In this episode, we discuss the recent measles outbreak and how ED providers can best prepare to treat this almost vanquished foe.
Core EM - Emergency Medicine Podcast Episode 160.0 – Measles
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Apr 8, 2019 Dive into the world of measles as the hosts unpack the latest outbreak and how emergency departments should gear up for it. They break down the virus's contagiousness and key symptoms, including the notorious Koplik spots. Learn how to differentiate between measles and chickenpox at the bedside. The discussion covers critical triage precautions, vaccination effectiveness, and supportive care strategies, including the role of vitamin A. Plus, get insights on managing complications and post-exposure prophylaxis. Essential listening for healthcare providers!
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Measles Is Extremely Contagious
- Measles (rubeola) is a paramyxovirus causing highly contagious acute respiratory disease.
- It spreads by airborne particles and can linger in air for up to two hours.
Classic Three-Phase Clinical Course
- The disease follows incubation, prodrome, then exanthem phases with predictable timing.
- Koplik spots appear in prodrome and the maculopapular rash spreads cephalocaudally.
Triage With Maximum Precautions
- For fever plus rash, assume high-risk until proven otherwise and escalate precautions.
- Place suspected patients in airborne isolation and use negative-pressure rooms with N95 for staff.
