Don't Forget the Bubbles

JANUARY 15, 2024

Scabies is one of the world’s top 50 infectious diseases , and we thought it deserved the chance to shine. Its impact exceeds that of diseases like dengue fever. Scratching the itch: is scabies a truly neglected disease? The Lancet Infectious Diseases. Chosidow O, Fuller LC. 2017 Sep 20.

Infectious Diseases 101

Infectious Diseases Pediatrics Telemedicine Leadership 101

The Skeptics' Guide to EM

MARCH 18, 2023

JAMA Pediatr. Guest Skeptic: Dr. Marisu Rueda-Altez is a pediatric infectious disease fellow at Children’s National Hospital in Washington, DC. She is also the […] The post SGEM #397: Give a Little Bit…of Oseltamivir to Pediatric Patients Admitted with Influenza first appeared on The Skeptics Guide to Emergency Medicine.

Pediatrics 40

Pediatrics Infectious Diseases Administration Outcomes 40

PEMBlog

OCTOBER 18, 2023

PEMPix is the American Academy of Pediatrics Section on Emergency Medicine’s annual visual diagnosis competition. The patient was ultimately discharged on a seven-day total course of cephalexin per Pediatric Infectious Disease recommendations. Neonatal toxic shock syndrome-like exanthematous disease (NTED).

Infectious Diseases 59

Infectious Diseases Shock Pediatrics Wellness 59

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. Travel and tick-borne diseases: Lyme disease and beyond. Travel Medicine and Infectious Disease, 2018, 26, pp.1-2. These resolve within 1 week.

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CDC Infectious Diseases Pediatrics Wellness 161

Pediatric EM Morsels

AUGUST 18, 2023

Jackson 2016) A systematic review of safety data for over 16000 pediatric patients did show MAEs were the most frequently reported event. 451 pediatric patients were included. From 2001 to 2009, in a pediatric hospital gram negative culture showed a drop in sensitivity to ciprofloxacin from 96% to 93%. Pediatrics.

Pediatrics 130

Pediatrics Infectious Diseases Hospitals Seizures 130

Pediatric EM Morsels

MARCH 1, 2024

Pediatr Pulmonol. Pediatric Lung Abscess: Immediate Diagnosis by Point-of-Care Ultrasound. Pediatr Emerg Care. The post Lung Abscess in Children appeared first on Pediatric EM Morsels. References: Matsushima A, Mizuno S, Minamikawa S, Nakagishi Y, Kasai M. 2024 Jan 11. doi: 10.1002/ppul.26854. Epub ahead of print.

Pediatrics 169

Pediatrics Ultrasounds Operations Hospitals 169

Broome Docs

DECEMBER 9, 2023

Choosing wisely for kids From the American Academy of Pediatrics and the Canadian Association of Emergency Physicians, we have the Choosing Wisely recommendations for pediatric emergency medicine. Antibiotic Myths for the Infectious Diseases Clinician. 2023 Oct 12. doi: 10.1001/jama.2023.21019. 2023.21019. N Engl J Med.

Infectious Diseases 120

Infectious Diseases Emergency Department Stroke Pediatrics 120

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 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 161

Pediatrics CDC Seizures Infectious Diseases 161

Pediatric Education

MAY 12, 2024

In a general pediatrics or similar setting, usually it is close enough to be able to distinguish between probably constipation (hard stools, Bristol 1-2) from normal variations (Bristol 3-5) and probably diarrhea (watery stools, Bristol 6-7). toilet, diaper), stool frequency, abdominal pain, eating patterns, infectious disease exposure, etc.

Pediatrics 40

Pediatrics Infectious Diseases Research Outcomes 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

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 74

Infectious Diseases Pediatrics Fractures Wellness 74

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. Kawasaki disease: two case reports from the Aga Khan Hospital, Dar es Salaam-Tanzania. BMC Pediatrics. Lakhani, N. 2018;18(334).

EMS 64

EMS Infectious Diseases Pediatrics Research 64

Pediatric Education

APRIL 21, 2024

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. D’Alessandro, MD Professor of Pediatrics, University of Iowa 2017;92:99-102. doi:10.1016/j.ijporl.2016.10.021

Pediatrics 40

Pediatrics Infectious Diseases Radiology Radiology 40

Don't Forget the Bubbles

APRIL 22, 2024

Acute dacryocystitis in pediatric patients and frequency of nasolacrimal duct patency. Current Infectious Disease Reports. Management of pediatric acute dacryocystitis. References Alaboudi A, Al-Shaikh O, Fatani D, Alsuhaibani AH. 2021 Jan 2;40(1):18-23. Isaza G, Arora S. 2012 Apr;14:137-46. 2021 Feb 15;37(5):482-7.

Infectious Diseases 85

Infectious Diseases Sepsis Pediatrics Operations 85

Don't Forget the Bubbles

JULY 24, 2023

Clinical Infectious Diseases. Pediatric Radiology. PEDIATRICS. Archives of Disease in Childhood. The Journal of Pediatrics. Diskitis in Children. 1993 Jul 1;17(1). du Lac P, Panuel M, Devred P, Bollini G, Padovani J. MRI of disc space infection in infants and children. 1990 Jan;20. 2000 Jun 1;105.

Radiology 98

Radiology Radiology Infectious Diseases Pediatrics 98

Pediatric Education

NOVEMBER 19, 2023

Some countries and organizations do not recommend routine prophylactic treatment such as the Canadian Pediatric Society. Pediatrics. BMC Pediatr. doi:10.1186/s12887-021-02701-4 Moore DL, MacDonald NE and the Infectious Diseases and Immunization Committee. BMC Pediatr. Pediatrics. Pediatrics.

Infectious Diseases 40

Infectious Diseases Administration Pediatrics Wellness 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

The Skeptics' Guide to EM

JUNE 10, 2023

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

Telemedicine 68

Telemedicine Infectious Diseases Emergency Department Pediatrics 68

Don't Forget the Bubbles

MARCH 18, 2024

In France, another large randomised controlled trial of Eculizumab in typical HUS – ECULISHU ( Ecul izumab in S higa-toxin Related Hemolytic and U remic S yndrome Pediatric Patients) – has just finished. Clinical Infectious Diseases [Internet]. Disease severity of Shiga toxin-producingE. Pediatric Nephrology.

Dehydration 59

Dehydration Infectious Diseases Seizures Pediatrics 59

Pediatric EM Morsels

AUGUST 11, 2023

Pediatr Emerg Care. The post Perichondritis of the Ear in Children appeared first on Pediatric EM Morsels. PMID: 33251051; PMCID: PMC7686808. Stewart GM, Thorp A, Brown L. Perichondritis–a complication of high ear piercing. 2006 Dec;22(12):804-6. doi: 10.1097/01.pec.0000248687.96433.63. 0000248687.96433.63. PMID: 17198212.

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Burns Pediatrics EMS Outcomes 130

Pediatric Education

OCTOBER 15, 2023

She denied any infectious disease symptoms. Dysphagia is difficulty swallowing and is thought to occur in about <1% of the pediatric population. Curr Probl Pediatr Adolesc Health Care. Diagnosis and Management of Pediatric Dysphagia: A Review. Pediatric Dysphagia. Pediatr Clin North Am.

Pediatrics 40

Pediatrics Infectious Diseases Wellness 40

Pediatric Education

JULY 30, 2023

There is a juvenile and adult form, and the incidence varies between 2-4/100,000 in the pediatric population. 6 years of age and in general the younger the patient, the more severe the disease. J Pediatr Health Care. D’Alessandro, MD Professor of Pediatrics, University of Iowa 2014;28(5):451-455. The Laryngoscope.

Infectious Diseases 40

Infectious Diseases Pediatrics Wellness 40

PEMBlog

SEPTEMBER 29, 2023

Of course you did, but that doesn’t mean you shouldn’t watch this entertaining video that I made with Dr. Tanner Heckle, a Pediatric Emergency Medicine Fellow from Cincinnati Children’s which depicts a conversation between a provider and a parent of a child with a respiratory infection.

Pediatrics 52

Pediatrics Infectious Diseases 52

Pediatric Education

JUNE 18, 2023

Related Cases Disease: Povidone-Iodine | Wounds Symptom/Presentation: Infections Specialty: Dermatology | Emergency Medicine | Infectious Diseases Age: School Ager To Learn More To view pediatric review articles on this topic from the past year check PubMed. J Pediatr Surg. Pediatr Dermatol. doi:10.1111/pde.13725

Allergic Reactions 40

Allergic Reactions Poisoning Pediatrics Infectious Diseases 40

PEMBlog

SEPTEMBER 1, 2023

You can learn more about the Choosing Wisely Pediatric Emergency Medicine recommendations in the links below The Choosing Wisely Pediatric Emergency Medicine Recommendations The Choosing Wisely Campaign Toolkit Vincent Alexander who conducts a simulated discussion with a parent of a child with a respiratory illness.

Pediatrics 52

Pediatrics Infectious Diseases Radiology Radiology 52

Don't Forget the Bubbles

SEPTEMBER 27, 2023

Hosp Pediatr. Pediatrics. Pediatrics. Role of a respiratory viral panel in the clinical management of pediatric inpatients. Pediatr Infect Dis J. [link] [link] Innis K, Hasson D, Bodilly L, Sveen W, Stalets EL, Dewan M. Do I need proof of the culprit? Decreasing respiratory viral testing in critically ill patients.

Emergency Department 84

Emergency Department Pediatrics Point-of-Care Testing Hospitals 84

PEMBlog

AUGUST 30, 2023

The Choosing Wisely Pediatric Emergency Medicine Recommendations The Choosing Wisely Campaign Toolkit Expert Contributors Michele Nypaver, MD University of Michigan Ann Arbor, MI, USA michelen@med.umich.edu Jennifer Thull-Freedman, MD Alberta Children’s Hospital Calgary, Alberta, Canada Jennifer.Thull-Freedman@albertahealthservices.ca

Pediatrics 52

Pediatrics Best Practices Hospitals Emergency Department 52

Don't Forget the Bubbles

SEPTEMBER 18, 2023

Antibiotic Use for Common Infections in Pediatric Emergency Departments: A Narrative Review. Pediatr Infect Dis J. Infectious complications and optimising infection prevention for children with cochlear implants. Randel A, Infectious Disease Society of America. Karageorgos, S.; Hibberd, O.; Mullally, P.J.W.;

Emergency Department 143

Emergency Department Infectious Diseases Pediatrics Sepsis 143

Pediatric Education

APRIL 2, 2023

Complimentary foods are recommended by the American Academy of Pediatrics when the infant is developmentally ready which is commonly after 6 months of life. D’Alessandro, MD Professor of Pediatrics, University of Iowa Antibodies Against SARS-CoV-2 in Human Breast Milk After Vaccination: A Systematic Review and Meta-Analysis.

Infectious Diseases 40

Infectious Diseases Pediatrics Research Wellness 40

PEMBlog

SEPTEMBER 27, 2023

The Choosing Wisely Pediatric Emergency Medicine Recommendations The Choosing Wisely Campaign Toolkit Expert Contributors Olivia Ostrow, MD Hospital for Sick Children Toronto, Ontario, Canada olivia.ostrow@sickkids.ca JAMA Pediatr. Hosp Pediatr. Pediatrics. Hosp Pediatr. Do I need proof of the culprit?

Pediatrics 52

Pediatrics Hospitals Emergency Department Infectious Diseases 52

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 230

Infectious Diseases CDC Pediatrics Fractures 230

Pediatric EM Morsels

NOVEMBER 3, 2023

Travel Medicine and Infectious Disease 44 (2021) 102196. Acute Kidney Injury Is Common in Pediatric Severe Malaria and Is Associated with Increased Mortality. Pediatric Malaria: Global and North American Perspectives. Pediatr Clin N Am 69 (2022) 47–64. Pediatr Emerg Care. 2016 Apr; 32(4): 227–231.

Seizures 245

Seizures Pediatrics CDC Infectious Diseases 245

Pediatric Education

OCTOBER 1, 2023

Related Cases Disease: Polio and Post-Polio Syndrome | Immunization Symptom/Presentation: Health Maintenance and Disease Prevention Specialty: Preventive Medicine and Health Maintenance | Infectious Diseases | Medical History Age: All To Learn More To view pediatric review articles on this topic from the past year check PubMed.

Infectious Diseases 40

Infectious Diseases Pediatrics Outcomes Wellness 40

Pediatric Education

MAY 7, 2023

Pediatr Neurol. D’Alessandro, MD Professor of Pediatrics, University of Iowa Evidence-based medicine information on this topic can be found at SearchingPediatrics.com and the Cochrane Database of Systematic Reviews. Insidious Onset of Serotonin Syndrome in a 6-Year-Old Boy. J Am Acad Child Adolesc Psychiatry. 2021;60(2):201-202.

Hyperthermia / Hypothermia 40

Hyperthermia / Hypothermia Infectious Diseases Pediatrics Poisoning 40

RebelEM

OCTOBER 26, 2023

Background: There is a shifting paradigm towards shorter durations of antibiotics in pediatric infections. JAMA Pediatr. Funding: The National Institute of Allergy and Infectious Diseases, Division of Microbiology and Infectious Diseases funded the study. Paper: Zaoutis T, Shaikh N, Fisher BT, et al.

Pediatrics 79

Pediatrics Infectious Diseases Outcomes Research 79

Don't Forget the Bubbles

JANUARY 10, 2024

Recommendations on RBC Transfusion in General Critically Ill Children Based on Hemoglobin and/or Physiologic Thresholds From the Pediatric Critical Care Transfusion and Anemia Expertise Initiative. Pediatr Crit Care Med. Transfusion strategies for patients in pediatric intensive care units. Pediatr Blood Cancer.

Blood Transfusions 78

Blood Transfusions Outcomes Research Hospitals 78