Pediatric emergency care
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Pediatric emergency care · May 2023
Observational StudyClinical Predictors and Biomarkers in Children With Sepsis and Bacterial Meningitis.
Sepsis and meningitis in children may present with different clinical features and a wide range of values of inflammatory markers. The aim of this study was to identify the prognostic value of clinical features and biomarkers in children with sepsis and bacterial meningitis in the emergency department (ED). ⋯ Procalcitonin, along with clinical evaluation, can guide the identification of children at higher risk of morbidity and mortality, allowing the most appropriate monitoring and treatment.
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Lyme disease, also called Lyme borreliosis, is caused by the spirochete Borrelia burgdorferi sensu stricto (B burgdorferi) in the Upper Atlantic Coast and Borrelia mayonii in the Upper Midwest and West Coast. It can cause a range of manifestations including erythema migrans, cranial nerve palsies, meningitis, carditis, and arthritis. Recent guidelines advocate for outpatient treatment for many of these conditions. Scenarios will be presented that outline treatment of these manifestations.
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Pediatric emergency care · May 2023
Identification of Papilledema in Pediatric Patients With Meningitis Using Ocular Point-of-Care Ultrasound.
Ocular point-of-care ultrasound is used by physicians for an array of diagnoses. In this case series, we describe how pediatric emergency medicine physicians utilized ocular point-of-care ultrasound in the management of patients with papilledema secondary to meningitis or its treatment.