediatrics Emergency Department 91

Pediatric EM Morsels

AUGUST 18, 2023

(Jackson 2016) It can also be used in UTIs , but is typically reserved for special cases where the infectious bacteria is found to be multidrug resistant or in complicated UTIs. BMC Infectious Disease. PMID: 29356761 The post Fluoroquinolone Use In Children appeared first on Pediatric EM Morsels. Pediatr Infect Dis J.

Pediatrics 130

Pediatrics Infectious Diseases Seizures Hospitals 130

Pediatric EM Morsels

AUGUST 11, 2023

This is the 601st Ped EM Morsel ! Having authored 575 ( well, now 576 ) of them, I am often quite convinced that there are no new topics to discuss. The post Perichondritis of the Ear in Children appeared first on Pediatric EM Morsels. Pediatr Emerg Care. 2006 Dec;22(12):804-6. doi: 10.1097/01.pec.0000248687.96433.63.

Burns 130

Burns Pediatrics EMS Outcomes 130

EM Curious

JULY 8, 2015

The idea of the FOAMed review is to give you a digestible selection of reliable content from the online EM/CC world that you can fit into your busy weekly schedule. Over a year's span we will be sure to include topics from all core EM content areas.even the ones that may not be the coolest. Well, this may not be completely true.

Infectious Diseases 52

Infectious Diseases Disaster Management Sepsis Ultrasounds 52

American Medical Compliance

FEBRUARY 15, 2023

No fines or fees are implemented as well. Assisted Living Education and Training Employees of assisted living facilities do not have the same level of exposure to infectious diseases and bloodborne pathogens as the workers of long-term care facilities and nursing homes. The state testing schedule is limited.

EMS 52

EMS Administration Infectious Diseases Operations 52

EM Ottawa

SEPTEMBER 28, 2023

He looks well by ED standards. You are treating a 43-year-old male with two days of left lower quadrant abdominal pain, a documented fever of 38.4 and malaise. He has no urinary or bowel symptoms. His past medical history is unremarkable. After a focused history and physical examination, you narrow the differential to diverticulitis.

Documentation/Coding 115

Documentation/Coding Wellness Infectious Diseases EMS 115

RebelEM

FEBRUARY 29, 2024

Patient data anonymized when presented to adjudication committee to avoid detection bias Well-balanced patient characteristics between groups. Rezaie, MD (Twitter/X: @srrezaie ) The post The PROPHY-VAP Trial: Ceftriaxone to Prevent VAP in Patients with Acute Brain Injury appeared first on REBEL EM - Emergency Medicine Blog.

CDC 111

CDC Radiology Radiology Head Injuries 111

ALiEM

MAY 13, 2024

They may be well-circumscribed or may have irregular borders. Well-circumscribed abscess with heterogeneous debris C. Larger abscess with well-circumscribed borders D. Superficial abscess with well-circumscribed borders Table 1. The rim may be echogenic or blend in with surrounding tissue. Ann Emerg Med. 2020.01.004.

Ultrasounds 64

Ultrasounds Pediatrics Emergency Department Wellness 64

ACEP Now

MARCH 6, 2024

Gotta catch ‘em all!” Many clinicians staffing emergency departments intubate infrequently, as well, and these results are likely applicable to a wide scope of practice. 10 The trial was stopped due to superiority due to both its overall mortality benefit, as well as a reduction in the need for mechanical ventilation.

Research 52

Research Airway Management Stroke Outcomes 52

EMDocs

OCTOBER 5, 2024

We’ll keep it short, while you keep that EM brain sharp. ESBL are found exclusively in Gram-negative organisms, including: Klebsiella pneumoniae Klebsiella oxytoca Escherichia coli Proteus mirabilis Pseudomonas aeruginosa The first reported beta-lactamase enzyme was reported in 1963, and today there are well over 350 ESBL enzyme variants.

EMS 93

EMS Infectious Diseases Sepsis Hospitals 93

EMDocs

JULY 15, 2023

We’ll keep it short, while you keep that EM brain sharp. 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.,

EMS 84

EMS Infectious Diseases Shock Ultrasounds 84

EMDocs

JANUARY 6, 2024

Authors: Christian Gerhart, MD (EM Resident Physician, Washington University School of Medicine, St. Louis, MO); Jessica Pelletier, DO (EM Education Fellow, Washington University School of Medicine, St. We’ll keep it short, while you keep that EM brain sharp. A 64-year-old male presents by EMS to the ED with shortness of breath.

EMS 80

EMS Infectious Diseases Shock Emergency Department 80

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 90

Infectious Diseases Administration Sepsis Anaphylaxis 90

Pediatric EM Morsels

SEPTEMBER 20, 2024

Though most children recover well after STEC is cultured from their stool, some will go on to display the findings that make up HUS. The post Hemolytic Uremic Syndrome (HUS): Rebaked Morsel appeared first on Pediatric EM Morsels. The most notable varietal of the STEC is E.coli 0157:H7 (do you remember that from medical school?).

Pediatrics 164

Pediatrics Ultrasounds Dehydration Emergency Department 164

EMDocs

DECEMBER 18, 2023

Today, she would not get out of bed, prompting the facility to call EMS. 1 However, given that the benefit for patients with sepsis who are not in shock is not as apparent if the diagnosis is unclear, antibiotics can be delayed for up to three hours to allow further infectious workup and avoid inappropriate antibiotic delivery.

Sepsis 83

Sepsis Fluid Resuscitation Resuscitation Shock 83

RebelEM

AUGUST 3, 2023

appeared first on REBEL EM - Emergency Medicine Blog. PMID: 37459086 Post Peer Reviewed By: Anand Swaminathan, MD (Twitter: @EMSwami ) The post The PALACE Trial: Direct Oral PCN Challenge in Patients with Low-Risk PCN Allergy?

Anaphylaxis 52

Anaphylaxis Allergic Reactions Infectious Diseases Outcomes 52

Pediatric EM Morsels

APRIL 5, 2024

(Jensenius 2004) Treatment : doxycycline Human granulocytic anaplasmosis Causative Agent: Anaplasma phagocytophilum , a rickettsial bacteria (Sanchez 2016) Previously seen in the endemic regions of North America where lyme is common, it is now being seen more frequently in travelers to Europe and eastern Asia as well.

CDC 164

CDC Infectious Diseases Pediatrics Shock 164

Pediatric EM Morsels

FEBRUARY 2, 2024

A “Syndromic” Approach for Diagnosing and Managing Travel-Related Infectious Diseases in Children. Infectious Disease Acquisition in Pediatric International Travelers: A 10-Year Review at a Canadian Tertiary Care Hospital. Glob Pediatr Health. 2021 May; 8:1-16. PMID: 34423077 Flores MS, Hickey PW, Fields JH, Ottolini MG.

Infectious Diseases 164

Infectious Diseases Pediatrics Sepsis Documentation/Coding 164

EB Medicine

JANUARY 2, 2019

I know this is a HOTLY debated topic among EM Docs. HDS patients who are well-appearing with a pregnancy of undetermined location should be discharged with a 48h beta hcg recheck and ultrasound. Jeff: Oh it certainly is. Nachi: Right, and a single dose of ionizing radiation actually does not exceed the threshold dose for fetal harm.

Ultrasounds 40

Ultrasounds Radiology Radiology Infectious Diseases 40

Pediatric EM Morsels

OCTOBER 6, 2023

(Forster, 2021) Transmission is by Fecal-Oral route (Chiodini 2018) Incubation period 6-30 days after exposure (Chiodini 2018) Salmonella typhi produces an endotoxin although its clinical significance is not yet well understood (Gibani 2019) Two typhoid vaccines are available for those > 6 m/o and are 50-80% effective.

Pediatrics 164

Pediatrics CDC Seizures Documentation/Coding 164

Pediatric EM Morsels

DECEMBER 6, 2024

Responsible for a variety of diseases in humans, including the well-known “ fifth disease ” in children, but it can also lead to more severe complications in certain individuals, particularly those with compromised immune systems, or with underlying hematologic disorders. . 6, 2008, pp. “Parvovirus B19.”

Blood Transfusions 164

Blood Transfusions Infectious Diseases CDC Pediatrics 164

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. 2023;30(1).

Infectious Diseases 65

Infectious Diseases EMS COPD Research 65

ALiEM

DECEMBER 9, 2024

Physical Exam Vitals : BP 128/84; HR 88; Temp 98F; RR 18; SpO2 (on RA) 100% General : Well appearing HEENT : No conjunctival injection Cardiovascular : S1, S2; no murmurs, rubs, or gallops Skin : Erythematous patch with central clearing in left popliteal fossa Laboratory Data WBC : 5.1 Platelets : 223 Sodium : 139 Creatinine : 0.8

Emergency Department 60

Emergency Department CDC EMS Academics 60

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

ALiEM

DECEMBER 16, 2024

CT demonstrates osteomyelitis of the frontal bone with osseous destruction with a 5 cm bifrontal complex loculated anterior epidural abscess as well as a 3 cm midline frontal subgaleal extracranial scalp abscess. Laboratory Data WBC : 14.35 ESR : 23 mm/h CRP : 0.74 mg/dL Case Question: What CT imaging findings are shown here?

Pediatrics 52

Pediatrics Academics Wellness Infectious Diseases 52

EMDocs

NOVEMBER 2, 2024

We’ll keep it short, while you keep that EM brain sharp. A broad workup is initiated for altered mental status, including an STD panel, which shows a reactive Venereal Disease Research Laboratory (VDRL) and a negative CT head. Cerebrospinal fluid (CSF) studies are obtained in the recumbent position for opening pressures.

EMS 111

EMS Infectious Diseases CDC Research 111

EMDocs

NOVEMBER 25, 2024

volvulus as well as improvements in the diagnosis and treatment of this morbid disease. Patients from endemic regions with signs and symptoms suggestive of onchocerciasis will require multidisciplinary consultation, including ophthalmology, dermatology, and infectious disease. Elsevier; 2009:274-278. Curr Opin Infect Dis.

Infectious Diseases 69

Infectious Diseases Emergency Department EMS Administration 69

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 72

Infectious Diseases CDC PPE Rapid Diagnostic Testing 72