Infectious Disease

Measles is Back: The Experts Tell You What You Need to Know

For many practicing pediatric emergency physicians, measles feels like a disease from another era. In fact, measles was declared eliminated in the United States in 2000. But over the past several years, declining vaccination rates and increasing global circulation have pushed measles back into the clinical conversation. The reality is that many emergency clinicians today […]

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HipPEMcrates Mailbag, Vol. 2: Febrile Infants, Pneumonia Pearls, and the Future of PEM

Welcome to the second edition of the HipPEMcrates Mailbag – where we continue to explore common questions from the Pediatric Emergency Department. These are the topics that come up during busy shifts, the clinical pearls shared during signout, and the thoughtful questions from learners that prompt us to pause and review the evidence behind our

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The Interview: Dr. Kuppermann and Dr. Burstein On The Study That Will Change Everything (for Febrile Infants)

PEM Clinicians: If you find this kind of breakdown useful, HipPEMcrates delivers concise, evidence-based PEM insights and expert conversations – without oversimplifying the science. Go to HipPEMcrates.com/subscribe to get new posts directly to your inbox. Hot Off the Press! Last week, JAMA published a new study titled “Prediction of Bacteremia and Bacterial Meningitis Among Febrile

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TEASER…The Study That Will Change Everything (for Febrile Infants)

Hot Off the Press! This past Monday, JAMA published a new study titled “Prediction of Bacteremia and Bacterial Meningitis Among Febrile Infants Aged 28 Days or Younger.” The study evaluated whether the PECARN Febrile Infant Prediction Rule (you know the one – negative urine, serum procalcitonin ≤0.5 ng/mL, and ANC ≤4000/mm3) can be applied to

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Clinical Scenario: The Floppy Infant with Constipation

The Case A 3-month-old breastfed male is brought to the ED with: On exam: You pause. The baby’s floppy. He’s not febrile. He’s not actively seizing. But something is clearly wrong. Diagnosis: Infant Botulism This is classic: a floppy, constipated infant with descending paralysis. Pathophysiology: Key Clinical Clues PEM Pearl: A floppy, afebrile infant with

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