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EM@3AM: Pediatric Osteomyelitis

EMDocs

Well keep it short, while you keep that EM brain sharp. Neonates at higher risk for osteomyelitis include those who are premature and born to mothers with an active infection and those with a complicated delivery, skin infection, urinary tract anomalies, or a central venous catheter. Ther Clin Risk Manag.

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IV fluids in the ED: When do we really need them?

EMDocs

1,2 For hypervolemia in heart failure patients, orthopnea >2 pillows is the most reliable clinical finding, 3,4 though an increase in peripheral edema and increased weight can be useful as well. 6-8 In patients who are on long-term hemodialysis, typical non-invasive signs of volume assessment seem to be unreliable as well.