PEMBlog

MARCH 4, 2025

Garcia T, Florin TA, Leonard J, Shah SS, Ruddy RM, Wallihan R, Desai AP, Alter S, El-Assal O, Marzec S, Keaton M, Yun KW, Leber AL, Mejias A, Cohen DM, Ramilo O, Ambroggio L; Childrens Hospitals Initiative for Research in Pneumonia (CHIRP). Clinical Features and Management Strategies in Children With Mycoplasma Pneumoniae. Pediatr Emerg Care.

Pediatrics 94

Pediatrics Military CDC Hospitals 94

Sensible Medicine

SEPTEMBER 25, 2023

Patients may develop a disease that requires admission to the hospital, mostly because of lung problems, such as the need for oxygen. The disease might affect other organs—either directly or indirectly. Indirect organ damage is common in medical conditions that are severe enough to warrant admission to the hospital.

Infectious Diseases 115

Infectious Diseases Hospitals Outcomes Research 115

Pediatric EM Morsels

AUGUST 18, 2023

(Etminan 2019) In Belgium between 2010 – 2013, of the 262 children treated with fluroquinolones while hospitalized, only 17% were used for labelled indications. From 2001 to 2009, in a pediatric hospital gram negative culture showed a drop in sensitivity to ciprofloxacin from 96% to 93%. BMC Infectious Disease.

Pediatrics 130

Pediatrics Infectious Diseases Seizures Hospitals 130

PulmCCM

DECEMBER 11, 2023

Sepsis, infectious disease Managing septic shock with a restrictive-fluids approach (preferentially using vasopressors after a single liter crystalloid bolus) led to similar outcomes as the usual practice of bolusing large volumes of fluids first. Vitamin C did not improve outcomes among patients hospitalized with Covid-19.

Sepsis 94

Sepsis Stroke Shock Infectious Diseases 94

Taming the SRU

FEBRUARY 5, 2024

2018) Epidemiology of lumbar punctures in hospitalized patients in the United States. Scandinavian journal of infectious diseases , 45 (9), 657–663. Clinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases , 22 Suppl 3 , S37–S62.

Infectious Diseases 97

Infectious Diseases Seizures Ultrasounds Sepsis 97

RebelEM

JANUARY 9, 2024

Clinical infectious diseases : an official publication of the Infectious Diseases Society of America. The use of oral temafloxacin compared with a parenteral cephalosporin in hospitalized patients with pneumonia. Oral administration of antibiotics: a rational alternative to the parenteral route. 1997; 24(3):457-67.

Infectious Diseases 98

Infectious Diseases Pediatrics EMS Administration 98

PulmCCM

APRIL 29, 2024

The Infectious Diseases Society of America (IDSA), along with societies for emergency medicine physicians and hospitalists, are again speaking up about the ongoing policy experiment known as the Centers for Medicare and Medicaid Severe Sepsis/Septic Shock Management Bundle (SEP-1). The stakes are going up.

Infectious Diseases 52

Infectious Diseases Sepsis Administration Shock 52

PEMBlog

OCTOBER 18, 2023

This patient was hospitalized for 4 days where he remained well-appearing. The patient was ultimately discharged on a seven-day total course of cephalexin per Pediatric Infectious Disease recommendations. Exanthematous disease induced by toxic shock syndrome toxin 1 in the early neonatal period. References Takahashi, N.,

Infectious Diseases 59

Infectious Diseases Shock Pediatrics Wellness 59

Advanced Medical Reviews

APRIL 17, 2019

percent rise in hospital spending and a growth of 5.4 Protect the nation from the health effects of emerging and pandemic infectious diseases and chemical, biological, radiological and nuclear (CBRN) threats. In addition, higher fee-for-service payment updates are expected to result in faster Medicare spending growth.

Infectious Diseases 66

Infectious Diseases Radiology Radiology Administration 66

University of Maryland CC Project

MAY 26, 2023

Wortmann, FIDSA, FACP is the Section Director of Infectious Diseases at MedStar Washington Hospital Center and the Medical Director of Infection Prevention at the MedStar Institute of Quality and Safety. He presents a lecture entitled "Healthcare Associated Infections in the ICU" as part of the DC5 lecture series Dr. Glenn W.

Infectious Diseases 40

Infectious Diseases Academics Hospitals 40

Pediatric EM Morsels

MARCH 1, 2024

Chest CT Demonstrates parenchymal disease better Allows for operative planning (if needed) Lung Abscess in Children: Management Rarity of the condition affects what is known (no randomized control trials on therapeutic options). Lung abscess: 14 years of experience in a tertiary paediatric hospital. Pediatr Pulmonol. 2024 Jan 11.

Ultrasounds 173

Ultrasounds Pediatrics Operations Hospitals 173

EMDocs

JULY 1, 2023

Management of Kawasaki disease includes high-dose aspirin and intravenous immune globulin (IVIG). Patients should be admitted to the hospital and cardiology consulted early in their course. Signs and symptoms of Kawasaki disease include fever for > 5 days, unilateral cervical lymphadenopathy > 1.5 C) for the past week.

EMS 91

EMS Infectious Diseases Pediatrics Research 91

ACEP Now

FEBRUARY 11, 2024

There was concern for possible cutaneous leishmaniasis (CL), therefore he was admitted to the hospital for infectious-disease and surgical consultations, as well as to complete a punch biopsy the following day. Dr. Dupont is a second-year emergency medicine resident at Swedish Hospital in Chicago. Click to enlarge.)

Infectious Diseases 52

Infectious Diseases CDC Military Emergency Department 52

PEMBlog

MARCH 18, 2024

We published the first pediatric SOAR review in AEM Education and Training on the topic of respiratory infectious disease. Our SOAR review provides readers with a curated list of high-quality blog posts on topics of respiratory infectious disease. We want to help you learn! How can I use these findings?

Infectious Diseases 52

Infectious Diseases Pediatrics Academics Hospitals 52

PulmCCM

FEBRUARY 5, 2024

Fever in the ICU: Guideline Update The Society of Critical Care Medicine (SCCM) and the Infectious Diseases Society of America (IDSA) issued an interim update to their 2008 recommendations for the management of fever in the ICU. PulmCCM is not affiliated with SCCM or IDSA. You can read the document here. What’s a Fever?

Best Practices 111

Best Practices Ultrasounds Infectious Diseases Sepsis 111

Don't Forget the Bubbles

AUGUST 30, 2023

A Single-Institution Experience in the Use of Chest Radiographs for Hospitalized Children Labeled as Asthma Exacerbation. Hamdoun, O., Alabdouli, A., Alsamri, M. Ghatasheh, G. Zoubeidi, T., & Souid, A. Frontiers in pediatrics , 9 , 722480. link] Cohen E, Rodean J, Diong C, et al. 2019 Aug 1;173(8):801]. JAMA Pediatr. 2019;173(8):e191439.

Emergency Department 131

Emergency Department Pediatrics Infectious Diseases Research 131

Taming the SRU

AUGUST 30, 2023

In a small study involving 79 hospitalized children, PCT was found to be elevated in bacterial infections, with a decrease after appropriate antibiotic therapy, and decreased in viral infections [24]. . + Procalcitonin (PCT) Etiology: PCT was first discovered in 1984. However, it was not until a 1993 study that its significance was realized.

Infectious Diseases 89

Infectious Diseases Sepsis Emergency Department Point-of-Care Testing 89

American Medical Compliance

AUGUST 7, 2024

PPEs that OSHA mandates minimize exposure to infectious diseases, ensuring that healthcare workers are adequately protected during patient care. Adhering to CMS quality measures, such as reducing hospital readmission rates and improving patient safety protocols, helps maintain high standards of care.

Hazardous Materials 105

Hazardous Materials Documentation/Coding Legal Issues Patient Safety 105

EM Ottawa

JULY 11, 2024

In Fall 2023, I was working an evening shift at a community hospital when we got a patch. A 3-year-old girl was being brought in by EMS with an out-of-hospital cardiac arrest. CPR was ongoing, and their ETA was 10 minutes. We prepared the ED for the patient’s arrival.

CPR 77

CPR EMS Hospitals Infectious Diseases 77

PEMBlog

JANUARY 21, 2025

Diagnostic Costs : RSV rapid tests: $100-$400 (higher end when included in multiplex testing) Risk Stratification : Infants <6 months, especially those with prematurity, chronic lung disease, or congenital heart disease, have a heightened risk of hospitalization.

Rapid Diagnostic Testing 52

Rapid Diagnostic Testing Pediatrics Dehydration Outcomes 52

The Skeptics' Guide to EM

NOVEMBER 28, 2020

Date: November 25th, 2020 Guest Skeptic: Dr. Joe Vipond has worked as an emergency physician for twenty years, currently at the Rockyview General Hospital. Date: November 25th, 2020 Guest Skeptic: Dr. Joe Vipond has worked as an emergency physician for twenty years, currently at the Rockyview General Hospital.

Infectious Diseases 52

Infectious Diseases Operations Outcomes Wellness 52

ACEP Now

AUGUST 11, 2024

Hospitalization may be necessary for persistent symptoms. Hospitalization may be necessary for persistent symptoms. National Center for Emerging and Zoonotic Infectious Diseases. Centers for Disease Control and Prevention. Future exposure can result in more severe symptoms. Treatment is symptomatic.

Poisoning 52

Poisoning Infectious Diseases EKG/ECG Emergency Department 52

Emergency Medicine Ireland

NOVEMBER 26, 2020

References: Fishman JA, Gans H; AST Infectious Diseases Community of Practice. Pneumocystis jiroveci in solid organ transplantation: Guidelines from the American Society of Transplantation Infectious Diseases Community of Practice. Clin Transplant. 2019 Sep;33(9):e13587. doi: 10.1111/ctr.13587. Epub 2019 Jul 1.

Infectious Diseases 40

Infectious Diseases Documentation/Coding Hospitals 40

ACEP Now

OCTOBER 26, 2023

The parents only have a copy of the discharge instructions, and your hospital and Children’s General do not share electronic health records. And, when alerted of a bounce-back to another hospital, it’s in everyone’s best interest to know about and help rectify any possible previous mistakes as soon as possible. HHS website.

Infectious Diseases 52

Infectious Diseases Documentation/Coding Hospitals Emergency Department 52

Sensible Medicine

SEPTEMBER 25, 2023

Patients may develop a disease that requires admission to the hospital, mostly because of lung problems, such as the need for oxygen. The disease might affect other organs—either directly or indirectly. Indirect organ damage is common in medical conditions that are severe enough to warrant admission to the hospital.

Infectious Diseases 52

Infectious Diseases Hospitals Outcomes Research 52

Total Medical ComplianceHIPAA

OCTOBER 9, 2024

Clean and disinfect surfaces with an EPA registered hospital level disinfectant. Keep in mind that persons involved in the clean up need to be protected from infectious diseases, chemical exposures, radiation, electrical shock, and potential fire hazards. OSHA would expect adequate restrooms for employees.

Hazardous Materials 59

Hazardous Materials Infectious Diseases PPE Shock 59

EMDocs

JUNE 17, 2023

The Pediatric Infectious Disease Journal. swelling, chemosis, fever, etc.), Sisli Etfal Hastan Tip Bul. 2019;53(4):409-412. doi:10.14744/semb.2018.75010 2018.75010 Miranda-Barrios J, Bravo-Queipo-de-Llano B, Baquero-Artigao F, et al. Preseptal Versus Orbital Cellulitis in Children: An Observational Study. 2021;40(11):969-974.

EMS 96

EMS Infectious Diseases Pediatrics Emergency Department 96

The Skeptics' Guide to EM

MARCH 4, 2018

Guest Skeptic: Chip Lange is an Emergency Medicine Physician Assistant (PA) working primarily in rural Missouri in community hospitals. Guest Skeptic: Chip Lange is an Emergency Medicine Physician Assistant (PA) working primarily in rural Missouri in community hospitals. JAMA May 2017. JAMA May 2017.

Infectious Diseases 40

Infectious Diseases Documentation/Coding Outcomes Ultrasounds 40

Don't Forget the Bubbles

SEPTEMBER 27, 2023

There may be a role in viral respiratory panels for children admitted to the hospital or intensive care unit. Of note, during COVID-19 , some hospitals used RVPs to differentiate patients who had been infected with SARS-CoV-2 from other viral infections. Which children need a respiratory viral panel? cystic fibrosis). J Clin Virol.

Emergency Department 84

Emergency Department Pediatrics Point-of-Care Testing Hospitals 84

NIOSH Science Blog

JUNE 16, 2020

Introduction During times of increased demand for N95 filtering facepiece respirators (FFRs), hospitals or other medical facilities may want to protect these devices from surface contamination in order to prolong their use.

CDC 75

CDC Hospitals Infectious Diseases 75

ACEP Now

JANUARY 12, 2024

While the urine culture was pending, the patient was empirically started on a broad-spectrum intravenous antibiotic and admitted to the hospital, where he rapidly improved. Current Opinion in Infectious Diseases. 48 hours later, the patient’s urine culture grew E. coli colonies, sensitive to trimethoprim/sulfamethoxazole.

Infectious Diseases 52

Infectious Diseases Ultrasounds Wellness Hospitals 52

EMDocs

JANUARY 11, 2024

Methods This scientific statement was led by the AHA and NCS and focused on the acute and critical care management of adult cardiac arrest survivors of in-hospital and out-of-hospital cardiac arrest. Individual topics were organized by organ system, with small groups addressing each system.

Seizures 97

Seizures Shock Infectious Diseases CPR 97

Don't Forget the Bubbles

JANUARY 22, 2024

Repeated GP and hospital attendance might stimulate increased testing and unnecessary prescriptions. Is blood culture a useful investigation in children admitted to hospital with community-acquired pneumonia? Archives of Disease in Childhood 2018; 103: A137-A138. Families and patients may drive over-investigation.

Emergency Department 90

Emergency Department Best Practices Radiology Radiology 90

Northwestern EM Blog

JUNE 16, 2024

Myocardial Infarction Medication Sinus node dysfunction Infectious Disease Hypothermia Metabolic Abnormalities (hypothyroidism, hyperkalemia, ect.) Seth Trueger, MD, MPH, FACEP Associate Professor of Emergency Medicine Northwestern Memorial Hospital How To Cite This Post: [Peer-Reviewed, Web Publication] Kilbane, K.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Infectious Diseases Stroke Poisoning 52

Advanced Emergency Nursing from AENJ

JUNE 16, 2015

Ordinary hospital practice would be for admission orders to specify Isolation Cart, to ensure that the ward would have one delivered and restocked daily until no longer needed. That is to say, I would need a “Positive Air Pressure Respirator” [Powered Air-Purifying Respirator] or “PAPR.”

PPE 40

PPE Infectious Diseases Emergency Nursing Operations 40

PEMBlog

SEPTEMBER 27, 2023

The Choosing Wisely Pediatric Emergency Medicine Recommendations The Choosing Wisely Campaign Toolkit Expert Contributors Olivia Ostrow, MD Hospital for Sick Children Toronto, Ontario, Canada olivia.ostrow@sickkids.ca The clinical utility of respiratory viral testing in hospitalized children: a meta-analysis. isolation for SARS-CoV-2).

Pediatrics 52

Pediatrics Hospitals Emergency Department Outcomes 52

RebelEM

AUGUST 3, 2023

Literature including patients with penicillin allergies also show longer, more complicated hospital courses. Background: Many patients report a vague history of penicillin allergy. The vast majority of these self-reported allergies are untrue (< 5%) .

Anaphylaxis 52

Anaphylaxis Allergic Reactions Infectious Diseases Outcomes 52