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REBEL Core Cast 107.0 – Vertebral Osteomyelitis

RebelEM

cases per 100,000 people ( Zimmerli 2010 ) More common in males with M:F of 3:1 Rate is also increasing due to increased number of spinal procedures Typically affects adults, with most cases occurring in patients over 50 years old. The degree of elevation does not predict disease severity. Orthopedic Emergencies 2015 May; 33(2) 311-26.

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Diagnostics and Therapeutics: The Who, What, Where, When and Why of Lumbar Punctures

Taming the SRU

The LP is now a standard procedure and in 2010 well over 135,000 LPs were performed in Emergency Departments throughout the US (3). Scandinavian journal of infectious diseases , 45 (9), 657–663. WHO - Who Needs an LP in the ED? Patients with concern for infection (i.e., Glimåker, M., Johansson, B., Ericsson, M.,

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Mastering Minor Care: Dog Bites

Taming the SRU

Although not every person seeks health care for these injuries, the majority of those that do end up in the emergency department. In 2008, this led to greater than 316,000 emergency department (ED) visits and about 9,500 hospitalizations [1]. Clinical Infectious Diseases. Annals of Emergency Medicine.

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Diagnostics: Inflammatory Markers

Taming the SRU

While PCT may be more specific for bacterial infections, it is flawed by still being rather non-specific and is not validated as a stand-alone diagnostic criteria for infection in the setting of the emergency department. In 7 studies with 4164 patients, PCT with a cut-off > 0.1 ng/mL (strongly recommended against antibiotics), 0.1-0.25

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Going beyond the surface material: A podcast episode on cellulitis

PEMBlog

Camargo, Clinical Trial: Comparative Effectiveness of Cephalexin Plus Trimethoprim-Sulfamethoxazole Versus Cephalexin Alone for Treatment of Uncomplicated Cellulitis: A Randomized Controlled Trial, Clinical Infectious Diseases, Volume 56, Issue 12, 15 June 2013, Pages 1754–1762, [link] Liu C, Bayer A, Cosgrove SE, et al. Pediatrics.

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Antibiotics in the paediatric emergency department

Don't Forget the Bubbles

This blog post aims to help familiarise you with some of the most common reasons for prescribing antibiotics in the paediatric emergency department. Antibiotic Use for Common Infections in Pediatric Emergency Departments: A Narrative Review. Randel A, Infectious Disease Society of America. Karageorgos, S.;

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Animal Bites

Mind The Bleep

Introduction Patients regularly present to the emergency department with animal bites. Clinical microbiology and infection: the official publication of the European Society of Clinical Microbiology and Infectious Diseases, 21 Suppl 2, S27–S32. The western journal of emergency medicine, 11(5), 435–441.