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Clinical Conundrums: Should You Give the First Dose of Antibiotics IV Before Discharging Home on Oral Antibiotics?

RebelEM

Clinical infectious diseases : an official publication of the Infectious Diseases Society of America. 2006; 333(7580):1193. The use of oral temafloxacin compared with a parenteral cephalosporin in hospitalized patients with pneumonia. Cochrane Database Syst Rev 2006(2). 1997; 24(3):457-67.

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Fluoroquinolone Use In Children

Pediatric EM Morsels

Etminan 2019) In Belgium between 2010 – 2013, of the 262 children treated with fluroquinolones while hospitalized, only 17% were used for labelled indications. Etminan 2019) In Belgium between 2010 – 2013, of the 262 children treated with fluroquinolones while hospitalized, only 17% were used for labelled indications. Clin Pediatr.

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Choosing Wisely – Radiographs in children with respiratory symptoms

Don't Forget the Bubbles

A secondary analysis of a nationwide study of Emergency Department attendance in America from 2006 to 2008 found that CXRs increase the average length of stay by 27 minutes. A Single-Institution Experience in the Use of Chest Radiographs for Hospitalized Children Labeled as Asthma Exacerbation. Hamdoun, O., Alabdouli, A., Alsamri, M.

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EM@3AM: Total Hip Arthroplasty Complications

EMDocs

Infections For stable patients, obtain microbiologic samples prior to antibiotics (per the American Academy of Orthopedic surgery and The Infectious Diseases Society of America). Hospitals, 2018. Rockville (MD): Agency for Healthcare Research and Quality (US); 2006 Feb-. 7,8 Majority are managed operatively. 2021 Aug 31.

EMS 98
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REBEL Core Cast 122.0 – Neutropenic Fever

RebelEM

Follow your hospital’s protocol (if available). High Risk Patients will need hospitalization and IV antibiotics. Clinical practice guideline for the use of antimicrobial agents in neutropenic patients with cancer: 2010 update by the infectious diseases society of america, Clinical Infectious Diseases, 2011, 52(4):e56-93.

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The resurgence of vaccine preventable infections: Measles and Pertussis

Don't Forget the Bubbles

Whooping Cough: A Cyclical but Preventable Disease Whooping cough, caused by the bacterium Bordetella pertussis , is another infectious disease experiencing a resurgence despite the availability of vaccines. These outbreaks increase the risk of imported cases in other regions, including the UK. Global measles outbreaks.

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Allergic Reactions and Anaphylaxis

EB Medicine

— In this episode, Sam Ashoo, MD, and TR Eckler, MD, discuss the July 2022 Emergency Medicine Practice article on the Management of Allergic Reactions and Anaphylaxis in the Emergency Department. Intro The number of ED visits and hospitalizations Studies show up to 57% of anaphylactic reactions are not recognized, and epinephrine is not administered (..)