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Imported Malaria

Pediatric EM Morsels

This is typically only widely available in endemic countries (Forgie 2022) More recently there has been a deletion in the Pfhrp 2/3 gene in some P.

Seizures 278
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Navigating the Quademic: Clinical Differentiation of Influenza, RSV, COVID-19, and Norovirus in Pediatric Emergency Care

PEMBlog

Diagnostic Costs : Influenza rapid diagnostic tests: $100-$200 Risk Stratification : Young children (<5 years), particularly those <2 years, and children with chronic conditions such as asthma or immunosuppression, are at higher risk for severe outcomes. Electrolyte disturbances secondary to fluid losses.

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The 73rd Bubble Wrap

Don't Forget the Bubbles

Article 1: Does rapid diagnostic testing for Malaria work? A Diagnostic Accuracy Study to Evaluate Standard Rapid Diagnostic Test (RDT) Alone to Safely Rule Out Imported Malaria in Children Presenting to UK Emergency Departments. This puts a high financial and resource cost on front-line settings.

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Malaria

Mind The Bleep

Investigations EDTA blood (ie an FBC bottle) should be sent urgently for thick and thin films Most laboratories will also perform a rapid diagnostic test (lateral flow), which has quite good sensitivity for P falciparum and reasonable sensitivity for P vivax If the rapid test is negative, consider alternative differentials (e.g.

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The 79th Bubble Wrap x Bristol Royal Hospital For Children

Don't Forget the Bubbles

This was a secondary outcome embedded in the Travel Fever study – a multi-centre, retrospective diagnostic accuracy study for imported malaria. This compared the reference test (standard microscopy) with the index test (standard rapid diagnostic test (RDT)).

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Cholera: ED presentation, evaluation, and management

EMDocs

16 In resource-constrained settings, rapid diagnostic tests (RDTs) on stool samples offer a viable option. Field evaluation of a locally produced rapid diagnostic test for early detection of cholera in Bangladesh. 13 Dark-field microscopy can be used to rapidly detect V. cholerae O1 and O139 serogroups.

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ED care of refugee populations from sub-Saharan Africa

EMDocs

Surgical wound debridement and dressing are performed and the malaria rapid diagnostic test (MRDT) is noted to be positive. Intravenous (IV) crystalloids, IV paracetamol (acetaminophen), and IV dextrose are administered. Samples are drawn for type and crossmatch, complete blood count, and blood chemistry.