Increased body temperature due to an inflammatory response
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Drs. Sumanth Cherukumilli, Milagritos Tapia, and Adama Mamby Keita join Febrile to describe an approach to a gray membranous pharyngitis!Episodes | Consult Notes | Subscribe | Twitter | Merch | febrilepodcast@gmail.comFebrile is produced with support from the Infectious Diseases Society of America (IDSA)
What is This Episode? - Top of Show . CANNES IS UNDERWAY: DeNiro Hints at Trump Tariff Unrest - 2:24 Mission Impossible Meh - 11:23 . A “Febrile” Reviewing the Reviewers of the In Competition Films - 16:24 The Best Review of 2025, and What's with These Pushes? - 28:11 . GOLDEN GLOBES ADD BEST PODCAST - 38:23 . CONTENDER TRAILERS: The Smashing Machine - 45:47 Weapons - 49:51 Highest 2 Lowest Teaser - 54:31 F1 - 57:44 Materialists - 59:28 Superman Trailer #8000 - 1:01:50 Conjuring Last Rites - 1:06:59 . . WHAT'S NEXT/LEAVE US 5 STARS/WORDS OF WISDOM - 1:09:19
Febrile seizures are common in the first 5 years of life, and many factors that increase the risk of such seizures occurring have been identified. Initial evaluation should determine whether features of a complex seizure are present, as well as identifying the source of fever. In this episode, Dr Roger Henderson provides an overview of febrile seizures in childhood and also looks at risk factors, referral criteria, treatment options and prognosis.Access episode show notes containing key references and take-home points at: https://gpnotebook.com/en-GB/podcasts/paediatrics/ep-154-febrile-seizuresDid you know? With GPnotebook Pro, you can earn CPD credits by tracking the podcast episodes you listen to. Learn more.
Drs. Morgan Hui, Jonathan Darby, Max Olenski, and Catriona Halliday join Febrile from Australia to share a unique case of a transplant recipient with a painless lump.Episodes | Consult Notes | Subscribe | Twitter | Merch | febrilepodcast@gmail.comFebrile is produced with support from the Infectious Diseases Society of America (IDSA)
Contributor: Taylor Lynch, MD Educational Pearls: Pediatric febrile seizures are defined as seizures that occur between the ages of six months to five years in the presence of a fever greater than or equal to 38.0 ºC (100.4 ºF). It is the most common pediatric convulsive disorder, with an incidence between 2-5% What are the types of seizures? Simple: Tonic-clonic seizure, duration
Connect with the Hosts! Dr. Charlie Website Instagram Membership Nurse Lauren Website Instagram Email List Amazon StoreFront Membership E-Book on Natural Remedies Check out our website: https://www.redpillyourhealthcast.com/ Welcome back to Red Pill Your Healthcast! Dr. Charlie Fagenholz and Nurse Lauren Johnson are tackling listener-submitted health questions. This week, we dive into: Endometriosis – How diet, lifestyle, and natural remedies can help manage symptoms. Febrile Seizures – Natural approaches to support the body during a fever response. Whooping Cough – The Vitamin C protocol and herbal support for lung health. Gallbladder Removal – How the body responds and key strategies to support digestion. Clean Living in a Community – How to stay true to a holistic lifestyle while navigating social settings Supplements + Products Mentioned: All VerVita Supplements Mentioned: Shop All Supreme Supplements Mentioned: Shop Lauren's Fullscript: https://us.fullscript.com/welcome/naturalnursemomma Dr. Charlie's Fullscript: https://us.fullscript.com/welcome/cfagenholz —------------------------------ Advanced Endometriomas Artichoke – Shop here: Supports liver and digestion Chaste Tree Supreme – Balances hormones Reducing inflammation through diet and lifestyle Resveratrol from Apex (Shop in Fullscript) – Antioxidant support Japanese Knotweed Supreme – Anti-inflammatory properties Red Infrared Light: Shop Here Emotional Trauma & Healing: Watch Dr. Charlie's Video in Membership EFT Tapping: Learn More Here Find an NET Provider: More Info Castor Oil Packs – Supports detox & circulation SRT Light Therapy: Supports nervous system regulation. Shop Here (Use code DRCHARLIE50 for $50 off) Febrile Seizures Peppermint Oil Epsom Salt Baths – Shop Amazon Homeopathy (Bella Donna) – Shop Amazon The Wet Sock Method: Read This Blog Black Walnut Supreme – Supports microbial balance Scutellaria Supreme – Herbal immune support Acerola Supreme – High in vitamin C VerVita Immune Armor – Immune system support VerVita Matrix Synergy – Cellular health VerVita Elite Harmony Oil – Balances body systems Calcium Lactate by Standard Process: Shop in Fullscript Whooping Cough Vitamin C Protocol: Dr. Suzanne's Guide Astragalus Supreme – Supports lung health Usnea Supreme – Herbal immune support Scutellaria Supreme – Supports respiratory health Takesumi Supreme – Detox support VerVita Elite Harmony – Body balance VerVita Immune Armor Watch the Deep Dive Vaccine Video in Dr. Charlie's Membership Just the Inserts Informations Here: https://justtheinserts.com/ Our Podcast on Vaccines The Elephant in the Room - Part One - Listen The Elephant in the Room - Part Two - Listen The Elephant in the Room - Part Three - Listen Bringing Food to Family Parties Favorite Snacks (PaleoValley use code DRCHARLIE for 15% off) Gallbladder Removal Watch the Gallbladder Video in Dr. Charlie's Membership Digestive Enzymes (Shop in Fullscript) Oxfile – Aids liver and bile function Artichoke – Shop here Castor Oil Packs – Promotes circulation & detox
In our Season 4 finale wrapping up 2024, Febrile is excited to host our biggest guest list yet to discuss the importance of International Medical Graduates (IMGs) in infectious diseases! Our guests:Ana Del Valle (Pediatric ID faculty at Arkansas Children's Hospital)Cristina Tomatis (Pediatric ID faculty at Nationwide Children's Hospital)Diego Cruz (Current pediatric resident and recent graduate of pediatric ID fellowship program at Nationwide Children's Hospital)Radhika Sheth (Adult ID faculty at Henry Ford Health System)Shweta Anjan (Adult ID faculty at University of Miami and Jackson Memorial Hospital)Zheyi Teoh (Pediatric ID faculty at Seattle Children's Hospital)Cesar Berto (Adult ID faculty at University of Alabama Birmingham)Episodes | Consult Notes | Subscribe | Twitter | Merch | febrilepodcast@gmail.comFebrile is produced with support from the Infectious Diseases Society of America (IDSA)
Febrile seizures are seizures (abnormal electrical activity in the brain) that occur in the setting of a fever. About 2-5% of all children will experience a febrile seizure in their life. They occur between 6months and 6 years with a peak around 12-18 months of age. Although common and benign, they can be scary- especially the first time your child has one in front of you. What do you do if your child has a seizure? If it was a febrile seizure, will it happen again? Should you pre-medicate for fever?Join us as we welcome Dr. Carey Wilson, M.D. to the show. Dr. Carey Wilson is a Pediatric Neurologist and Epileptologist as well as the Medical Director for the Comprehensive epilepsy clinic at Intermountain Healthcare Primary Children's hospital in Salt Lake City, Utah. I am lucky to say I knew her when she was an intern and have gotten to watch her become an amazing physician and mother.
Recorded onsite at IDWeek 2024 in Los Angeles, the hosts of Let's Talk ID and Febrile discuss what they value most about the conference, including the opportunities to support ID workforce development.
In this episode of MedPOD AFMC, Brig (Dr) J Muthukrishnan is joined by Dr. Suchi Acharya, Associate Professor in the Department of Paediatrics at AFMC, Pune, to discuss febrile seizures in children. The conversation covers key aspects of febrile seizures, including their causes, clinical presentation, and risk factors. Dr. Acharya shares expert insights on initial evaluation, distinguishing simple from complex febrile seizures, and appropriate management strategies.
Febrile Seizures: What are they? Hour 1 9/3/2024 full 2336 Tue, 03 Sep 2024 19:00:03 +0000 F9eNRxQAVA7rWKO15i9hqbtGJLS3E3YT news The Dana & Parks Podcast news Febrile Seizures: What are they? Hour 1 9/3/2024 You wanted it... Now here it is! Listen to each hour of the Dana & Parks Show whenever and wherever you want! 2024 © 2021 Audacy, Inc.
Dr. Paul Sue is an associate professor of pediatrics at the Columbia University and Director of the Pediatric Transplant and Immunocompromised Host or “PITCH” Infectious Diseases Program at the Morgan Stanley Children's Hospital in NY. He completed his pediatric residency at Jacobi Medical Center at the Albert Einstein College of Medicine in the Bronx, and his fellowship in pediatric infectious diseases at Johns Hopkins University in Baltimore. He then moved to UT Southwestern in Dallas TX, where he served as director of Pediatric ICH ID service for the next 8 years, prior to his recent move back to NY. His research interests include the impact of invasive fungal and viral infections in the immunocompromised host, leveraging measures of functional immunity to improve infectious disease outcomes in high-risk patients, and the emergence of community acquired multidrug resistant (MDR) bacterial infections in immunocompromised children. Sara Dong, MD is an adult and pediatric infectious disease physician at Emory University School of Medicine & Children's Healthcare of Atlanta, where her clinical focus is transplant and immunocompromised host ID. She earned her MD from the Medical University of South Carolina. She completed her internal medicine and pediatrics (Med-Peds) residency and chief residency years at Ohio State University Wexner Medical Center and Nationwide Children's Hospital, followed by Med-Peds ID and Medical Education fellowships at Beth Israel Deaconess Medical Center and Boston Children's Hospital. She is the creator and host of Febrile podcast and learning platform, co-host of the ID Puscast podcast, and the program director for the ID Digital Institute.Learning ObjectivesAfter listening to this episode on invasive candidemia, learners should be able to discuss:Treatment of candidemia in a critically-ill immunocompromised patient.Management of indwelling central catheters in critically-ill patients with candidemia.The role of immune adjuncts (e.g. G-CSF or granulocyte transfusions) in the management of persistent candidemia in an immunocompromised patient.References:https://febrilepodcast.com/ Pappas PG, Kauffman CA, Andes DR, Clancy CJ, Marr KA, Ostrosky-Zeichner L, Reboli AC, Schuster MG, Vazquez JA, Walsh TJ, Zaoutis TE, Sobel JD. Clinical Practice Guideline for the Management of Candidiasis: 2016 Update bQuestions, comments or feedback? Please send us a message at this link (leave email address if you would like us to relpy) Thanks! -Alice & ZacSupport the Show.How to support PedsCrit:Please complete our Listener Feedback SurveyPlease rate and review on Spotify and Apple Podcasts!Donations are appreciated @PedsCrit on Venmo , you can also support us by becoming a patron on Patreon. 100% of funds go to supporting the show. Thank you for listening to this episode of PedsCrit. Please remember that all content during this episode is intended for educational and entertainment purposes only. It should not be used as medical advice. The views expressed during this episode by hosts and our guests are their own and do not reflect the official position of their institutions. If you have any comments, suggestions, or feedback-you can email us at pedscritpodcast@gmail.com. Check out http://www.pedscrit.com for detailed show notes. And visit @critpeds on twitter and @pedscrit on instagram for real time show updates.
Dr. Paul Sue is an associate professor of pediatrics at the Columbia University and Director of the Pediatric Transplant and Immunocompromised Host at the Morgan Stanley Children's Hospital in NY. He completed his pediatric residency at Jacobi Medical Center at the Albert Einstein College of Medicine in the Bronx, and his fellowship in pediatric infectious diseases at Johns Hopkins University in Baltimore. He then moved to UT Southwestern in Dallas TX, where he served as director of Pediatric ICH ID service for the next 8 years, prior to his recent move back to NY. His research interests include the impact of invasive fungal and viral infections in the immunocompromised host, leveraging measures of functional immunity to improve infectious disease outcomes in high-risk patients, and the emergence of community acquired multidrug resistant (MDR) bacterial infections in immunocompromised children. Sara Dong, MD is an adult and pediatric infectious disease physician at Emory University School of Medicine & Children's Healthcare of Atlanta, where her clinical focus is transplant and immunocompromised host ID. She earned her MD from the Medical University of South Carolina. She completed her internal medicine and pediatrics (Med-Peds) residency and chief residency years at Ohio State University Wexner Medical Center and Nationwide Children's Hospital, followed by Med-Peds ID and Medical Education fellowships at Beth Israel Deaconess Medical Center and Boston Children's Hospital. She is the creator and host of Febrile podcast and learning platform, co-host of the ID Puscast podcast, and the program director for the ID Digital Institute.Learning ObjectivesAfter listening to this episode on invasive candidemia, learners should be able to discuss:Risk factors associated with invasive fungal infections in critically-ill immunocompromised patients.Common pathogens associated with invasive fungal infections in critically-ill immunocompromised patients.Principles guiding selection of empiric antifungal agents for critically-ill patients at risk of invasive fungal infections.References:https://febrilepodcast.com/ Pappas PG, Kauffman CA, Andes DR, Clancy CJ, Marr KA, Ostrosky-Zeichner L, Reboli AC, Schuster MG, Vazquez JA, Walsh TJ, Zaoutis TE, Sobel JD. Clinical Practice Guideline for the Management of Candidiasis: 2016 Update by the InfQuestions, comments or feedback? Please send us a message at this link (leave email address if you would like us to relpy) Thanks! -Alice & ZacSupport the Show.How to support PedsCrit:Please complete our Listener Feedback SurveyPlease rate and review on Spotify and Apple Podcasts!Donations are appreciated @PedsCrit on Venmo , you can also support us by becoming a patron on Patreon. 100% of funds go to supporting the show. Thank you for listening to this episode of PedsCrit. Please remember that all content during this episode is intended for educational and entertainment purposes only. It should not be used as medical advice. The views expressed during this episode by hosts and our guests are their own and do not reflect the official position of their institutions. If you have any comments, suggestions, or feedback-you can email us at pedscritpodcast@gmail.com. Check out http://www.pedscrit.com for detailed show notes. And visit @critpeds on twitter and @pedscrit on instagram for real time show updates.
Beyond the Pearls: Cases for Med School, Residency and Beyond (An InsideTheBoards Podcast)
Today's Episode Alexis reviews Case 47 from the Pediatric Morning Report book. A 20-month-old female is brought into the emergency department via ambulance. Her mother had called 911 after the child became unresponsive and exhibited convulsions of her arms and legs. The patient's convulsions stopped after approximately 5 minutes and had ended prior to the arrival of the paramedics. She had developed fever, rhinorrhea, and cough and has been less playful than normal that day. The patient's mother states that her temperature was 103.3°F 1 hour prior to the event. Today's Host Alexis Burnette is a 2nd year medical student at Los Angeles General Medical Center. About Dr. Raj Dr Raj is a quadruple board certified physician and associate professor at the University of Southern California. He was a co-host on the TNT series Chasing the Cure with Ann Curry, a regular on the TV Show The Doctors for the past 7 seasons and has a weekly medical segment on ABC news Los Angeles. More from Dr. Raj www.BeyondThePearls.net The Dr. Raj Podcast Dr. Raj on Twitter Dr. Raj on Instagram Want more board review content? USMLE Step 1 Ad-Free Bundle Crush Step 1 Step 2 Secrets Beyond the Pearls The Dr. Raj Podcast Beyond the Pearls Premium USMLE Step 3 Review MedPrepTGo Step 1 Questions Learn more about your ad choices. Visit megaphone.fm/adchoices
Take Home Points: There are many causes of neutropenia, chemotherapy being by far the most dangerous. Febrile neutropenia is a condition conveying high mortality. Early administration of antibiotics is the only factor known to reduce this mortality. For a patient with neutropenic fever, remember that the body's own flora is the greatest danger. Isolate, but ... Read more The post REBEL Core Cast 122.0 – Neutropenic Fever appeared first on REBEL EM - Emergency Medicine Blog.
Febrile Seizures are among the most common neurological problema in young children, occurring in 1 out of 50 children between the ages of 6 months and 5 years of age. This episode of PEM Currents: The Pediatric Emergency Medicine Podcast is a Question and Answer style exploration of some of the most common learning points […]
AFR Case Studies Febrile Seizure by Albuquerque Fire Rescue
AFR Case Studies Febrile Seizure 1 by Albuquerque Fire Rescue
AFR Case Studies Febrile Seizure by Albuquerque Fire Rescue
Drs. Paul Sax, Tara Vijayan, and Allan Tunkel join Febrile to chat about the debut of a new series called “StAR”!! These upcoming episodes will highlight the outstanding Clinical Infectious Diseases (CID) journal State-of-the-Art Reviews (StAR), which cover common clinical topics that ID clinicians encounter. Learn more about the creation of these articles from these CID editors before we kick off 4 back-to-back episodes!!Episodes | Consult Notes | Subscribe | Twitter | Merch | febrilepodcast@gmail.comFebrile is produced with support from the Infectious Diseases Society of America (IDSA)
In a new crossover episode with the Febrile podcast, host Buddy Creech, MD, MPH, FPIDS, and Febrile creator and infectious diseases physician, Sara Dong, MD, discuss the power of digital education tools on infectious diseases training.
Drs. Sumanth Cherukumilli, Emma Mohr, and Paul Spearman join for a live Febrile recording at the St. Jude / PIDS Pediatric Infectious Diseases Research Conference in Memphis, TN. They cover some learning points about early onset neonatal sepsis and chat about career development. Thank you to the conference organizers for the opportunity!Episodes | Consult Notes | Subscribe | Twitter | Merch | febrilepodcast@gmail.comFebrile is produced with support from the Infectious Diseases Society of America (IDSA)
In collaboration with Saudi Pediatric Infectious Diseases Society and the King Abdulaziz Public Library, Febrile episodes 86-88 are coming to you live from Riyadh!In the last of three episodes, Dr. Rabab Alghaithi and Dr. Meshari Alabdullatif discuss a case of persistent MSSA bacteremiaEpisodes | Consult Notes | Subscribe | Twitter | Merch | febrilepodcast@gmail.com
In collaboration with Saudi Pediatric Infectious Diseases Society and the King Abdulaziz Public Library, Febrile episodes 86-88 are coming to you live from Riyadh!In the first of three episodes, listen to Dr. Efteraj Alhowity Dr. Bashayer Alshehail discuss MDR/DTR-Pseudomonas aeruginosa and carbapenemases from a global perspective.Episodes | Consult Notes | Subscribe | Twitter | Merch | febrilepodcast@gmail.com
Febrile...
A recap from IDWeek 2023. Check out the guests/correspondents below!Group 1:Dylan Koundakjian, third year internal medicine resident at Emory University, Atlanta, GA (who is applying to ID fellowship!)Jonathan Ryder, Assistant Professor at University of Nebraska Medical Center, Omaha, NE (who is back for this third IDWeek review!)Alainna Jamal, second year internal medicine resident at University of Toronto, Toronto, CanadaCarlyn Harris, fourth year medical student at Emory University, Atlanta, GA (applying to internal medicine and internal medicine primary care)Group 2:Bismarck Bisono-Garcia, second year adult ID fellow at Mayo Clinic, Rochester, MNAnais Ovalle, ID attending and Director of Population Health for internal medicine residents at Kent with Care New England - Brown affiliate, Providence, RIKailynn Jensen, second year medical student at University of Nebraska Medical Center, Omaha, NEBill Wilson, pediatric ID pharmacist specialist at UNC Childrens Hospital, Chapel Hill, NCRaul Macias Gil, ID attending and associate program director for ID fellowship at Harbor UCLA, Los Angeles, CA[and Jonathan Ryder, who was also in Group 1 above]Please check out and sign up for the new IDSA PROUDLY ID Interest Group Community, which Anais, Bill, and Raul mentioned in the episode. This platform is serving to provide a space for LGBTQIA+ advocacy, representation, and education. The link is here: https://docs.google.com/forms/d/e/1FAIpQLSeMtfcT5OOB9akApk-7r7bT9h4MtoL-qDYxhRpBJq06N2R1FA/viewform?usp=sf_linkGroup 3:Rija Alvi, second year adult ID fellow at Henry Ford, Detroit, MI (member of ID Digital Institute)Memar Ayalew, ID clinical pharmacist and co-director of antimicrobial stewardship at Walter Reed Hospital, Washington, DC (member of ID Digital Institute)Radhika Sheth, second year adult ID fellow, Oregon Health Sciences University (OHSU), Portland, OR (member of ID Digital Institute)Julie England, chief medical resident, University of Alabama Birmingham, Birmingham, AL (applying to ID!)Christina Lin, chief medical resident in research at Emory University, Atlanta, GA (applying to ID!)The IDWeek Out-BREAK escape roomPart 1 featured the organizers of the escape room:Victoria Chu, second year pediatric ID fellow, University of California San Francisco, San Francisco, CADiana Zhong, adult ID attending, University of Pittsburgh, ID Connect, Pittsburgh, PAAs well as the other members of the planning committee:Katie Lusardi, ID PharmD, Baptist Health Medical Center, Little Rock, ARJustin Searns, pediatric ID attending at University of Colorado / Children's Hospital of ColoradoJuri Boguniewicz, pediatric ID attending at University of Colorado / Children's Hospital of ColoradoPaul Pottinger, adult ID attending, University of Washington Medical Center, Seattle, WALiz Ristagno, pediatric ID attending, Mayo Clinic, Rochester, MNRachel Wattier, pediatric ID attending, University of California San Francisco, San Francisco, CAAdarsh Bhimraj, adult ID attending, Houston Methodist, Houston, TXNatalie Gabriel, IDSASara Dong, adult and pediatric ID attending at Emory University, Atlanta, GAPart 2 included 2 teams that experienced the escape room:Team 1:Rebecca Kiliany, PharmD, Atrium Health, Charlotte, NCDhananjay Kumar Sinha, nephrologist, Varanasi, Uttar Pradesh,...
Welcome to Febrile's Curious Congenital Conundrums Part 2!! Drs. Gunjan Mhapankar and Justin Penner discuss approaching a call about a mother of a NICU baby with a new blistering rash.Episodes | Consult Notes | Subscribe | Twitter | Merch | febrilepodcast@gmail.com
Welcome to Febrile's Curious Congenital Conundrums Part 2!! Drs. Lizzy O'Mahony and Felicity Fitzgerald field a call about persistent fever in a baby boy.Episodes | Consult Notes | Subscribe | Twitter | Merch | febrilepodcast@gmail.com
Welcome to Febrile's Curious Congenital Conundrums Part 2!! Drs. Fionnuala Ryan and Alasdair Bamford discuss a NICU consult for neonatal sepsis with hepatosplenomegaly, rash, and elevated ferritinEpisodes | Consult Notes | Subscribe | Twitter | Merch | febrilepodcast@gmail.com
Welcome to Febrile's Curious Congenital Conundrums Part 2!! Drs. Amedine Duret and Liz Whittaker kick off the series with the first episode featuring a mycobacterial malady affecting mother and baby!Episodes | Consult Notes | Subscribe | Twitter | Merch | febrilepodcast@gmail.com
Labs or CT scans are not necessary to provide additional diagnostic information or reassurance for most children who recover completely following simple febrile seizures or unprovoked first time generalized seizures. The rate of abnormalities on these studies is very low, and the cost and downsides are too high to justify ordering them on a regular […]
Welcome to Part 2 of this pair of episodes on management of antimicrobial resistant Gram-negative infections!! Drs. Hawra Al-Lawati and Pranita Tamma walk through the alphabet soup of CRE with 2 mini-cases. Don't miss the prior episode (Febrile #76) for more on AmpC and ESBL!You can find the most updated 2023 IDSA Guidance at this link: https://www.idsociety.org/practice-guideline/amr-guidanceEpisodes | Consult Notes | Subscribe | Twitter | Merch | febrilepodcast@gmail.com
This month we look at a method to raise the bar on the quality and trustworthiness of information shared over social media networks, how fish running a fever heal from infection faster, what miniature bat backpacks can reveal about the eating and hunting habits of our flying mammalian cousins, how kingfishers come by their plumage patterns, and the evolution of spider venom genes. Join Dr Chris Smith for a look inside the science at eLife... Get the references and the transcripts for this programme from the Naked Scientists website
Welcome to PICU Doc On Call, A Podcast Dedicated to Current and Aspiring Intensivists.I'm Pradip Kamat coming to you from Children's Healthcare of Atlanta/Emory University School of Medicine and I'm Rahul Damania from Cleveland Clinic Children's Hospital. We are two Pediatric ICU physicians passionate about all things MED-ED in the PICU. PICU Doc on Call focuses on interesting PICU cases & management in the acute care pediatric setting so let's get into our episode.In today's episode, we're bringing together some of the best content from our previous podcasts to present a comprehensive clinical case. We're also excited to share with you some of the most highly cited articles from the past year, presented in a practical, case-based format. This episode will offer you valuable insights into the latest research findings while also highlighting the real-world application of this knowledge in a clinical setting.We'll start by presenting an interesting case of a toddler who was transferred to the PICU due to increasing respiratory distress:A 2-year-old male was brought to the emergency department with a chief complaint of increased work of breathing and URI symptoms, including a cough and runny nose. The child had no significant past medical history, was not taking any medications, and had no known allergies. The child was up-to-date on immunizations, and there were no significant sick contacts.The family brought the child to the emergency department after noticing a significant increase in work of breathing, including the use of accessory muscles, nasal flaring, and chest retractions. The initial physical exam revealed tachypnea and decreased breath sounds on the right side. The child's vital signs were concerning for respiratory distress, with a heart rate of 170 beats per minute, respiratory rate of 50 breaths per minute, and oxygen saturation of 85% on room air. Chest X-ray revealed right lower lobe pneumonia.The child was started on supplemental oxygen, and broad-spectrum antibiotics, and trialed with albuterol. Despite initial treatment, the child's respiratory distress worsened, and the decision was made to transfer the child to the PICU and place the patient on HFNC 1.5 L/kg. Upon admission to the PICU, the child's vital signs were still concerning, he was afebrile, with a heart rate of 180 beats per minute, respiratory rate of 60 breaths per minute, and oxygen saturation of 85% on 1.5L/kg HFNC at 75% FiO2. Given the persistent respiratory distress, the decision was made to intubate the child in the PICU for acute hypoxemic respiratory failure. Shortly after intubation, a central line is placed in the R internal jugular vein.To summarize key elements from this case:2-year-old with a prodrome of URI symptomsIs otherwise previously healthy with no significant medical history or allergiesDeveloped respiratory distress and diagnosed with pneumoniaTransferred to PICU, intubated for respiratory failureLet's fast forward in the case and talk about a scenario that frequently arises in the PICU. It's hospital day 2, and the patient's RSV swab is positive, and we're seeing some improvement on the X-ray....
Today's episode of "PICU Doc On Call," with Dr. Pradip Kamat and Dr. Rahul Damania, pediatric ICU physicians, delves into intriguing case and management strategies within the acute care pediatric setting.This episode focuses on a 2-year-old child transferred to the PICU due to pneumonia-induced respiratory distress. As the child's condition deteriorates, intubation becomes necessary to address acute hypoxemic respiratory failure.We discuss the significance of minimizing unnecessary blood cultures in febrile patients with central lines in the PICU. A study implementing a quality improvement program is referenced, which successfully reduces blood culture rates, broad-spectrum antibiotic usage, and CLABSI rates without impacting mortality or length of stay.Next, we'll explore the comparison between a high-flow nasal cannula (HFNC) and continuous positive airway pressure (CPAP) in pediatric patients experiencing respiratory distress. Findings from a randomized controlled trial revealed that HFNC is non-inferior to CPAP in terms of time required for liberation from respiratory support.We further investigate the application of pediatric early warning scores (PEWS) and automated clinical prediction models to identify patients at risk of deterioration and transfer to the PICU. The importance of employing clinical judgment and a combination of assessment tools to determine the need for transfer is emphasized.Lastly, we'll highlight the significance of screening for social determinants of health in critically ill children and their families. A study demonstrates that a substantial number of participants had unmet social needs, underscoring the importance of screening to provide appropriate interventions and resources.To summarize, this podcast episode covers key topics such as reducing unnecessary blood cultures, comparing HFNC and CPAP in respiratory distress, utilizing PEWS and clinical prediction models for patient identification, and the importance of screening for social determinants of health.Be sure to listen in entirety as we discuss the case.
RR dedicate this episode to our beloved Rafa Medina. Rafa's GoFundMe page.
Transfusion reactions are adverse events associated with the transfusion of whole blood or one of its components. They range in severity from minor to life-threatening and can occur during a transfusion, termed acute transfusion reactions, or days to weeks later, termed delayed transfusion reactions. Transfusion reactions may be difficult to diagnose as they can present with non-specific, often overlapping symptoms. The most common signs and symptoms include fever, chills, urticaria, and itching. Some symptoms may resolve with little or no treatment. However, respiratory distress, high fever, hypotension, and hemoglobinuria may indicate a more serious reaction. All cases of suspected reactions should prompt immediate discontinuation of the transfusion and notification of the blood bank and treating clinician. Learn in this podcast episode the evaluation and management of transfusion reactions and highlights the role of interprofessional team members in collaborating to provide well-coordinated care and enhance outcomes for affected patients. About our Speaker: Dr. Aaron Tobian received his medical degrees from Case Western Reserve University. He is highly involved with the transfusion medicine community serving on the Association for the Advancement of Blood and Biotherapies' Board of Directors and is president-elect of the board. Dr. Tobian has authored more than 300 peer-reviewed articles in journals, including The New England Journal of Medicine, JAMA, Blood, and TRANSFUSION, and has been featured on BBC World Service, Today Show, National Public Radio, and USA Today. He is board certified in clinical pathology and blood banking/transfusion medicine and divides his time between research and clinical service.
Today we welcome special guest and fellow EBM lover Dr. Mita Hoppenfeld to talk about a new randomized controlled trial evaluating the best duration of antibiotics for febrile UTI in men. Is 7 days as good as 14 days? We also review the latest guidelines for lower GI bleeding and a new retrospective study on renal outcomes in patients with AKI who receive IV contrast. 7 vs 14 days of antibiotics for Febrile UTI in MenLower GI Bleeding GuidelinesIV Contrast in patients with AKI Music from Uppbeat (free for Creators!):https://uppbeat.io/t/soundroll/dopeLicense code: NP8HLP5WKGKXFW2R
In this episode, we review the high-yield topic of Febrile Seizures from the Neurology section. Follow Medbullets on social media: Facebook: www.facebook.com/medbullets Instagram: www.instagram.com/medbulletsofficial Twitter: www.twitter.com/medbullets
00:00 - 33:00 - Championship 33:00 - 1:09:45 - League One 1:09:45 - end - League Two This podcast is sponsored by Betfair. Join the NTT20 Squad on Levellr! An EFL Community on Telegram with non-stop EFL chat and bonus video & audio content from George & Ali. Join with a 2-week free trial & then £4.99 per month: shop.levellr.com/products/ntt20_community
Happy 2nd Birthday to the show!! Thanks for listening and supporting Febrile for another year. In this episode, Dr. Brad Cutrell and Sara provide updates on the US ID Fellowship Match results and discuss the landscape and challenges of ID recruitment.Episodes | Consult Notes | Subscribe | Twitter | Merch | febrilepodcast@gmail.com
Welcome to HAI School – A Febrile Bundle on Healthcare-Associated Infections! Join Drs. Sam Schuiteman and Owen Albin for episode #4, which will cover ventilator associated pneumonia (VAP). Don't miss the prior episodes on CLABSI, CAUTI, and SSI. The series runs from episodes 60-63!Episodes | Consult Notes | Subscribe | Twitter | Merch | febrilepodcast@gmail.com
Welcome to HAI School – A Febrile Bundle on Healthcare-Associated Infections! Join Drs. Jeremy Steinbruck and Nick Gilpin for episode #3, which will cover surgical site infections (SSIs). Stay tuned for the last episode of the series next week and the prior episodes of CLABSI and CAUTI. The series runs from episodes 60-63!Episodes | Consult Notes | Subscribe | Twitter | Merch | febrilepodcast@gmail.com
In this podcast we discuss the prevalence of bacteremia and even more interestingly the prevalence of meningitis in febrile infants
Welcome to HAI School – A Febrile Bundle on Healthcare-Associated Infections! Join Drs. Jeremy Steinbruck and Nick Gilpin for episode #2, which will cover catheter associated urinary tract infections (CAUTIs). Stay tuned for the rest of the series, which are episodes 60-63!Episodes | Consult Notes | Subscribe | Twitter | Merch | febrilepodcast@gmail.com
Welcome to HAI School – A Febrile Bundle on Healthcare-Associated Infections! Join Drs. Jeremy Steinbruck and Nick Gilpin for episode #1, which will cover central line associated bloodstream infections (CLABSI). Stay tuned with the following episodes over the next 3 weeks!Episodes | Consult Notes | Subscribe | Twitter | Merch | febrilepodcast@gmail.com
In this special collaborative episode, Dr. Sara Dong (@swinndong) of Febrile podcast (@febrilepodcast) and Dr. Ghady Haidar (@cleverwebber) join Dr. Erin McCreary (@ErinMcCreary) to discuss all aspects of FUO, including classification, diagnosis, management, and more! Have the fever of unknown origin review article from the February 2022 edition of NEJM (@NEJM) handy to follow along with the group. References Haidar G, Singh N. Fever of unknown origin. N Engl J Med 2022;386:463-77. LinkedIn: https://www.linkedin.com/company/sidp/ Learn more about the Society of Infectious Diseases Pharmacists: https://sidp.org/About Twitter: @SIDPharm (https://twitter.com/SIDPharm) Instagram: @SIDPharm (https://www.instagram.com/sidpharm/) Facebook: https://www.facebook.com/sidprx Check out our podcast host, Pinecast. Start your own podcast for free with no credit card required. If you decide to upgrade, use coupon code r-7e7a98 for 40% off for 4 months, and support Breakpoints.
Hannah bravely shares how her two young daughters developed febrile seizures. Although febrile seizures are common, it is something that isn't talked about enough. Hannah will shed some light for families walking through this diagnosis and provide you with ways to navigate the practicality and emotions that come along with it. [2:47] Hannah introduces her family [4:45] Sharing symptoms and instincts [6:08] Finding her daughter, Hadley, unresponsive in her crib [8:16] Hand foot and mouth was the initial culprit of the fever [10:52] Discharge instructions after having a febrile seizure [11:43] How prayer and a supportive husband gave Hannah the ability to cope [12:45] Hannah shares about her second daughter, Madison [14:40] Madison has her first febrile seizure [16:39] The after effects of a febrile seizure [19:09] Madison's second seizure [20:58] Hannah shares how the week prior she had a CPR and First Aid refresher course [23:27] Madison showed no symptoms but ended up having a UTI, ear infection and pharyngitis [27:04] Madison's third seizure [30:28] Back to back seizures [32:16] Hannah shares the instructions from the dispatcher [33:29] Bloodwork to diagnose Madison [34:45] Hannah explains how reoccurring febrile seizures can result in a seizure disorder [37:40] Connecting with a friend whose son has had febrile seizures [38:33] Tips for prevention [40:12] After effects of febrile seizures [41:07] Being sensitive to illness [44:24] Talking about motherly instinct Connect with Hannah Instagram Whether you are a parent or professional, we want you to join our community. Sign up for our newsletter here. Parents, download our free parent starter kit. When you download our starter kit, you'll learn how to: Give medicine to your child without it becoming a wrestling match Prepare your child (and yourself) for a shot so they can feel less anxious Create and use a coping plan for any medical appointment or procedure The first sign of sniffles, or worse, shouldn't send you into a tailspin. Feel confident in your role as a parent and advocate, no matter what medical situation you're facing. Child life specialists, get affordable PDUs on-demand here. Shop for your CLOC gear here. Catch up with CLOC on Instagram, Facebook and meet Katie for a Q+A every Monday at 10 AM CST.
In this main episode podcast on ED risk stratification and workup of the febrile infant, recorded at the CAEP 2022 Conference in Quebec City with Dr. Brett Burstein and Dr. Gary Joubert, we answer such questions as: Which febrile infants require lumbar puncture? How accurate is procalcitonin in identifying low risk febrile infants? What is the difference between serious bacterial infection (SBI) and invasive bacterial infection (IBI) and why is this important in the work up of the febrile infant? How do the PECARN, Step-by-Step and Aronson decision tools for identifying febrile infants at low risk for IBI and SBI? Can EM Cases incorporate all these decision tools and the upcoming Canadian Pediatric Society position statement on febrile infants recommendations into one concise algorithm? and many more... The post Ep 173 Febrile Infant – Risk Stratification and Workup appeared first on Emergency Medicine Cases.