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em aliem assessment catheters central classification complications cvc ddxof fever hemophagocytic hlh infections lines locations lung lymphohistiocytosis management picu pneumonia
Central line myth #2: location, location, location By far the best data we have to guide
Central line myth #2: ... in 3027 adult ICU ... but the overall rates ... The rates of complication ... pubmed/26398070 #EBM
Lung Ultrasound for Diagnosing Pneumonia - Scan through 6 zones (3 per side) 1. Midclavicular line
Ultrasound for Diagnosing ... anterior chest 2. ... the diaphragm #Diagnosis ... #Peds #EM #PICU
Hemophagocytic Lymphohistiocytosis (HLH) Pathophysiology: Triggering factor (infection,...)→Activation of CD8 T cells (IFN-y) → Excessive activation of macrophages
Auto-amplification loop Diagnosis ... Ferritin >1000 ng ... Infections+++: Virus (EBV ... biologics (CMV +++, EBV ... of emergency, ICU
Serious Bacterial Illness (SBI): 1) UTI and pyelonephritis Most common cause of SBI Accounts for 3-8% of uncharacterized fevers Female
97% specificity 2) ... unformed) PNA diagnosed ... hypoxemia) or rales ... 3) Meningitis Diagnose ... #Peds #EM #Classification
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