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Urinary tract infections (UTIs) are a potential cause of fever in the pediatric patient. Early testing and a timely diagnosis are critical to avert complications and potential scarring of the kidneys. Complication rates in children younger than 90 days of age are 7% and include bacteremia, meningitis, and urosepsis, although a well-appearing infant with a CRP of < 4 mg/dL is significantly less likely to develop complications. The authors present a concise review of the current status of the diagnosis and management of pediatric UTIs.
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Influenza is possibly the most widespread and well known of infectious diseases. Seasonal epidemics can be found on all continents, and no age segment of the population is untouched.
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In recent years, intensive care units (ICUs) have made considerable progress in eliminating central line-associated bloodstream infections (CLABSIs); however, there is still ample room for improvement on infection-control practices in other settings like the ED, where high volumes, patient acuity, crowding, and other factors can interfere with infection-control practices.
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Some EDs are noticing unexpected decreases in volume that began in the latter half of 2013. The impact has been particularly evident in the Midwest and Northeast, where there has been record cold weather, but observers are concerned that other factors could be playing a role as well.
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First phase of imaging revisions goes into effect on July 1
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Researchers at the Johns Hopkins National Center for the Study of Preparedness and Catastrophic Event Response (PACER) in Baltimore, MD, have unveiled three new web-based tools that hospitals, EDs, and public health authorities can use to help them prepare for surges related to disasters, epidemics, and seasonal flu outbreaks.
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According to one study, as many as one in five children seen in the emergency department (ED) may be missed cases of physical abuse; thus, emergency physicians have a responsibility to consider abuse in the differential of every injured child. This article reviews the identification, evaluation, and management of a child with possible physical abuse.
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Use MAP instead of systolic blood pressure to guide assessment and response to treatment when measuring BP with non-invasive techniques.
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It's not just about making people happy. It's about making people happy as a risk-management strategy.
