Diphtheria, Pertussis, and Tetanus with Dr Lara Zibners

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

  1. Introduction and guest background
    • Host welcome, show context
    • Dr. Lara Zibners’ credentials
    • EB Medicine involvement
  2. Personal stories and clinical experience
    • Memorable tetanus and pertussis cases
    • Vaccine advocacy
    • Rare disease encounters
  3. Diphtheria: overview, presentation, treatment
    • Toxigenic vs. non-toxigenic, “bull neck”
    • Cardiac, neurologic complications
    • Antitoxin, antibiotics, public health
  4. Pertussis: symptoms, vaccine, treatment
    • “100-day cough,” apnea in infants
    • Waning immunity, boosters
    • Azithromycin, treat contacts
  5. Tetanus: risk, presentation, management
    • Clostridium ubiquity, no outbreaks
    • Muscle spasms, autonomic instability
    • Airway, sedation, antibiotics
  6. Key ED takeaways and pearls
    • Early suspicion, isolation
    • ICU admission for severe cases
    • Vaccination, reporting
  7. Resources and article summary
    • Appendix, clinical pathway
    • ebmedicine.net reference
    • CME, further reading

Check out Dr Zibner’s podcast Unstable Vitals

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