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EM@3AM: Pediatric Osteomyelitis

EMDocs

Well keep it short, while you keep that EM brain sharp. 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. Ther Clin Risk Manag. Pediatr Radiol.

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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. Balk EM, Adam GP, Cao W, et al. Ther Clin Risk Manag.

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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. 9 In terms of assessing volume status in general, Joseph et al. 11 A study by Stephan et al. Andrews et al.