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EM@3AM: Leukopenia

EMDocs

PCP Pneumonia, Sepsis) can be discharged with initiation of Antiretroviral Therapy in consultation with Infectious Disease (ID) physician with full ID evaluation outpatient. General approach to infectious diseases evaluation. A Rational Approach to Clinical Infectious Diseases. 2011 Feb 15;52(4):e56-93.

EMS 95
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EM@3AM: Malignant/Necrotizing Otitis Externa

EMDocs

Infectious diseases , 4 (1), 34–39. Infectious diseases, 4(1), 34–39. and Staphylococcus spp. 2 F ungal involvement (usually Aspergillus fumigatus ), especially in immunocompromised patients. The changing face of malignant (necrotising) external otitis: clinical, radiological, and anatomic correlations. The Lancet.

EMS 105
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Diagnostics: Inflammatory Markers

Taming the SRU

A 2011 meta-analysis in the journal of Academic Emergency Medicine found ESR, CRP, and PCT were not acutely useful in the diagnosis of septic arthritis due to wildly varying sensitivities and specificities between studies. 2011 Jan;3(1):118-27. 2011 Aug;18(8):781-96. 2011 Sep;18(9):1011. In: StatPearls [Internet].

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SAEM Clinical Images Series: Fever with Rash

ALiEM

2011 Oct 18;183(15):E1152. Epub 2011 Sep 12. Curr Infect Dis Rep. 2009 Jan;11(1):66-72. doi: 10.1007/s11908-009-0010-x. PMID: 19094827. Shiao CC, Lin SY. Eschar: a clue to scrub typhus. doi: 10.1503/cmaj.101929. PMID: 21911554; PMCID: PMC3193135.

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The PROPHY-VAP Trial: Ceftriaxone to Prevent VAP in Patients with Acute Brain Injury

RebelEM

BMC Neurol 2011 , 11 , 110. SECONDARY OUTCOMES At day 28 , ceftriaxone group had (vs placebo): Lower VAP risk (20% vs 36%); hazard ratio 0.62 coli Need for broad-spectrum antibiotics after randomization was not different between groups. DOI: 10.1086/677144 From NLM. Westendorp, W. Nederkoorn, P. Vermeij, J. Dijkgraaf, M. van de Beek, D.

CDC 122
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Let’s Talk: Emergency Physicians Can Convey Critical Prior Care PHI Immediately

ACEP Now

Published 2011. DR. TALAN is professor of emergency medicine and infectious diseases at UCLA. That’s even more reason to assist your colleague across town calling for help, and to work to address HIPAA misunderstandings at your own institution. When it comes to sharing important clinical PHI, let’s talk—HIPAA allows it.

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Diagnostic Errors, Revisited: Where Do We Go Wrong, and How Can We Change?

ACEP Now

Similarly elevated rates of error, and related harms, are associated with other serious vascular, infectious disease, and cancer-related diagnoses, as well. 2011 Feb;12(1):109-12. A critical appraisal of AHRQ’s “diagnostic errors” report. 2023 Mar-Apr;120(2):114-120. Moffett P, Moore G. West J Emerg Med. PMID: 21691483.