#FOAMped

em@3am logo

EM@3AM: The Sick Neonate

A 10-day-old female presents with her parents with poor feeding and increased work of breathing. Her urine output has been poor, but her parents have not observed fevers. She is afebrile, but her HR is 188, RR is 61, and oxygen saturation is 94% on room air. She demonstrates increased work of breathing and retractions and appears lethargic. Her serum glucose is 48. What is your next step in evaluation and management?

EM@3AM: The Sick Neonate Read More »

An Understated Myth? Strep Throat & Rheumatic Fever

Sore throat (aka, pharyngitis) is the 3rd most common complaint for physician visits.  Although the overwhelming majority of these cases are viral in origin (rhinovirus ~20%), the major focus of our attention in the ED stems around the question of “strep (GAS) vs not strep” and who gets antibiotics…. does anyone need antibiotics? And what about rheumatic fever?

An Understated Myth? Strep Throat & Rheumatic Fever Read More »

Vinyl & lvt flooring service. home john graham. The steve schoepfer team is southwest florida’s most innovative real estate team.