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SGEM#409: Same as it Ever Was – Tamiflu for Influenza?

The Skeptics' Guide to EM

She looks well enough to go home but asks if she should be prescribed oseltamivir (Tamiflu) because some of her friends have been given it recently by their doctors. Safety issues popped up soon after widespread use of the drug including neuropsychiatric effects as well as the more common adverse effects of nausea and vomiting.

CDC 108
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ToxCard: Diethylene Glycol

EMDocs

DGA concentrates in the kidney tissue and causes nephrotoxicity, as well as neurotoxicity. Elimination half-life data is not well established but increases in larger overdoses and as renal injury begins to occur. Fatal Poisoning Among Young Children from Diethylene Glycol-Contaminated Acetaminophen — Nigeria, 2008—2009”.

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The Latest in Critical Care, 10/30/23 (Issue #18)

PulmCCM

Then, in 2009, the condition disappeared completely. This made VAP hard to track, so CDC invented an odd new epidemiologic entity called “ ventilator-associated events ” (which do not require microbiology or chest film interpretation) as a proxy for actual VAPs. It used to be highly prevalent in U.S. Just kidding!

Sepsis 52
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Is Pip-Tazo Harming Sepsis Patients?

RebelEM

They analyzed the electronic health records of patients presenting to the ED who met modified Center for Disease Control and Prevention (CDC) sepsis surveillance criteria and received empiric treatment with either vancomycin/piperacillin-tazobactam or vancomycin/cefepime. 2009 Dec;37(12):3114-9. 2009 Mar 26;360(13):1283-97.

Sepsis 113
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Podcast Episode: The Unvaccinated Child with Fever

PEMBlog

Well, we’re gonna compare the clinical presentation of bacterial infections in unvaccinated and unvaccinated children versus fully immunized children in the emergency department, and we will assess the need for empiric antibiotics and diagnostic testing in this challenging population. So what are we gonna go over in this episode?

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Breath Easy: Navigating Asthma and COPD Exacerbations

Taming the SRU

2,3] In 2020, the CDC estimates that asthma exacerbations accounted for almost 1,000,000 ED visits and almost 100,000 inpatient hospitalizations. [4] Armed with algorithms and with albuterol in hand, remember to take a deep breath and help your patients to do so as well! Epub 2009 Nov 5. Am J Respir Crit Care Med. 200906-0896OC.

COPD 80
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Updates on Onchocerciasis: Approach to Diagnosis and Treatment

EMDocs

volvulus as well as improvements in the diagnosis and treatment of this morbid disease. Open-access image reference: By Giovanni Maki, derived from a CDC image at [link] – Basáñez M-G, Pion SDS, Churcher TS, Breitling LP, Little MP, et al. Elsevier; 2009:274-278. 13 Figure 1. volvulus life cycle. PLoS Med 3(9): e371.