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Imported Malaria

Pediatric EM Morsels

With concern for malaria, it is very important to identify who is non-immune and semi-immune as this can affect both the timeframe for illness after departure from the endemic country as well as severity of illness. Third times the charm! A single thick and thin smear is not enough to effectively rule out malaria.

Seizures 240
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The 73rd Bubble Wrap

Don't Forget the Bubbles

Our team have scoured what’s new (well, mostly new!) 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.

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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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Cholera: ED presentation, evaluation, and management

EMDocs

16 In resource-constrained settings, rapid diagnostic tests (RDTs) on stool samples offer a viable option. 33 In areas without potable tap water or reliable sources of safe water, bottled water should be used for drinking, as well as brushing teeth and washing/preparing food. cholerae in stool samples before culture.