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EM Clerkship

Peds S- Sepsis and Serious Bacterial Infections

EM Clerkship

Zack Olson, MD and Michael Estephan, MD

Education, Courses, Health & Fitness, Medicine

5795 Ratings

🗓️ 28 January 2018

⏱️ 7 minutes

🧾️ Download transcript

Summary

Pediatric “Sepsis” Consider in any toxic appearing child/neonate Especially with fever (or hypothermia) Treatment Early antibiotics Fluid bolus “Serious Bacterial Infections” (SBI) Consider in any baby with fever Three classic categories Age <30 days Introduction Weak immune system No immunizations Very high risk for serious bacterial infections Require a significant amount of testing Urinalysis with […]

Transcript

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0:00.0

Hello, men students.

0:03.1

My name is Zach Olson, and thank you for downloading this week's episode of the EM Clerkship

0:08.7

Podcast.

0:10.8

Let's repeat our case.

0:18.1

Okay, everybody, this is Dakota.

0:20.1

He's a three-and-a-half-year-old male is awoken with diffuse abdominal pain. According to mom, this is Dakota. He's a three and a half year old male.

0:21.5

He's awoken with diffuse abdominal pain. According to mom, he vominated about five times. Some of that was productive.

0:27.1

Has a rash on the anterior chest. He was lethargic when we got there since we've been there with him and through the transport.

0:34.1

Now crying, as you can see. Lone sounds were clear as far as we can tell

0:38.8

we then noticed o2 sats dropping and had cyanosis around the lips so he put him on

0:43.7

o2 he's uh he had no previous fever now 102.3 rectal mom and extended family are out here so

0:52.1

just FYI GCS at, BP 100 over 60.

0:56.0

Pulse 1 20, 97% on the O2, and no allergies, no meds had not been sick for the past couple days.

1:03.0

Any questions? Anybody, I know it was a lot.

1:05.0

He's kind of crunking on us. Okay? Thank you. All right.

1:15.0

We're currently working our way through our very high yield.

1:19.4

Oh shit.

1:20.2

Grab the Braslow mnemonic.

1:22.6

We've talked about oxygen and respiratory disorders.

1:25.3

We know to check that finger stick glucose to look for hypoglycemia

1:30.8

and hyperglycemia. And this week we are moving on to a huge pediatric life threat. Pediatric

1:39.6

sepsis, serious bacterial infections, neonatal fever, all of that.

...

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