Carolinas Core Concepts Core Concepts in EM; a repository for Carolinas lecture summaries.


Pediatric Neutropenia

  •  Start antibiotics within 2 hours, preferably started in ED. Get blood cultures first, and if high suspiscion of ANC≤1000 do not need to wait for labs to get started
  • Start with Cefepime, add Vanc for mucositis, concern for Gram+ infection, recent abx use, indwelling lines


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  1. It was just fun to see what we had been told.
    Also, attempt to avoid concerns that can only have a yes or no.
    There is a 72 diploma angle called a “quintile” that influences the resolution of problems.

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