• Outpatient management of suspected neonatal sepsis

    MSF Blog Surprise trauma Trauma basics Trauma skills Blunt trauma Penetrating trauma Evidence reviews Compendium Cardiology Infectious disease Paediatrics Neurology Pharmacology Toxicology/electrolytes Respiratory Best of FOAM Websites Journals Podcasts Ultrasound Anaesthetics French About A review of some of the latest low-resourcs emergency medicine evidence Implementing WHO guidelines for unwell newborns. Management of possible serious bacterial infection in young infants where referral is not possible in the context of existing health system structure in Ibadan, South-west Nigeria Ayede A et al. Aim To test the feasibility of implementing an outpatient protocol for suspected neonatal sepsis when referral isn’t possible.  Rationale The WHO has developed guidelines that recommend a simplified outpatient antibiotic…

  • Is shorter, lower dose amoxicillin safe in kids discharged with pneumonia in a UK setting?

    MSF Blog Surprise trauma Trauma basics Trauma skills Blunt trauma Penetrating trauma Evidence reviews Compendium Cardiology Infectious disease Paediatrics Neurology Pharmacology Toxicology/electrolytes Respiratory Best of FOAM Websites Journals Podcasts Ultrasound Anaesthetics French About A review of some of the latest low-resources emergency medicine evidence Is shorter, lower dose amoxicillin safe in kids discharged with pneumonia in a UK setting? Effect of Amoxicillin Dose and Treatment Duration on the Need for Antibiotic Re-treatment in Children With Community-Acquired Pneumonia The CAP-IT Randomized Clinical Trial Julia A. Bielicki, PhD1; Wolfgang Stöhr, PhD2; Sam Barratt, MPH2; et al Aim To see if a shorter duration or lower dose of amoxicillin is non-inferior to a full 7 day course Rationale It is unclear which…

  • Duration of antibiotics in Kids with community pneumonia

    MSF Blog Surprise trauma Trauma basics Trauma skills Blunt trauma Penetrating trauma Evidence reviews Compendium Cardiology Infectious disease Paediatrics Neurology Pharmacology Toxicology/electrolytes Respiratory Best of FOAM Websites Journals Podcasts Ultrasound Anaesthetics French About POCUS Resources Kings POCUS training programme curriculum A review of some of the latest low-resources emergency medicine evidence Antibiotic duration for presumed pneumonia in children Amoxicillin for 3 or 5 Days for Chest-Indrawing Pneumonia in Malawian Children Amy-Sarah Ginsburg, M.D., M.P.H., Tisungane Mvalo, M.M.E.D., Evangelyn Nkwopara, M.S., Eric D. McCollum, M.D., Melda Phiri, M.B., B.S., Robert Schmicker, M.S., Jun Hwang, M.S., Chifundo B. Ndamala, Dip., Ajib Phiri, M.D., Norman Lufesi, M.Phil., and Susanne May, Ph.D. Aim To see if 3 day course of amoxicillin is non-inferior to…

  • CRP to safely reduce antibiotic prescribing in paediatric outpatients

    Blog Surprise trauma Trauma basics Trauma skills Blunt trauma Penetrating trauma Evidence reviews Compendium Cardiology Infectious disease Paediatrics Neurology Pharmacology Toxicology/electrolytes Respiratory Best of FOAM Websites Journals Podcasts Ultrasound Anaesthetics French About POCUS Resources Kings POCUS training programme curriculum A review of some of the latest low-resources emergency medicine evidence Point of care CRP to reduce antibiotic prescribing without leading to worse outcomes. Safety and Efficacy of C-reactive Protein–guided Antibiotic Use to Treat Acute Respiratory Infections in Tanzanian Children: A Planned Subgroup Analysis of a Randomized Controlled Noninferiority Trial Evaluating a Novel Electronic Clinical Decision Algorithm (ePOCT) Kristina Keitel, Josephine Samaka, John Masimba, Hosiana Temba, Zamzam Said, Frank Kagoro, Tarsis Mlaganile, Willy Sangu, Blaise Genton, Valerie D’Acremont Aim To…

  • The COAST trial; High flow Vs low Flow Vs permissive hypoxia in children with pneumonia; A RCT.

    MSF Blog Surprise trauma Trauma basics Trauma skills Blunt trauma Penetrating trauma Evidence reviews Compendium Cardiology Infectious disease Paediatrics Neurology Pharmacology Toxicology/electrolytes Respiratory Best of FOAM Websites Journals Podcasts Ultrasound Anaesthetics French About A review of some of the latest low-resources emergency medicine evidence High flow vs low flow oxygen vs permissive hypoxia in children with pneumonia, an RCT. Randomised controlled trial of oxygen therapy and high-flow nasal therapy in African children with pneumonia Maitland, K., Kiguli, S., Olupot-Olupot, P. et al.  Intensive Care Med 47, 566–576 (2021). https://doi.org/10.1007/s00134-021-06385-3 Aim To establish if high flow nasal oxygen can prevent mortality in children with pneumonia and to establish if any oxygen administration is beneficial in…