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AAP, PIDS Tailor Antibiotic Recommendations for Children

Policy statement underscores importance of creating stewardship programs.

Diagnosis and Management of Supraventricular Tachycardia

Supraventricular tachycardia (SVT) usually presents to the emergency department as a result of a combination of symptoms, including palpitations, dyspnea, and chest pain. Less frequent symptoms include lightheadedness, near-syncope, or syncope due to reduced cerebral perfusion. Accurate diagnosis of SVT guides acute treatment. Although many doctors are good at pattern recognition on electrocardiograms (ECGs), having a methodical approach to think through SVT is extremely helpful.

AAFP, CDC Promote Immunizations Among Minority Populations

Groups recruiting family medicine practices for two initiatives.

Acupuncture as a Pain Management Alternative

The goal is to provide data that will convince payors to reimburse acupuncture treatment in the emergency environment, a stumbling block that has thus far prevented larger-scale implementation. Additionally, researchers hope their work leads to fewer unnecessary opioid prescriptions.

Excessive Urine Testing Drives Unnecessary Antibiotic Use, Elongates Length of Stay

Investigators suspect this pattern may be related to the desire to establish an explanation for whatever symptoms have prompted patients to seek care. Clinicians and patients alike want clear diagnoses and definitive solutions to fix problems.

Teletriage Applications Help EDs Improve Efficiency, Respond to COVID-19 Pandemic

As the demand for virtual care has accelerated, teletriage has melded well with other telemedicine innovations that may permanently change many of the ways in which emergency care is delivered. Some early adopters explain what pushed them out of the gate early, how teletriage has helped them manage the challenges posed by COVID-19, and how they see the approach evolving.

CDC Revises COVID-19 Quarantine Recommendations

Now, quarantine can end after 10 days without a COVID-19 test if the person has reported no symptoms, or after seven days with a negative test if the person has reported no symptoms.

The Work of Vaccinating Frontline Healthcare Workers Against COVID-19 Begins

Hospitals are scrambling to ensure a smooth and effective process for vaccinating frontline healthcare workers against COVID-19. Leaders need to quickly equip their personnel with enough information to persuade them that the vaccine is safe and effective.

Patients with Higher Renin Levels May Derive More Benefit from Angiotensin II Treatment

Serum renin concentration in patients with catecholamine-resistant vasodilatory shock may identify those for whom treatment with angiotensin II has improved intensive care unit outcomes.

Convalescent Plasma Therapy Does Not Affect Time to Clinical Improvement in Patients with Severe and Life-Threatening COVID-19

This was a randomized, open-label, multicenter trial of intravenous convalescent plasma infusion (4 mL/kg to 13 mL/kg) therapy. Convalescent plasma therapy was not associated with improvements in mortality or time to clinical improvement.