Take a deeper dive into our peer-reviewed emergency medicine content with the EMplify podcast. Join hosts Sam Ashoo, MD and T.R. Eckler, MD for educational, conversational reviews of current evidence guaranteed to help you make your best clinical decisions. Each high-yield episode gives you practical, time-tested guidance from practicing emergency medicine clinicians and subject-matter experts. Listen and learn!
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
Check out Dr Zibner’s podcast Unstable Vitals
Emergency Medicine Residents, get your free subscription by writing resident@ebmedicine.net

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
Check out Dr Zibner’s podcast Unstable Vitals
Emergency Medicine Residents, get your free subscription by writing resident@ebmedicine.net

Sam Ashoo, MD, FACEP, is board certified in emergency medicine and clinical informatics. He serves as EB Medicine’s editor-in-chief of interactive clinical pathways and FOAMEd blog, and host of EB Medicine’s EMplify podcast. Follow him below for more…

