Infectious Diseases Pediatrics Sepsis 
PulmCCM
APRIL 14, 2025
SEP-1, the Centers for Medicare & Medicaid Services (CMS)’s much-maligned sepsis “quality” measure, was the brainchild of a small group of insiders conceived in the early- to mid-2000s. SEP-1 was pushed through without waiting for the outcomes of three ongoing multicenter trials testing goal-directed therapy for sepsis.
The Skeptics' Guide to EM
FEBRUARY 22, 2025
Monocyte distribution width (MDW) as a screening tool for early detecting sepsis: a systematic review and meta-analysis. Background: Rapid and accurate diagnosis of sepsis is critical, as early intervention can significantly reduce patient mortality. Reference: Agnello et al. His WBC is elevated at 23,000 with a left shift.
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EMDocs
MARCH 9, 2025
This is thought to be secondary to increased microtrauma for boys 1 In pediatric patients long bones (femur, tibia) are more commonly infected nearing 75% of the time. Pediatric osteomyelitis treatment algorithm. due to chronic granulomatous disease). She has full range of motion of all other joints. C) is seen in 76.3%
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).
PEMBlog
OCTOBER 18, 2023
PEMPix is the American Academy of Pediatrics Section on Emergency Medicine’s annual visual diagnosis competition. rectally, prompting a sepsis workup given his age. The patient was ultimately discharged on a seven-day total course of cephalexin per Pediatric Infectious Disease recommendations. Pediatr Dermatol.
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. days (secondary endpoint) [51]. Procalcitonin.
Don't Forget the Bubbles
MARCH 4, 2024
Reviewed by: John Coveney Article 2: How do we define sepsis in children? International Consensus Criteria for Pediatric Sepsis and Septic Shock. The aim of this paper was to update and evaluate the criteria for sepsis and septic shock in children. It doesn’t help to diagnose or exclude sepsis.
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