Podcasts about febrile infants

Reference: Florin TA, et al. Radiographic pneumonia in young febrile infants presenting to the emergency department: secondary analysis of a prospective cohort study. Emerg Med J. 2023 Date: May 29, 2024 Guest Skeptic: Dr. Christina Lindgren is a Pediatric Emergency Medicine Attending at Children's National Hospital and Assistant Professor of Pediatrics and Emergency Medicine at […] The post SGEM#446: Finding Pneumo…nia in Febrile Infants first appeared on The Skeptics Guide to Emergency Medicine.

In this episode, Sam Ashoo, MD interviews Paul Aronson, MD, MHS, one of the authors of the February 2024 Pediatric Emergency Medicine Practice article, Febrile Infants Aged ≤60 Days: Evaluation and Management in the Emergency DepartmentGuideline ChangesPathophysiologyEtiology and DefinitionsPrehospital CareED History and Physical Diagnostic StudiesAge 0-21 Days Age 22-28 Days Age 29-60 DaysLumbar PunctureViral TestingUrinalysisShared Decision MakingDisposition

Date: Dec 15, 2022 Reference: Mahajan et al. Serious bacterial infections in young febrile infants with positive urinalysis results. Pediatrics. October 2022 Guest Skeptic: Dr. Brian Lee is a pediatric emergency medicine attending at the Children's Hospital of Philadelphia and Assistant Professor of Pediatrics at the Perelman School of Medicine at the University of Pennsylvania. […] The post SGEM #387 Lumbar Punctures in Febrile Infants with Positive Urinalysis-It's Just Overkill first appeared on The Skeptics Guide to Emergency Medicine.

About 14 out of every 1,000 healthy infants born full term develop a fever during the ages 8 days to 60 days old. While most fevers do not lead to severe illness, it can be challenging to immediately identify the cause of a baby's fever and identifying infants who may be at risk for developing serious bacterial infections while avoiding unnecessary tests or hospitalizations. In this episode, we will discuss the updated AAP guidelines for well-appearing infants between 8-60 days old who develop a fever at or above 100.4 degrees Fahrenheit (38 degrees Celsius). Utilizing this new evidence-based guideline we will take a deep dive into the changing epidemiology of serious bacterial infection in febrile infants, advances in technology and evolving research strategies and what most importantly, what it means to each of you. This episode is being broadcasted live from the AAP NCE in Anaheim California. Today, I am delighted to be speaking with Dr. Samir Shah. Dr. Shah is joining us from Cincinnati Children's hospital where he is the Director of the Division of Hospital Medicine and a professor of pediatrics.  

Key points: -New strategies for management of febrile infants depending on age (1-3 weeks, 3-4 weeks, or 4-8 weeks) -Inflammatory markers like CRP and procalcitonin help to determine if LP is needed in older patients. -Learn about common bugs that cause infection in infants and the antibiotics we use to treat them -Observation of febrile infants is now reduced from 48 hours to 24-36 hours Supplemental information: AAP guidelines 2020: https://pediatrics.aappublications.org/content/148/2/e2021052228 Yale Observation Scale Score in febrile infants 60 days and younger: https://publications.aap.org/pediatrics/article/140/1/e20170695/37958/The-Yale-Observation-Scale-Score-and-the-Risk-of

Provider variation has plagued the management of febrile neonates for decades, but the wait for standardization is over!  The AAP published its long-awaited recommendations on the evaluation and management of well-appearing febrile infants 8 to 60 days old in August 2021.  This episode picks apart the nuances and key features to help pediatric providers provide fast, safe, and effective care to this population.  Follow along with full guideline available at https://doi.org/10.1542/peds.2021-052228

We previously covered the management of young febrile infants in a 2017 podcast  but now we have updated guidance from the AAP. In this podcast, we review the 2021 AAP Guidelines for the management of well-appearing febrile infants 8-60 days old, highlight practice-changing recommendations. Show notes/references: FOAMcast.org Thanks for listening! Lauren Westafer

Course: Review of the New Well-Appearing Febrile Infants 8 to 60 Days Old Guideline Course Director: Tony R Tarchichi MD  - Associate Professor in Dept of Pediatrics at the University of Pittsburgh School of Medicine Course Director: Sanyukta Desai MD, MSc- Assistant Professor in Pediatrics at the University of Washington School of Medicine Course Director: Paul Aronson MD, MHS - Associate Professor of Pediatrics and of Emergency Medicine at the Yale School of Medicine Disclosures: None This Podcast series was created for Pediatric Hospitalists or those healthcare professionals who take care of hospitalized children.  This episode is Review of the New Well-Appearing Febrile Infants 8 to 60 Days Old Guideline. As always there is free CME credit of up to 1.25 AMA category 1 for listening to this podcast and going to the Univ of Pitt site. See the link below.  ______________________________________________________ Objectives: Upon completion of this activity, participants will be able to: Review the process of creating the AAP Evaluation and Management of Well-Appearing Febrile Infants 8 to 60 Days Old guidelines. Review the changes made to the guidelines. Review the specific differences in workup between the three age groups the guidelines has divided febrile neonates under 60 days of life into. ______________________________________________________ Released:  10/14/2021, Reviewed 10/14/2021, Expire: 10/14/2022 If you are new to the Internet-based Studies in Education and Research (ISER) website (which is how you will get your CME credit), you will first need to create an account: Step 1. Create an Account https://www.hsconnect.pitt.edu/HSC/home/create-account.do If you have used the ISER website in the past, you can click on the link below and then log onto in order to complete the evaluation for this training: Step 2. To access the test for CME credit: Coming soon! Accreditation Statement: The University of Pittsburgh School of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. The University of Pittsburgh School of Medicine designates this enduring material for a maximum of  (1.25)  AMA PRA Category 1 CreditsTM. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Dr. Paul Aronson (Yale) joins the Cribsiders to help interpret the AAP's new Febrile Infant Guidelines (July 2021) in this jam-packed episode. He teaches us about the new 22-28 day-old group, updated antibiotic recommendations, other major changes in the guidelines, and the evidence behind it all.

Listen now to hear MCG pediatric hospitalist Kathryn McLeod and EM physician Dan McCollum meet with host Zac Hodges as they discuss the fundamentals and new publications surrounding the management of febrile infants. Music:  Life of Riley by Kevin MacLeod Link: https://incompetech.filmmusic.io/song/3976-life-of-riley License: http://creativecommons.org/licenses/by/4.0/

Dominar las infeciones del tracto urinario pediátricas de la manera más sencilla gracias al Dr. Randall Lou, nefrólogo pediatra. Desde definición e importancia, hasta tratamiento y seguimiento adecuado lo cubrimos todo en este episodio. Participantes Dr. Randall Lou Dr. Luis Pedro Mendoza Dra. Ely Fletcher Dr. Luis Hernández Bibliografía American Academy of Pediatrics. (2014). Urinary Tract Infection : Clinical Practice Guideline for the Diagnosis and Management of the Initial UTI in Febrile Infants and Children 2 to 24 Months. Pediatrics, 128(3). http://doi.org/10.1542/peds.2011-1330 American Academy of Pediatrics. (2016). Reaffirmation of AAP Clinical Practice Guideline : The Diagnosis and Management of the Initial Urinary Tract Infection in Febrile Infants and Young Children 2 – 24 Months of Age. Pediatrics, 138(6). http://doi.org/10.1542/peds.2016-3026 Balighian, E., & Burke, M. (2018). Urinary Tract Infections in Children. Pediatrics in Review, 39(1). http://doi.org/10.1542/pir.2017-0007 Chua, M., Ming, J., Chang, S., Santos, J. Dos, Mistry, N., Silangcruz, J. M., … Koyle, M. A. (2018). A critical review of recent clinical practice guidelines for pediatric urinary tract infection. Canadian Urologoci Association Journal, 12(4), 112–118. Wasilewska, A., & Kuchar, E. (2017). Urinary tract infection in children : Diagnosis , treatment , imaging e Comparison of current guidelines. Journal of Pediatric Urology, 13(6), 567–573. http://doi.org/10.1016/j.jpurol.2017.07.018

Background: Management and workup of fever in the neonate has been a long-standing challenge. This unique age group is particularly susceptible to serious bacterial infections (SBI’s)... The post REBEL Cast Episode 64: A Clinical Prediction Rule for Febrile Infants ≤60 Days at Low Risk for Serious Bacterial Infections appeared first on REBEL EM - Emergency Medicine Blog.

February and March Quick Summary February and March Podcast Articles   Ondansetron in pediatric n/v/d, Chest CT for elderly rib fractures, Management of Infectious Diarrhea, Antibiotics for elderly UTI, BVM during intubation, Blunt Thoracolumbar trauma evaluation, Gender and NSTEMI treatment, Predictors of Antibiotic Failure in Nonpurulent SSTI, Safety of PERC + YEARS in Patients with Low Probability of PE, POCUS for RD in the ED, Oral vs IV Antibiotics for Bone & Joint Infection, Impact of Scribes in the ED, EtO2 Monitoring to Assess Preox in ED RSI, Burnout in EM Residents, Predicting SBI in Febrile Infants < 60 days old.

Dr Tom Waterfield provides advice on how to assess febrile infants

In this PECARN series, Dr. Jason Woods discusses the sensitivity and specificity of the urinalysis for febrile infants ≤60 days old with the first authors of the 2018 Pediatrics article, Dr. Leah Tzimenatos. Tzimenatos L, Mahajan P, Dayan PS, et al; Pediatric Emergency Care Applied Research Network (PECARN). Accuracy of the Urinalysis for Urinary Tract Infections in Febrile Infants 60 Days and Younger. Pediatrics. 2018 Feb;141(2). https://www.ncbi.nlm.nih.gov/pubmed/29339564

Pediatric Grand Rounds with Rianna Evans MD Children's Hospital of King's Daughters

AAP Guideline on Urinary Tract Infection: Clinical Practice Guideline for the Diagnosis and Management of the Initial UTI in Febrile Infants and Children 2 to 24 Months http://pediatrics.aappublications.org/content/128/3/595.long UK NICE guideline: Urinary tract infection in children http://guidance.nice.org.uk/cg54 Summary: For children with fever, UTI should be suspected. For children at a very low risk for UTI, […] The post Pediatric UTI appeared first on Family Pharm Podcast.

Infants with fever present a special challenge in the emergency department. Most of these children require large workups and admission to be sure that we aren't missing serious bacterial infections or meningitis. The risks are high here and we need to make sure that we do the right thing for our smallest and youngest patients. We'll talk about how to assess infants from the foot of the bed, how to get an effective history and physical, how to do a sepsis workup in this age group, and some tricks of the trade for how to do an LP on an infant. There's also a bonus section on pediatric UTIs and how to use a glidescope.