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You are called to a residence in the middle of the night. A frantic father meets you at the door and ushers you upstairs to his son’s room, where you find a four-year-old boy perched anxiously on the side of his bed. He is braced in a tripod position, his small arms rigidly fixed by his side as he leans forward, drooling into a puddle on the floor. The father noticed a fever last night when he put the boy to bed but is astounded by the child’s rapid deterioration.
Authors: Haley Sinatro, MD (EM Resident Physician, UTSW EM); Alan John, MD (Assistant Professor, UTSW EM) // Reviewed by: Sophia Görgens, MD (EM Physician, Northwell, NY); Cassandra Mackey, MD (Assistant Professor of Emergency Medicine, UMass Chan Medical School); Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) Welcome to EM@3AM, an emDOCs series designed to foster your working knowledge by providing an expedited review of clinical basics.
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