Show Notes
In this episode, Sam Ashoo, MD and Lara Zibners, MD discuss the August 2025 Pediatric Emergency Medicine Practice article, Diphtheria, Pertussis, and Tetanus: An Update of Evidence-Based Management of Pediatric Patients in the Emergency Department
Introduction and guest background Host welcome, show context Dr. Lara Zibners’ credentials EB Medicine involvement Personal stories and clinical experience Memorable tetanus and pertussis cases Vaccine advocacy Rare disease encounters Diphtheria: overview, presentation, treatment Toxigenic vs. non-toxigenic, “bull neck” Cardiac, neurologic complications Antitoxin, antibiotics, public health Pertussis: symptoms, vaccine, treatment “100-day cough,” apnea in infants Waning immunity, boosters Azithromycin, treat contacts Tetanus: risk, presentation, management Clostridium ubiquity, no outbreaks Muscle spasms, autonomic instability Airway, sedation, antibiotics Key ED takeaways and pearls Early suspicion, isolation ICU admission for severe cases Vaccination, reporting Resources and article summary Appendix, clinical pathway ebmedicine.net reference CME, further reading Guest’s podcast plug and closing remarks “Unstable Vitals” podcast Where to listen Thank you, sign-off
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