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

RebelEM

Except for patients with poor gut absorption or those with critical infectious processes such as septic shock or necrotizing fasciitis, this belief appears to be unfounded. 2006; 333(7580):1193. The use of oral temafloxacin compared with a parenteral cephalosporin in hospitalized patients with pneumonia. 2001; 111(5):367-74.

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Episode 28: LOST

PHEM Cast

The outcomes from different resuscitative interventions in a haemorrhagic shock model in porcine model: From: Watts et al. Use of CPR in hemorrhagic shock, a dog model. Annals of Emergency Medicine; 2006. Effect of adrenaline on survival in out of hospital cardiac arrest: randomised double-blind placebo controlled trial.

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SGEM#344: We Will…We Will Cath You – But should We After An OHCA Without ST Elevations?

The Skeptics' Guide to EM

Angiography after Out-of-Hospital Cardiac Arrest without ST-Segment Elevation. Angiography after Out-of-Hospital Cardiac Arrest without ST-Segment Elevation. She arrives in the emergency department (ED) with decreased level of consciousness and shock. Date: September 8th, 2021 Reference: Desch et al. The TOMAHAWK Investigators.

EKG/ECG 52
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Episode 7: Sepsis

PHEM Cast

One year mortality of patients treated with an emergency department based early goal directed therapy protocol for severe sepsis and septic shock: a before and after study. Severe Sepsis in Pre-Hospital Emergency Care. Prehospital Sepsis Project (PSP): knowledge and attitudes of United States advanced out-of-hospital care providers.

Sepsis 52
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Big Labs, Little People

Pediatric Emergency Playbook

There are two main reasons for an elevated lactate: the stress state and the shock state. The shock state is due to tissue hypoxia, seen in septic shock. We should use lactate to detect occult shock. Children compensate so well for shock, that subtle tissue hypoxia may not be detected until later. Pediatrics.

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How to prevent central line infections

PulmCCM

hospitals, between roughly one and four central line-associated bloodstream infections (CLABSI) occur per 1,000 days with a central line in place (catheter-days). Central line infections result in excess mortality, hospital stays, and cost (although the magnitude of all three are debated). How Often Do Central Lines Become Infected?

CDC 52
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The Pediatric Surgical Abdomen

Pediatric Emergency Playbook

2006; 26:1485-1500. 2006; 22:1021-1024. Management of the child after enema-reduced intussusception: hospital or home? Acute Intestinal Obstruction in children: Experience in a Tertiary Care Hospital. Pediatr Rev. 1988; 9(7):219-226. Malrotation with Midgut Volvulus Applegate KE. Radiographics. Kapfer SA, Rappold JF.