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

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

Pediatric Education

MAY 26, 2024

The pediatrician said that the child was overall healthy and thriving, with the usual minor infectious disease episodes. “I reassured the mother that he was doing well and he should have fewer infections as he grew. D’Alessandro, MD Professor of Pediatrics, University of Iowa but not for injuries.

Infectious Diseases 40

Infectious Diseases Pediatrics Outcomes Wellness 40

EMDocs

JUNE 17, 2023

The Pediatric Infectious Disease Journal. Pediatrics. insect bite, scratch, etc.) or nearby infection (e.g., URI, dacryocystitis, blepharitis, impetigo, hordeolum, etc.) swelling, chemosis, fever, etc.), Preseptal Versus Orbital Cellulitis in Children: An Observational Study. 2021;40(11):969-974. doi:10.1097/inf.0000000000003226

EMS 96

EMS Infectious Diseases Pediatrics Emergency Department 96

Taming the SRU

AUGUST 30, 2023

As the name would suggest, inflammatory markers are biological markers of, well, inflammation. A 2015 meta-analysis of 9 studies consisting of 725 patients published in the International Journal of Infectious Diseases found PCT far superior to CRP, with PCT having a sensitivity of 90 and specificity of 98% [36]. J Arthroplasty.

Infectious Diseases 90

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

Pediatric Education

AUGUST 20, 2023

Patient Presentation An 8-year-old male came to clinic for his well-child care after moving to the area. Patients needed prolonged treatment and followup (up to 88 days) but did well without recurrences. in the pediatric populations as noted above. J Pediatr Gastroenterol Nutr. Pediatr Infect Dis J.

Pediatrics 40

Pediatrics Infectious Diseases Wellness Sepsis 40

Don't Forget the Bubbles

FEBRUARY 28, 2024

Treatment with brivudine in immunocompromised pediatric patients with herpes zoster. The researchers concluded that oral brivudine offers an effective, well-tolerated therapy in immunocompromised children and could be used as an outpatient treatment. European Journal of clinical microbiology and infectious diseases.

Pediatrics 59

Pediatrics Infectious Diseases Outcomes Research 59

Pediatric Education

OCTOBER 15, 2023

The mother denied any drooling, choking, emesis or spitting up, coughing, cyanosis, dysphonia or pain elsewhere such as chest or abdomen, as well as any social problems at home. She denied any infectious disease symptoms. Dysphagia is difficulty swallowing and is thought to occur in about <1% of the pediatric population.

Pediatrics 40

Pediatrics Infectious Diseases Wellness 40

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

Pediatric Education

AUGUST 11, 2024

He is described as being a quieter child but is well-liked at school and has friends at home and school that he plays with. Substance abuse was unlikely as the cause as was a migraine, or an infectious disease cause. Auditory hallucinations can occur as a symptoms of psychotic and mood disorders, as well as conduct disorders.

Psychiatric 40

Psychiatric Infectious Diseases Pediatrics Seizures 40

Don't Forget the Bubbles

JANUARY 22, 2024

Blood cultures are commonly drawn for certain focal infections such as pneumonia , skin and soft tissue infections (SSTIs), asthma , bronchiolitis as well and UTIs. Front Pediatr. Archives of Disease in Childhood 2020;105:A86-A87. Lina Jankauskaite, Grechukha Y, Kjær KA, et al. 2022 Sep 13;10:945540.

Emergency Department 90

Emergency Department Best Practices Radiology Radiology 90

Pediatric Education

MAY 7, 2023

The fever was responsive to antipyretics, and he was taking some dextromethorphan as well. Pediatr Neurol. D’Alessandro, MD Professor of Pediatrics, University of Iowa Maximum temperature was 102.4F 5 days ago. The last recorded temperature was the evening before at 100.1F. J Am Acad Child Adolesc Psychiatry.

Hyperthermia / Hypothermia 40

Hyperthermia / Hypothermia Infectious Diseases Pediatrics Poisoning 40

Pediatric EM Morsels

JANUARY 19, 2024

If you have ever talked with a pediatric emergency medicine physician about some basic tenets of their practice, one of them will inevitably be, “ Never trust a neonate. ” The first few months of life outside the womb can elucidate a myriad of problems that were previously hidden during the prenatal state. The Journal of Pediatrics.

Infectious Diseases 271

Infectious Diseases CDC Pediatrics Fractures 271

Pediatric EM Morsels

NOVEMBER 3, 2023

With concern for malaria, it is very important to identify who is non-immune and semi-immune as this can affect both the timeframe for illness after departure from the endemic country as well as severity of illness. Travel Medicine and Infectious Disease 44 (2021) 102196. Pediatr Clin N Am 69 (2022) 47–64.

Seizures 281

Seizures Pediatrics CDC Infectious Diseases 281

Pediatric EM Morsels

SEPTEMBER 20, 2024

Diarrhea is one of the most common complaints in the pediatric emergency department, especially in the summer and early fall. Though most children recover well after STEC is cultured from their stool, some will go on to display the findings that make up HUS. Clin Pediatr (Phila). Protect the Kidneys! 2010 May;49(5):418-21.

Pediatrics 164

Pediatrics Ultrasounds Dehydration Emergency Department 164

Taming the SRU

AUGUST 6, 2023

Kletsel Pustular psoriasis Psoriasis is characterized by discrete plaques of erythema, scales, and fissures of the extremities It is associated with significant morbidity & treatment consists of topical steroids, along with referral to establish with dermatology Use caution with systemic steroids as they can potentially worsen flares While rare, (..)

Infectious Diseases 86

Infectious Diseases Pediatrics Fractures Wellness 86

PEMBlog

JULY 10, 2024

” Emily Labudde, MD, a Pediatric Emergency Medicine fellow at Children’s Healthcare of Atlanta and recent pediatric residency graduate from Cincinnati Children’s discusses the various manifestations of this sexually transmitted infection, and how we can’t miss this very treatable, but sneaky malady. .”

Pediatrics 52

Pediatrics CDC Seizures Emergency Department 52

Pediatric Education

JUNE 18, 2023

He and his mother had cleaned it well with soap and water and then used some iodine solution on his leg scrapes. They may contain additional active ingredients as well including alcohol. J Pediatr Surg. Pediatr Dermatol. Pediatr Dermatol. D’Alessandro, MD Professor of Pediatrics, University of Iowa

Allergic Reactions 40

Allergic Reactions Poisoning Pediatrics Infectious Diseases 40

Pediatric Education

OCTOBER 8, 2023

The diagnosis of a healthy female was made who would be traveling to an area endemic for several infectious diseases. The pediatrician consulted the Centers for Disease Control website for vaccine recommendations for the Congo which indicated the need for malaria prophylaxis as well as Yellow Fever and Typhoid vaccine.

Infectious Diseases 40

Infectious Diseases Pediatrics Military Wellness 40

ACEP Now

MARCH 6, 2024

Many clinicians staffing emergency departments intubate infrequently, as well, and these results are likely applicable to a wide scope of practice. 10 The trial was stopped due to superiority due to both its overall mortality benefit, as well as a reduction in the need for mechanical ventilation. JAMA Pediatr.2023;177(8):782.

Research 52

Research Airway Management Stroke Outcomes 52

Don't Forget the Bubbles

JANUARY 10, 2024

These were presented as hazard ratios and included fever at presentation, previous transfusion ever, haemoglobinuria, malaria, sickle cell disease on enrolment, HIV, evidence of sepsis, malnutrition, shock, hypothermia, and dehydration. Groups were well matched at baseline. Pediatr Crit Care Med. Pediatr Blood Cancer.

Blood Transfusions 78

Blood Transfusions Research Outcomes Hospitals 78

Pediatric Education

JUNE 25, 2023

Borates can cause skin irritation and there can be some reproductive changes as well. Related Cases Disease: Ear Infections Symptom/Presentation: Ear Pain Specialty: Otolaryngology | Infectious Diseases Age: Teenager To Learn More To view pediatric review articles on this topic from the past year check PubMed.

Infectious Diseases 40

Infectious Diseases Pediatrics Seizures Outcomes 40

Pediatric EM Morsels

DECEMBER 6, 2024

Rashes are, as we know, a common complaint in the pediatric ER and one of the most difficult things to diagnose ( in my opinion ). As we sort through the potential concerning ailments, it is also good to keep in mind the stereotypic causes of mild pediatric rashes. “Parvovirus B19 and Its Role in Human Disease.”

Blood Transfusions 164

Blood Transfusions Infectious Diseases CDC Pediatrics 164

Pediatric EM Morsels

APRIL 5, 2024

(Jensenius 2004) Treatment : doxycycline Human granulocytic anaplasmosis Causative Agent: Anaplasma phagocytophilum , a rickettsial bacteria (Sanchez 2016) Previously seen in the endemic regions of North America where lyme is common, it is now being seen more frequently in travelers to Europe and eastern Asia as well.

CDC 164

CDC Infectious Diseases Pediatrics Shock 164

Pediatric EM Morsels

FEBRUARY 2, 2024

Pediatric patients with recent travel and fever of unknown origin should be considered for admission if malaria is a possible diagnosis. Fever in the Returned Pediatric Traveler. Glob Pediatr Health. A “Syndromic” Approach for Diagnosing and Managing Travel-Related Infectious Diseases in Children. 2021 May; 8:1-16.

Infectious Diseases 164

Infectious Diseases Pediatrics Sepsis Documentation/Coding 164

ALiEM

DECEMBER 16, 2024

CT demonstrates osteomyelitis of the frontal bone with osseous destruction with a 5 cm bifrontal complex loculated anterior epidural abscess as well as a 3 cm midline frontal subgaleal extracranial scalp abscess. Laboratory Data WBC : 14.35 ESR : 23 mm/h CRP : 0.74 mg/dL Case Question: What CT imaging findings are shown here?

Pediatrics 52

Pediatrics Academics Wellness Infectious Diseases 52

Pediatric Education

JANUARY 26, 2025

He was drinking, urinating and playing well. Related Cases Disease: Common Cold | Sinusitis Symptom/Presentation: Rhinitis Specialty: General Pediatrics | Infectious Diseases | Otolaryngology Age: Preschooler To Learn More To view pediatric review articles on this topic from the past year check PubMed.

Radiology 40

Radiology Radiology Pediatrics Infectious Diseases 40

Pediatric Education

NOVEMBER 10, 2024

Per the parents through an interpreter the baby was doing well. Note that some people will add clinically important bacterial infections such as Group B Streptococcus , Escherichia coli , and Listeria to this list as well. Toxoplasma gondii infections in pediatric neurosurgery. Clinics in Perinatology. 2021;48(3):485-511.

Infectious Diseases 40

Infectious Diseases Pediatrics Seizures Resuscitation 40

PEMBlog

JANUARY 17, 2024

Randomized controlled trial of cephalexin versus clindamycin for uncomplicated pediatric skin infections. Pediatrics. Clinical practice guidelines by the infectious diseases society of america for the treatment of methicillin-resistant Staphylococcus aureus infections in adults and children. 2011 Mar;127(3):e573-80.

Infectious Diseases 59

Infectious Diseases Sepsis Wellness Pediatrics 59

Pediatric Education

OCTOBER 1, 2023

Non-polio enteroviruses have emerged which cause acute flaccid paralysis as well. D’Alessandro, MD Professor of Pediatrics, University of Iowa Despite this tremendously positive outcome, there still are continued threats against polio eradication. link] World Health Organization. Weekly Epidemiological REcord, 2022, vol 97, 25.

Infectious Diseases 40

Infectious Diseases Pediatrics Outcomes Wellness 40

Don't Forget the Bubbles

MARCH 17, 2025

The Global Impact of Scabies Scabies affects around 100 million people globally at any given time, placing it in the top 50 infectious diseases in terms of disability-adjusted life years. Its impact exceeds that of diseases like dengue fever. Both of these agents are well-established and routinely used safely within UK practice.

Outcomes 59

Outcomes Infectious Diseases Pediatrics Research 59

Pediatric Education

APRIL 21, 2024

The past medical history showed no bruising or bleeding problems, no pulmonary problems and he had otherwise been well. Discussion True hemoptysis is a very uncommon or rare problem in pediatrics but can be potentially life-threatening. Int J Pediatr Otorhinolaryngol. Pediatr Pulmonol. Pediatr Rev. Pediatr Rev.

Pediatrics 40

Pediatrics Infectious Diseases Radiology Radiology 40

PEMBlog

DECEMBER 4, 2024

In this episode of PEM Currents: The Pediatric Emergency Medicine Podcast , we explore pertussis, also known as whooping cough – a disease that remains a public health challenge despite widespread vaccination efforts. Available from: [link] Pediatrics in Review Heather L. Pediatr Rev May 2018; 39 (5): 247–257.

Pediatrics 52

Pediatrics PPE Wellness Infectious Diseases 52

Pediatric EM Morsels

OCTOBER 6, 2023

Recently, a pediatric patient presented to the ED who just returned from abroad with a gastroenteritis presentation. In the US 95% of vaccine-eligible pediatric patients who travel are unvaccinated (McAteer 2021) Drug resistance has been developing over time. In addition to my passion for PEM, I also share a passion for global health.

Pediatrics 164

Pediatrics CDC Seizures Documentation/Coding 164

Don't Forget the Bubbles

SEPTEMBER 18, 2024

. ■ Case 1 focuses on a case seen in the emergency department and explores the common parental query of a “weak immune system” in a young child who has had several recurrent upper respirator tract infections back-to-back but is otherwise well. His parents are both fit and well and there is no family history of any medical conditions.

Emergency Department 98

Emergency Department Wellness Infectious Diseases Pediatrics 98

Pediatric Education

APRIL 2, 2023

He had been relatively well except for one ear infection and two upper respiratory infections since starting childcare. Complimentary foods are recommended by the American Academy of Pediatrics when the infant is developmentally ready which is commonly after 6 months of life. Breastfeed Med Off J Acad Breastfeed Med. doi:10.1089/bfm.2021.0353

Infectious Diseases 40

Infectious Diseases Pediatrics Research Wellness 40

Pediatric Education

DECEMBER 17, 2023

He complained of neck stiffness, nausea without emesis and general malaise as well. The patient was clinically well enough 5 days later to be discharged and all bacterial testing was negative. Doxycycline is the drug of choice for most patients of any age including the pediatric age group. Pediatr Infect Dis J.

Infectious Diseases 40

Infectious Diseases Pediatrics Sepsis Wellness 40