Core EM - Emergency Medicine Podcast

Episode 130.0 – Morning Report Pearls II

Jan 29, 2018
Dive into a treasure trove of medical insights, where non-specific viral syndromes meet tick-borne illnesses. Discover the safety of Doxycycline for children and the critical need to differentiate it from other drugs. Learn how various medications can trigger myasthenia gravis exacerbations. With each pearl, the importance of careful diagnosis and treatment strategies shines through, making this a must-listen for emergency medicine practitioners.
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ADVICE

Use DEET and Doxycycline Safely

  • Use DEET to prevent tick bites during outdoor activities as it is highly effective and safe.
  • Do not avoid doxycycline in children when indicated; it's the best treatment for many tick-borne diseases.
ADVICE

Consider Acute HIV Early

  • Consider acute HIV infection in patients with unexplained viral syndromes if they have significant risk.
  • Remember RNA tests may be negative early; arrange follow-up and repeat testing if risk is high.
ADVICE

Suspect Carbon Monoxide Poisoning

  • Always suspect carbon monoxide poisoning in patients with viral-like illness, especially in winter or if multiple family members are ill.
  • Consult poison control for management and hyperbaric oxygen decisions regardless of carboxyhemoglobin levels.
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