The Skeptics' Guide to EM

FEBRUARY 22, 2025

2022 Population: Adults admitted to various clinical settings, particularly the ED, intensive care unit (ICU), and one infectious diseases unit (I dont have one of those Ken do you?). Clinical Chemistry and Laboratory Medicine 2022; 60(5):786-792 Clin Chem Lab Med.

Sepsis 61

Sepsis Infectious Diseases Emergency Department Pediatrics 61

Pediatric EM Morsels

AUGUST 18, 2023

Jackson 2016) A systematic review of safety data for over 16000 pediatric patients did show MAEs were the most frequently reported event. 451 pediatric patients were included. From 2001 to 2009, in a pediatric hospital gram negative culture showed a drop in sensitivity to ciprofloxacin from 96% to 93%. Pediatrics.

Pediatrics 130

Pediatrics Infectious Diseases Seizures Hospitals 130

Don't Forget the Bubbles

JANUARY 15, 2024

Scabies is one of the world’s top 50 infectious diseases , and we thought it deserved the chance to shine. Its impact exceeds that of diseases like dengue fever. Scratching the itch: is scabies a truly neglected disease? The Lancet Infectious Diseases. Chosidow O, Fuller LC. 2017 Sep 20.

Infectious Diseases 101

Infectious Diseases Pediatrics Telemedicine Leadership 101

Don't Forget the Bubbles

AUGUST 30, 2023

A Quality Improvement initiative to decrease chest x-ray utilization for asthma and bronchiolitis in a Pediatric Emergency Department. Pediatrics July 2020; 146 (1_MeetingAbstract): 206–209. Frontiers in pediatrics , 9 , 722480. JAMA Pediatr. JAMA Pediatr. Pediatrics. Pediatr Emerg Care. Pediatrics.

Emergency Department 131

Emergency Department Pediatrics Infectious Diseases Research 131

Pediatric EM Morsels

MARCH 1, 2024

Pediatr Pulmonol. Pediatric Lung Abscess: Immediate Diagnosis by Point-of-Care Ultrasound. Pediatr Emerg Care. The post Lung Abscess in Children appeared first on Pediatric EM Morsels. References: Matsushima A, Mizuno S, Minamikawa S, Nakagishi Y, Kasai M. 2024 Jan 11. doi: 10.1002/ppul.26854. Epub ahead of print.

Ultrasounds 173

Ultrasounds Pediatrics Operations Hospitals 173

Broome Docs

DECEMBER 9, 2023

Choosing wisely for kids From the American Academy of Pediatrics and the Canadian Association of Emergency Physicians, we have the Choosing Wisely recommendations for pediatric emergency medicine. Antibiotic Myths for the Infectious Diseases Clinician. 2023 Oct 12. doi: 10.1001/jama.2023.21019. 2023.21019. N Engl J Med.

Infectious Diseases 114

Infectious Diseases Emergency Department Stroke Pediatrics 114

EM Ottawa

JUNE 10, 2024

Pediatrics. Findings: The primary outcome of recurrence of UTI within 30 […] The post Short Oral Antibiotic Therapy for Pediatric Febrile Urinary Tract Infections: A Randomized Trial appeared first on EMOttawa Blog. Methodology: 3.5/5 5 Usefulness: 2.5/5 5 Montini G, et al. 2024 Jan 1;153(1):e2023062598.

Pediatrics 64

Pediatrics Outcomes Infectious Diseases 64

PEMBlog

MARCH 20, 2024

We published the first pediatric SOAR review in AEM Education and Training on the topic of respiratory infectious disease. In this new pediatric SOAR review, we found that only 36 of the 441 blog posts reached this high-quality threshold score. We want to help you learn! How can I use these findings? Happy learning!

Infectious Diseases 59

Infectious Diseases Pediatrics Academics 59

PEMBlog

MARCH 21, 2024

We published the first pediatric SOAR review in AEM Education and Training on the topic of respiratory infectious disease. In this new pediatric SOAR review, we found that only 36 of the 441 blog posts reached this high-quality threshold score. We want to help you learn! How can I use these findings?

Infectious Diseases 59

Infectious Diseases Pediatrics Academics 59

EMDocs

JULY 1, 2023

Upon further research in the 1970’s, retrospective data from autopsies of those patients showed coronary aneurysms 5 Pathophysiology: Kawasaki Disease is a vasculitis of medium sized arteries. Kawasaki disease: two case reports from the Aga Khan Hospital, Dar es Salaam-Tanzania. BMC Pediatrics. Lakhani, N. 2018;18(334).

EMS 91

EMS Infectious Diseases Pediatrics Research 91

PEMBlog

OCTOBER 18, 2023

PEMPix is the American Academy of Pediatrics Section on Emergency Medicine’s annual visual diagnosis competition. The patient was ultimately discharged on a seven-day total course of cephalexin per Pediatric Infectious Disease recommendations. Neonatal toxic shock syndrome-like exanthematous disease (NTED).

Infectious Diseases 59

Infectious Diseases Shock Pediatrics Wellness 59

RebelEM

JANUARY 9, 2024

Clinical infectious diseases : an official publication of the Infectious Diseases Society of America. Read More First10EM: Magical Thinking in Modern Medicine: IV Antibiotics for Cellulitis First10EM: Oral Antibiotics are Equivalent to IV (Again) – The OVIVA Trial References MacGregor RR, Graziani AL.

Infectious Diseases 98

Infectious Diseases Pediatrics EMS Administration 98

PEMBlog

MARCH 19, 2024

We published the first pediatric SOAR review in AEM Education and Training on the topic of respiratory infectious disease. In this new pediatric SOAR review, we found that only 36 of the 441 blog posts reached this high-quality threshold score. We want to help you learn! How can I use these findings?

Infectious Diseases 52

Infectious Diseases Pediatrics Stroke Academics 52

Don't Forget the Bubbles

JULY 24, 2023

Clinical Infectious Diseases. Pediatric Radiology. PEDIATRICS. Archives of Disease in Childhood. The Journal of Pediatrics. Diskitis in Children. 1993 Jul 1;17(1). du Lac P, Panuel M, Devred P, Bollini G, Padovani J. MRI of disc space infection in infants and children. 1990 Jan;20. 2000 Jun 1;105.

Radiology 98

Radiology Radiology Infectious Diseases Pediatrics 98

PEMBlog

MARCH 18, 2024

We published the first pediatric SOAR review in AEM Education and Training on the topic of respiratory infectious disease. In this new pediatric SOAR review, we found that only 36 of the 441 blog posts reached this high-quality threshold score. We want to help you learn! How can I use these findings?

Infectious Diseases 52

Infectious Diseases Pediatrics Academics Hospitals 52

EM Literature of Note

SEPTEMBER 13, 2024

These are each awful, of course, in their own way from a patient- and parent-oriented standpoint, but they’re also quite awful at the population level, overburdening limited pediatric and emergency department resources. “Nirsevimab and Acute Bronchiolitis Episodes in Pediatric Emergency Departments” [link] Tweet

Emergency Department 87

Emergency Department Pediatrics Administration Wellness 87

Pediatric EM Morsels

AUGUST 11, 2023

Pediatr Emerg Care. The post Perichondritis of the Ear in Children appeared first on Pediatric EM Morsels. PMID: 33251051; PMCID: PMC7686808. Stewart GM, Thorp A, Brown L. Perichondritis–a complication of high ear piercing. 2006 Dec;22(12):804-6. doi: 10.1097/01.pec.0000248687.96433.63. 0000248687.96433.63. PMID: 17198212.

Burns 130

Burns Pediatrics EMS Outcomes 130

Pediatric Education

MAY 26, 2024

The pediatrician said that the child was overall healthy and thriving, with the usual minor infectious disease episodes. Other studies have found that the risk for infectious diseases a particular child has is related to the number of other children exposed to and not the length of time in childcare. but not for injuries.

Infectious Diseases 40

Infectious Diseases Pediatrics Outcomes Wellness 40

Taming the SRU

AUGUST 30, 2023

Spinal Infection: According to the Infectious Disease Society of America’s (IDSA) 2015 guidelines for native vertebral osteomyelitis, CRP and ESR in the setting of protracted back pain have sensitivities ranging from 94 to 100% for ruling out infection and malignancy in these patients. J Arthroplasty. 2019 Feb;34(2S):S187-S195.

Infectious Diseases 90

Infectious Diseases Sepsis Emergency Department Point-of-Care Testing 90

EMDocs

JUNE 17, 2023

The Pediatric Infectious Disease Journal. Pediatrics. swelling, chemosis, fever, etc.), Preseptal Versus Orbital Cellulitis in Children: An Observational Study. 2021;40(11):969-974. doi:10.1097/inf.0000000000003226 0000000000003226 Rudloe TF, Harper MB, Prabhu SP, Rahbar R, VanderVeen D, Kimia AA. 2010;125(4):e719-e726.

EMS 96

EMS Infectious Diseases Pediatrics Emergency Department 96

ALiEM

MAY 13, 2024

Read this tutorial on the use of point of care ultrasonography (POCUS) for pediatric soft tissue ultrasonography. Take the ALiEMU PEM POCUS: Soft Tissue Quiz Case Goals List the indications of performing a pediatric soft tissue point-of-care ultrasound (POCUS). Pediatric Soft Tissue POCUS Ultrasound Technique Figure 1.

Ultrasounds 64

Ultrasounds Pediatrics Emergency Department Wellness 64

Don't Forget the Bubbles

SEPTEMBER 27, 2023

Hosp Pediatr. Pediatrics. Pediatrics. Role of a respiratory viral panel in the clinical management of pediatric inpatients. Pediatr Infect Dis J. [link] [link] Innis K, Hasson D, Bodilly L, Sveen W, Stalets EL, Dewan M. Do I need proof of the culprit? Decreasing respiratory viral testing in critically ill patients.

Emergency Department 84

Emergency Department Pediatrics Point-of-Care Testing Hospitals 84

Don't Forget the Bubbles

FEBRUARY 28, 2024

Treatment with brivudine in immunocompromised pediatric patients with herpes zoster. Population Pharmacokinetics of Intravenous and Oral Aciclovir and Oral Valaciclovir in Pediatric Population To Optimize Dosing Regimens. European Journal of clinical microbiology and infectious diseases. European Journal of Pediatrics.

Pediatrics 59

Pediatrics Infectious Diseases Outcomes Research 59

Pediatric Education

MAY 12, 2024

In a general pediatrics or similar setting, usually it is close enough to be able to distinguish between probably constipation (hard stools, Bristol 1-2) from normal variations (Bristol 3-5) and probably diarrhea (watery stools, Bristol 6-7). toilet, diaper), stool frequency, abdominal pain, eating patterns, infectious disease exposure, etc.

Pediatrics 40

Pediatrics Infectious Diseases Research Outcomes 40

Pediatric Education

AUGUST 20, 2023

in the pediatric populations as noted above. Learning Point LA can occur solely because of exposure to infectious organisms but is also commonly associated with hepatobiliary pathology as well. J Pediatr Gastroenterol Nutr. Pediatr Infect Dis J. Pediatr Infect Dis J. 2020;71(1):106-111. doi:10.1097/MPG.0000000000002700

Pediatrics 40

Pediatrics Infectious Diseases Wellness Sepsis 40

Don't Forget the Bubbles

MARCH 4, 2024

International Consensus Criteria for Pediatric Sepsis and Septic Shock. The task force (Society of Critical Care Medicine) was made up of paediatric experts in critical care, emergency medicine, infectious diseases, general paediatrics, nursing, and public health from six continents. Schlapbach LJ, Watson RS, Sorce LR, et al.

Hospitals 78

Hospitals Sepsis Fractures Emergency Department 78

Pediatric Education

MAY 14, 2023

Patient Presentation A 9-month-old, previously healthy, male came to clinic for followup 2 days after being discharged from the pediatric intensive care unit (PICU). cyanotic congenital heart disease or left ventricular dysfunction). Reexpansion pulmonary edema: review of pediatric cases. Pediatr Crit Care Med.

Pediatrics 40

Pediatrics Infectious Diseases Burns Wellness 40

PEMBlog

SEPTEMBER 29, 2023

Of course you did, but that doesn’t mean you shouldn’t watch this entertaining video that I made with Dr. Tanner Heckle, a Pediatric Emergency Medicine Fellow from Cincinnati Children’s which depicts a conversation between a provider and a parent of a child with a respiratory infection.

Pediatrics 52

Pediatrics Infectious Diseases 52

PEMBlog

SEPTEMBER 1, 2023

You can learn more about the Choosing Wisely Pediatric Emergency Medicine recommendations in the links below The Choosing Wisely Pediatric Emergency Medicine Recommendations The Choosing Wisely Campaign Toolkit Vincent Alexander who conducts a simulated discussion with a parent of a child with a respiratory illness.

Pediatrics 52

Pediatrics Infectious Diseases Radiology Radiology 52

PEMBlog

AUGUST 30, 2023

The Choosing Wisely Pediatric Emergency Medicine Recommendations The Choosing Wisely Campaign Toolkit Expert Contributors Michele Nypaver, MD University of Michigan Ann Arbor, MI, USA michelen@med.umich.edu Jennifer Thull-Freedman, MD Alberta Children’s Hospital Calgary, Alberta, Canada Jennifer.Thull-Freedman@albertahealthservices.ca

Pediatrics 52

Pediatrics Best Practices Hospitals Emergency Department 52

Pediatric Education

OCTOBER 15, 2023

She denied any infectious disease symptoms. Dysphagia is difficulty swallowing and is thought to occur in about <1% of the pediatric population. Curr Probl Pediatr Adolesc Health Care. Diagnosis and Management of Pediatric Dysphagia: A Review. Pediatric Dysphagia. Pediatr Clin North Am.

Pediatrics 40

Pediatrics Infectious Diseases Wellness 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 JAMA Pediatr. Hosp Pediatr. Pediatrics. Hosp Pediatr. Do I need proof of the culprit?

Pediatrics 52

Pediatrics Hospitals Emergency Department Outcomes 52

Critical Care Now

MAY 12, 2022

Interests include trauma, toxicology, and infectious diseases. Arch Pediatr Adolesc Med. Reading Time: 5 minutes Ruben Santiago Emergency Medicine Pharmacist and medication hustler at a level I trauma center in Miami, FL. Ann Emerg Med. 2000; 36(3): 228 – 32. Whatley V, Dodds C, Paul R. 2003;157(12): 1177-80. 2020; 11: 1 – 5.

Infectious Diseases 52

Infectious Diseases Stroke Emergency Department Administration 52

Pediatric Education

MAY 7, 2023

Pediatr Neurol. D’Alessandro, MD Professor of Pediatrics, University of Iowa Evidence-based medicine information on this topic can be found at SearchingPediatrics.com and the Cochrane Database of Systematic Reviews. Insidious Onset of Serotonin Syndrome in a 6-Year-Old Boy. J Am Acad Child Adolesc Psychiatry. 2021;60(2):201-202.

Hyperthermia / Hypothermia 40

Hyperthermia / Hypothermia Infectious Diseases Pediatrics Poisoning 40

Pediatric Education

AUGUST 11, 2024

Substance abuse was unlikely as the cause as was a migraine, or an infectious disease cause. D’Alessandro, MD Professor of Pediatrics, University of Iowa The pediatrician couldn’t unveil any other psychosis-type symptoms, nor specific mood or personality disorder symptoms. 2018;57(5):308-312. doi:10.1016/j.jaac.2018.01.021

Psychiatric 40

Psychiatric Infectious Diseases Pediatrics Seizures 40

Pediatric Education

SEPTEMBER 29, 2024

For pediatric patients vaccines are a foundational component of the health care provided at every visit. D’Alessandro, MD Professor of Pediatrics, University of Iowa Discussion Vaccines are an important part of everyone’s health care. Accessed June 25, 2024. link] WHO Immunization Data portal – All Data.

Pediatrics 40

Pediatrics Infectious Diseases Patient Safety Administration 40

Advanced Emergency Nursing from AENJ

JUNE 16, 2015

Readers must verify validity to their own practice. Tags: advanced emergency nursing, ED, ER, NP, nurse practitioner, CNS, clinical nurse specialist, APRN, critical care, trauma, injury, pediatrics, infectious disease, medical isolation, surgical mask, PAPR, PPE, HAZMAT, respiratory protection Published: 6/16/2015 7:46:00 PM

PPE 40

PPE Infectious Diseases Emergency Nursing Operations 40