Emergency Medicine Cases EM Quick Hits 67 Tick Borne Illness Update, Pediatric ECG Interpretation, Nailbed Repair, Closed Loop Communication, ESRD, Leaders in EM Dr. Catherine Varner
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Aug 26, 2025 Guest
Victoria Myers
Guest
Catherine Varner
Guest
Brit Long
Guest
Matthew McArther
Guest
Kathleen Stephanos
Guest
Issac Bogoch
Dr. Issac Bogoch updates listeners on the rising threat of tick-borne illnesses, stressing the need for better awareness and diagnostics. Dr. Kathleen Stephanos shares insights on pediatric ECG interpretation, highlighting crucial differences between children and adults. Nail bed repair techniques are discussed by Dr. Matthew McArther, emphasizing best practices for injury management. Dr. Brit Long simplifies end-stage renal disease complexities. Finally, Dr. Catherine Varner shares her leadership journey, focusing on the importance of resilience and teamwork in emergency medicine.
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Ticks Are Spreading And Co-Infections Matter
- Tick-borne diseases are expanding northward as winters shorten, increasing cases beyond Lyme alone.
- Co-infections like anaplasmosis and babesiosis are common and often underrecognized in endemic areas.
Test Lyme But Treat Early Rashes
- Treat erythema migrans empirically for Lyme even if serology is negative early on.
- Still send Lyme serology at presentation to help future diagnostic decisions if symptoms persist.
Always Add Anaplasma And Babesia Tests
- When ordering Lyme tests, also order anaplasma and babesia if the patient has systemic non-localizing febrile illness or tick exposure.
- Send blood to public health labs for the appropriate assays when suspected.