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. He has had a high fever of > 103°F (39.4°C) C) for the past week.

EMS 91

EMS Infectious Diseases Pediatrics Research 91

Emergency Live

SEPTEMBER 25, 2024

No longer limited to the prevention of infectious diseases, the vaccine is proving to be a promising […] The post A new era in the fight against lung cancer: mRNA vaccine appeared first on Emergency Live. At the heart of this revolution is a new protagonist: the vaccine.

Infectious Diseases 52

Infectious Diseases Research 52

Don't Forget the Bubbles

AUGUST 30, 2023

2019.1439 Amir Kirolos and others, A Systematic Review of Clinical Practice Guidelines for the Diagnosis and Management of Bronchiolitis, The Journal of Infectious Diseases , Volume 222, Issue Supplement_7, 1 November 2020, Pages S672–S679, [link] Frazier SB, Walls C, Jain S, Plemmons G, Johnson DP. JAMA Pediatr. 2019;173(8):e191439.

Emergency Department 131

Emergency Department Pediatrics Infectious Diseases Research 131

Sensible Medicine

JUNE 6, 2023

Lee Goldman used to talk about the difference between playwrights and theater critics as applied to research. Being a useful and constructive critic of research means identifying the strengths and weaknesses of studies. Long ago I decided that I was better suited as a critic rather than a creator.

Outcomes 98

Outcomes Infectious Diseases Research Academics 98

RCEM Learning

APRIL 9, 2024

Curriculum Category Syllabus Questions SLO1 Care for physiologically stable patients attending the ED across the full range of complexity Allergy Cardiology Dermatology Ear, nose and throat Elderly care Endocrinology Environmental emergencies Gastroenterology and hepatology Haematology Infectious diseases Maxillofacial / dental Mental Health Musculoskeletal (..)

Infectious Diseases 52

Infectious Diseases Airway Management Resuscitation Poisoning 52

Don't Forget the Bubbles

MARCH 4, 2024

Article 1: Infections in Foreign Travellers Bird C, Hayward GN, Turner PJ, Wasala D, Merrick V, Lyttle MD, Mullen N, Fanshawe TR; for Paediatric Emergency Research in the UK and Ireland (PERUKI). Without a clear definition, tailoring research and audit is difficult. Paediatr Int Child Health. 2024 Jan 11:1-7. Emerg Med J.

Hospitals 78

Hospitals Sepsis Fractures Emergency Department 78

The Skeptics' Guide to EM

NOVEMBER 28, 2020

We needed to extrapolate from previous research on masks and other respiratory illnesses. However, we do have a firm understanding of the germ theory of disease and masks have been used for over 100 years as an infectious disease strategy.

Infectious Diseases 52

Infectious Diseases Operations Outcomes Wellness 52

Don't Forget the Bubbles

FEBRUARY 28, 2024

Yes, the study made its aims clear and tried to contribute data to an area of research where there is currently a paucity. This ttechnique relies on the researcher’s judgement, making it subject to bias, affecting validity. European Journal of clinical microbiology and infectious diseases. Antiviral Research.

Pediatrics 59

Pediatrics Infectious Diseases Outcomes Research 59

Sensible Medicine

SEPTEMBER 25, 2023

That places it in the top 5% of all research outputs scored by Altmetric. Summation In this science experiment, the authors did imaging of patients who had just been discharged from a near-week-long hospital stay for an acute infectious disease. Media Attention: This paper received a high altmetric score of 2252.

Infectious Diseases 52

Infectious Diseases Hospitals Outcomes Research 52

Pediatric Education

MAY 12, 2024

The actual language and what that language means has implications both for clinical treatment but also research results. These differences can be very important for outcomes of research studies. They can also be important for monitoring of clinical outcomes of treatment in gastroenterological diseases.

Pediatrics 40

Pediatrics Infectious Diseases Research Outcomes 40

PEMBlog

AUGUST 30, 2023

Research suggests most CXRs are performed because ED clinicians (and many parents) are concerned for the possibility of missing pneumonia or another diagnosis requiring specific management.

Pediatrics 52

Pediatrics Best Practices Hospitals Emergency Department 52

EMDocs

NOVEMBER 16, 2024

Infections For stable patients, obtain microbiologic samples prior to antibiotics (per the American Academy of Orthopedic surgery and The Infectious Diseases Society of America). Rockville (MD): Agency for Healthcare Research and Quality (US); 2006 Feb-. doi:[link] Waseem S, Ngu A, Patel J; ORCA Research Collaborative.

EMS 97

EMS Dislocations Fractures Operations 97

Pediatric EM Morsels

JANUARY 19, 2024

If a non-penicillin agent is used, close serum and CSF monitoring needed, along with discussion with an expert (like an infectious disease specialist) If IV Penicillin G is not available due to shortage, Procaine Penicillin G IM (50,000 Units/kg/dose to max of 2.4

Infectious Diseases 271

Infectious Diseases CDC Pediatrics Fractures 271

ACEP Now

APRIL 14, 2025

Within and outside of emergency medicine, there exists a growing body of research in public health, policy and pharmacology directed toward reducing the harms of this crisis. 3,4 Despite extensive research supporting these interventions, fatal overdose rates continue to rise, largely due to inadequate implementation and poor patient access.

Research 52

Research Infectious Diseases Hospitals Administration 52

ACEP Now

MARCH 6, 2024

Every year, the volume of published research continues to outpace capacity to consume. A Myriad of Infectious Disease Papers The use of steroids in severe sepsis remains challenging, primarily as proper patient selection is necessary to tease out those with the greatest likelihood of benefit. Gotta catch ‘em all!” percent to 38.3

Research 52

Research Airway Management Stroke Outcomes 52

Pediatric EM Morsels

SEPTEMBER 20, 2024

Predicting Adverse Outcomes for Shiga Toxin-Producing Escherichia coli Infections in Emergency Departments.

Pediatrics 164

Pediatrics Ultrasounds Dehydration Emergency Department 164

Don't Forget the Bubbles

DECEMBER 16, 2024

Whooping Cough: A Cyclical but Preventable Disease Whooping cough, caused by the bacterium Bordetella pertussis , is another infectious disease experiencing a resurgence despite the availability of vaccines. These outbreaks increase the risk of imported cases in other regions, including the UK.

Infectious Diseases 59

Infectious Diseases Documentation/Coding Pediatrics CDC 59

RebelEM

FEBRUARY 29, 2024

The authors rightfully note future research targets should include how/if the routine use of ceftriaxone increases antibiotic resistance in a population that is already quite vulnerable to devastating infection. SECONDARY OUTCOMES At day 28 , ceftriaxone group had (vs placebo): Lower VAP risk (20% vs 36%); hazard ratio 0.62

CDC 119

CDC Radiology Radiology Head Injuries 119

RebelEM

MAY 15, 2024

Read More: Infectious Disease Society of America 2010 Clinical Practice Guidelines Life in the Fast Lane: Febrile Neutropaenia Uptodate: overview of neutropenic fever syndromes EMRAP: Risk stratification of neutropenic fever MDCalc: MASCC Score MDCalc: CISNE Score References: Ahn S, Rice TW, Yeung SJ, Cooksley T. Raad, II, et al.,

Infectious Diseases 98

Infectious Diseases Administration Sepsis Anaphylaxis 98

ACEP Now

JUNE 8, 2023

As a result, the 2019 guidelines from the Infectious Disease Society of America (IDSA) significantly rein in those patients who should receive empiric coverage for MRSA or P. An official clinical practice guideline of the American Thoracic Society and Infectious Diseases Society of America. aeruginosa. 2019;200(7):e45–67.

Infectious Diseases 59

Infectious Diseases Administration Hospitals Shock 59

The Skeptics' Guide to EM

MARCH 18, 2023

Guest Skeptic: Dr. Marisu Rueda-Altez is a pediatric infectious disease fellow at Children’s National Hospital in Washington, DC. Guest Skeptic: Dr. Marisu Rueda-Altez is a pediatric infectious disease fellow at Children’s National Hospital in Washington, DC. JAMA Pediatr. JAMA Pediatr. Would he benefit from that too?”

Pediatrics 40

Pediatrics Infectious Diseases Administration Outcomes 40

The Skeptics' Guide to EM

JUNE 10, 2023

They also provide a chapter to help clinicians understand the direction of bias in diagnostic research. This includes chapters on pediatrics, geriatrics, cardiac, neurological, surgical, trauma, infectious disease, and other conditions.

Telemedicine 73

Telemedicine Infectious Diseases Emergency Department Pediatrics 73

EMDocs

DECEMBER 18, 2023

1 However, given that the benefit for patients with sepsis who are not in shock is not as apparent if the diagnosis is unclear, antibiotics can be delayed for up to three hours to allow further infectious workup and avoid inappropriate antibiotic delivery. Aditum Journal of Clinical and Biochemical Research. Intensive Care Med.

Sepsis 90

Sepsis Fluid Resuscitation Resuscitation Shock 90

Pediatric EM Morsels

AUGUST 9, 2024

Can identify T. pallidum before antibodies against it can be detected. > 4 weeks of age : Aqueous crystalline penicillin G 50,000 Units/kg IV every 6 hours Treat for 10-14 days.

Hyperthermia / Hypothermia 154

Hyperthermia / Hypothermia Emergency Department Seizures Pediatrics 154

Don't Forget the Bubbles

MARCH 18, 2024

It may worsen HUS, according to some research, though even if platelets are given, the risk of bleeding during a procedure in HUS may not change. Clinical Infectious Diseases [Internet]. Disease severity of Shiga toxin-producingE. Excessive transfusion can increase the risk of hyperkalaemia and fluid overload.

Dehydration 59

Dehydration Infectious Diseases Seizures Pediatrics 59

PulmCCM

OCTOBER 30, 2023

Professional Medical Societies Call for Elimination of SEP-1 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).

Sepsis 52

Sepsis Shock Hospitals Infectious Diseases 52

Don't Forget the Bubbles

JANUARY 10, 2024

The factorial design chosen by Dr Maitland and her research group means that several comparisons in transfusion practice could be carried out at the same time. What were the research questions? Does the study address a clearly focused research question? N Engl J Med. 2019;381(5):407-419. Was blinding achieved?

Blood Transfusions 78

Blood Transfusions Research Outcomes Hospitals 78

American Medical Compliance

AUGUST 8, 2022

In 2008, a research study stated that if unvaccinated populations were to become exposed to monkeypox, then an epidemic could occur. There is a chance that disease could replace smallpox as a widespread virus. In most serious cases, those with the disease have developed eye infections and scarring that led to permanent vision loss.

CDC 52

CDC Infectious Diseases Research 52

PulmCCM

JULY 17, 2023

Read in Lancet Infectious Diseases Tranexamic acid for severe hemorrhage after trauma (PATCH) An astonishing 2 million people die from bleeding after trauma each year around the world, it is estimated.

Infectious Diseases 52

Infectious Diseases Outcomes Operations Research 52

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

MAY 9, 2024

It has been well over a year since the controversial publication of the Agency for Healthcare Research and Quality (AHRQ) report on diagnostic errors in the emergency department (ED). Similarly elevated rates of error, and related harms, are associated with other serious vascular, infectious disease, and cancer-related diagnoses, as well.

Emergency Department 52

Emergency Department Research Infectious Diseases Hospitals 52

PEMBlog

JULY 10, 2024

The RPR or Rapid Plasma Reagent, which has now largely replaced the earlier VDRL or Venereal Disease Research. You’ll want to start with a non treponemal test, such as an RPR or VDRL. Laboratory Test is a non-specific serological test for syphilis that uses CARDIOLIPIN as antigen. These are highly sensitive tests.

Pediatrics 52

Pediatrics CDC Seizures Emergency Department 52

EMDocs

JANUARY 6, 2024

It is difficult to distinguish this from ACS secondary to acute plaque rupture in the ED, and management would be similar with antiplatelet agents, anticoagulation until coronary angiography can be performed to assess for the underlying disease process. Cardiac Transplant Research Database Group. Lab Invest. 2004;84(1):138-145.

EMS 87

EMS Infectious Diseases Shock Emergency Department 87

Pediatric EM Morsels

APRIL 5, 2024

Jensenius 2004) Scrub typhus is one of the most common infectious disease in rural areas of south and southeastern Asia and the western Pacific. Chapter 5: Vector-borne diseases. Global Change Research Program. Kyasanur Forest Disease (KFD). Tickborne Disease Abroad. Ogden, and P.J.

CDC 164

CDC Infectious Diseases Pediatrics Shock 164

Life in the Fast Lane

NOVEMBER 7, 2024

Sheralyn Guilleminot and Mike Cadogan COVID-19 Resources The COVID-19 resource pack you need to keep up with the constant stream of new variants, new research, and changing guidelines!

Research 52

Research Infectious Diseases 52

RebelEM

OCTOBER 26, 2023

Funding: The National Institute of Allergy and Infectious Diseases, Division of Microbiology and Infectious Diseases funded the study. Strengths: Investigators asked a patient-oriented research question. Researchers chose a narrow noninferiority threshold of 5%, making it more difficult to prove noninferiority.

Pediatrics 81

Pediatrics Infectious Diseases Outcomes Research 81

Sensible Medicine

MARCH 25, 2025

NIH holds a powerful advantage—resources, data, and artificial intelligence (AI)—with the potential not just to reimagine but genuinely revolutionize scientific research. The little data utilized for research rarely reaches its full potential. Yet this gold mine is mostly fools gold. of studies made their data public.

Research 90

Research Infectious Diseases CDC Documentation/Coding 90