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We cover an episode of The Skeptic\'s Guide to Emergency Medicine that covers a validation study of the Step by Step approach to pediatric fever. \\xa0This approach to infants with a fever <3 months old is alluring as it does not necessitate a lumbar puncture. \\xa0This algorithm had a better sensitivity and negative predictive value than the Rochester criteria. \\xa0 The approach did miss some infants with a serious bacterial infection and these tended to be those between 21 and 28 days old and those with fever onset <2 hours prior to arrival.\\xa0

We cover Chapter 116 in Tintinalli\'s Emergency Medicine (8th ed) and Rosen\'s on pediatric fever.

Visit FOAMcast.org for more information and thanks for listening!

-Jeremy Faust and Lauren Westafer