Pediatric EM Morsels

NOVEMBER 3, 2023

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 284

Seizures Pediatrics CDC Infectious Diseases 284

Don't Forget the Bubbles

JULY 31, 2023

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.

Rapid Diagnostic Testing 98

Rapid Diagnostic Testing Resuscitation Emergency Department Pediatrics 98

EMDocs

JANUARY 6, 2025

Surgical wound debridement and dressing are performed and the malaria rapid diagnostic test (MRDT) is noted to be positive. She receives IV calcium gluconate and bicarbonate as well as oral potassium binders for hyperkalemia. Intravenous (IV) crystalloids, IV paracetamol (acetaminophen), and IV dextrose are administered.

Infectious Diseases 70

Infectious Diseases CDC PPE Rapid Diagnostic Testing 70

EMDocs

JUNE 2, 2025

Rapid diagnostic tests (RDTs) do exist, but are unlikely to be available in settings like the US where EVD does not have a high incidence; these are more likely to be used in outbreak areas. RDTs do not perform as well as RT-PCR. Obtain blood smear or rapid diagnostic test for malaria antigen (where available).

Rapid Diagnostic Testing 94

Rapid Diagnostic Testing CDC PPE EMS 94

EMDocs

MAY 27, 2025

Initial diagnostic workup in the ED reveals WBC 4.5 Malaria rapid diagnostic test is positive, and blood smear for malaria parasites shows 25-30 malaria parasites per high-power field. Rapid Diagnostic Tests (RDTs) 19 Allow for the detection of the malaria parasite antigen. cells/L, hemoglobin 13.9

CDC 80

CDC Rapid Diagnostic Testing Seizures Blood Transfusions 80

Mind The Bleep

DECEMBER 16, 2023

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.

Rapid Diagnostic Testing 52

Rapid Diagnostic Testing Infectious Diseases Best Practices Seizures 52

EMDocs

MARCH 11, 2024

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.

Dehydration 99

Dehydration CDC Rapid Diagnostic Testing Fluid Resuscitation 99