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SGEM #417: Everybody’s Changing…the Reference Ranges for Pediatric Vital Signs

The Skeptics' Guide to EM

She is also a member of the Don’t’ Forget the Bubbles team where she serves as the editor for the monthly research round up, Bubble WRAP. Vicki Currie is a paediatric emergency medicine registrar in the West Midlands in the United Kingdom. Case: A 5-year-old boy presents to the emergency department (ED) with his parents for fever and fatigue.

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SGEM#263: Please Stop, Prescribing – Antibiotics for Viral Acute Respiratory Infections

The Skeptics' Guide to EM

A Multifaceted Intervention Improves Prescribing for Acute Respiratory Infection for Adults and Children in Emergency Department and Urgent Care Settings. A Multifaceted Intervention Improves Prescribing for Acute Respiratory Infection for Adults and Children in Emergency Department and Urgent Care Settings.

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SGEM#375: Only One versus Two-Dose Dexamethasone for Mild to Moderate Pediatric Asthma Exacerbations

The Skeptics' Guide to EM

Previous research has compared the efficacy of a multi-day course of prednisone/prednisolone to single dose or two doses of dexamethasone [1-4]. Background: Asthma affects around 9% of children in the United States and asthma exacerbations are a common cause for ED visits.

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SGEM#402: Call Me – On the Telemental Health Line

The Skeptics' Guide to EM

Clinical Question: What is the effect of TMH, versus in-person consult, on 30-day outcomes and processes of care during the visit? The effect of telemental versus in-person mental health consults in the emergency department on 30-day utilization and processes of care. Yes * Was the outcome accurately measured to minimize bias?

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Cetirizine Vs Diphenhydramine For the Treatment of Acute Urticaria in the ED

RebelEM

Health care professional involved in patient management and outcome assessment was completely blinded. Clark S, Bock SA, Gaeta TJ, Brenner BE, Cydulka RK, Camargo CA; Multicenter Airway Research Collaboration-8 Investigators. Patients were randomized in a 1:1 ratio. J Allergy Clin Immunol. 2005 Sep;116(3):643-9. PMID: 16159637.

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Sex and gender reporting in UK emergency medicine trials from 2010 to 2023: a systematic review

Emergency Medicine Journal

Background Female participants are underrepresented in randomised control trials conducted in urgent care settings. Although sex and gender are frequently reported within demographic data, it is less common for primary outcomes to be disaggregated by sex or gender. One trial reported the primary outcome stratified by sex.

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Friday Reflection #26: General Internal Medicine in the Time of COVID

Sensible Medicine

As our hospital filled up, I was left doing video visits with my patients (visits that I found unrewarding), educational sessions about COVID for doctors from other specialties, and urgent care shifts to see the patients who needed to be seen in person. MJ was the first person I diagnosed, definitively, with COVID.