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Diagnostics: Inflammatory Markers

Taming the SRU

Spinal Infection: According to the Infectious Disease Society of America’s (IDSA) 2015 guidelines for native vertebral osteomyelitis, CRP and ESR in the setting of protracted back pain have sensitivities ranging from 94 to 100% for ruling out infection and malignancy in these patients. J Arthroplasty. 2019 Feb;34(2S):S187-S195.

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Malaria

Mind The Bleep

It is the most commonly imported tropical disease in the UK, and is a medical emergency. References TravelHealthPro [link] BMJ Best Practice [link] UK national guidelines: [link] Written by: Dr Hermaleigh Townsley – IMT2 Infectious Diseases Reviewed by: Dr Hugh Adler ID/MM – SpR

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EM@3AM: ESBL-Producing Organisms and Their Management

EMDocs

Pressors where indicated for septic shock (typically Norepinephrine starting at 0.05 Disposition Patients with complicated UTI, pyelonephritis, bacteremia, or other ESBL-E infections should be admitted for IV antibiotic treatment and would benefit from Infectious Disease consultation. 2000; 6:460–3.

EMS 75
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Episode 24 - First Trimester Pregnancy Emergencies: Recognition and Management

EB Medicine

Inclusion criteria included hemodynamic stability, initial b hcg < 2000, declining b hcg titers 48 hours prior to treatment, and visible tubal pregnancy on trans vaginal ultrasound. Nachi: And the last treatment to discuss is for pregnant patient with acute appendicitis. Another 2017 multicenter randomized trial found similar results.