Measles: It’s Back, It’s Contagious, and You Probably Haven’t Seen It Before

In this episode, Kevin and Dr. Lisa Wolf dig into the return of a disease we thought had been eradicated in 2000. In case you missed it—we're in the middle of a national measles outbreak, and chances are high you've never actually seen a real case. Measles is back, and we need to be on high alert, as it remains one of the most contagious diseases in the world.

What happens when a patient with a suspicious rash sits in your waiting room for hours? How long does measles hang in the air? (Spoiler: it’s longer than you think.) From triage missteps to public health policies, this episode walks through how to identify, isolate, and respond to highly contagious diseases—especially when you've never seen them in real life.

We also bust the autism myth (again), talk about vaccine hesitancy, and explore what your ED should be doing to prepare right now.

Centers for Disease Control and Prevention. (2023, September 6). Measles signs and symptoms. U.S. Department of Health & Human Services. https://www.cdc.gov/measles/signs-symptoms/index.html

Centers for Disease Control and Prevention. (2023, September 6). Photos of measles. U.S. Department of Health & Human Services. https://www.cdc.gov/measles/signs-symptoms/photos.html

Child Vaccination Schedule

https://www.cdc.gov/vaccines/hcp/imz-schedules/child-adolescent-age.html

Eggertson, L. (2010). Lancet retracts 12-year-old article linking autism to MMR vaccines. CMAJ: Canadian Medical Association Journal, 182(4), E199–E200. https://doi.org/10.1503/cmaj.109-3179

Hviid, A., Hansen, J. V., Frisch, M., & Melbye, M. (2019). Measles, mumps, rubella vaccination and autism: A nationwide cohort study. Annals of Internal Medicine, 170(8), 513–520. https://doi.org/10.7326/M18-2101

Tanne, J. H. (2002). MMR vaccine is not linked with autism, says Danish study. BMJ: British Medical Journal, 325(7373), 1134.

Cohen, J. (2019, May 1). How measles causes the body to ‘forget’ past infections by other microbes. Science. https://www.science.org/content/article/how-measles-causes-body-forget-past-infections-other-microbes

In this episode, Kevin and Dr. Wolf delve into a critical but often underestimated condition: alcohol withdrawal syndrome (AWS). They challenge the assumptions and biases emergency nurses may bring to patient care, particularly in identifying withdrawal symptoms in individuals who don’t fit the "typical" profile.

The discussion emphasizes the importance of early recognition, exploring how biases can cloud clinical judgment and hinder effective decision-making. Kevin and Dr. Wolf also provide essential insights into screening, scoring, and treating AWS, equipping emergency nurses with the knowledge needed to improve patient outcomes for this potentially life-threatening condition.

MD Calc CIWA -AR
https://www.mdcalc.com/calc/1736/ciwa-ar-alcohol-withdrawal

Prediction of Alcohol Withdrawal Severity Scale
https://www.mdcalc.com/calc/10102/prediction-alcohol-withdrawal-severity-scale#pearls-pitfalls

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In this episode, Kevin and Dr. Wolf dive deep into the critical role that leadership plays in communicating change. Dr. Wolf, shares insights from a soon to be published study on how emergency nurses are being left in the dark regarding changes in practice laws, particularly around pregnancy complications in states with restrictive abortion policies. We explore the consequences of silence, including fear, uncertainty, and potential patient harm.

The full article will be out in the April Journal of Nursing Administration JONA

Follow us on:

Facebook: https://www.facebook.com/Art-of-Emergency-Nursing-276898616569046/

YouTube: https://www.youtube.com/channel/UCJTnz4phtCTjojTIDJo2afA?view_as=subscriber

Twitter: @AoenPodcast

Instagram: https://www.instagram.com/artofemergencynursing/

To support the show:

• Leave an honest review on iTunes. Your ratings and reviews greatly contribute to the success of the podcast, and I appreciate each and every one of them.
• Subscribe on Apple Podcasts, Google Podcasts, or your preferred podcast platform to never miss an episode.

Thank you for being a part of our AOEN community!