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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. After years of training to fully undress a patient for an exam at ABEM General Hospital, patients may now routinely be treated in street clothes sitting in a hallway chair.

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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.

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Diagnostics: Inflammatory Markers

Taming the SRU

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]. Diagnostic accuracy of point-of-care tests in acute community-acquired lower respiratory tract infections. 2021.09.025.

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Bubble Wrap PLUS – June 2023

Don't Forget the Bubbles

The Bubble Wrap Plus is a monthly paediatric journal club reading list from Anke Raaijmakers, working with Professor Jaan Toelen and his team at the University Hospitals in Leuven. Predicting respiratory failure and outcome in pediatric Guillain-Barré syndrome. Acute kidney injury in infants hospitalized for viral bronchiolitis.

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How should we assess febrile infants with a positive viral respiratory test? – results from the FIDO study

Don't Forget the Bubbles

Respiratory viral testing for young febrile infants presenting to emergency care: a planned secondary analysis of the Febrile Infants Diagnostic assessment and Outcome (FIDO) prospective observational cohort study. 40 of these cases occurred in infants with negative viral testing, giving a rate of 3.8% and Waterfield, T.,