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EM@3AM: Leukopenia

EMDocs

Well keep it short, while you keep that EM brain sharp. Bone Marrow Disease: 9.5% Bone Marrow Disease: 9.5% PCP Pneumonia, Sepsis) can be discharged with initiation of Antiretroviral Therapy in consultation with Infectious Disease (ID) physician with full ID evaluation outpatient. 10^9/L) Moderate (0.50.9

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

As the name would suggest, inflammatory markers are biological markers of, well, inflammation. 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.

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SAEM Clinical Images Series: Fever with Rash

ALiEM

The patient also complained of shortness of breath for one week associated with a dry cough, as well as an altered sensorium for one day. 2011 Oct 18;183(15):E1152. Epub 2011 Sep 12. Fever was documented to be 102°F and was not associated with any chills or rigors. He was then extubated and discharged after 27 days.

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

RebelEM

Patient data anonymized when presented to adjudication committee to avoid detection bias Well-balanced patient characteristics between groups. 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 Included traumatic and nontraumatic brain injuries.

CDC 122
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Diagnostic Errors, Revisited: Where Do We Go Wrong, and How Can We Change?

ACEP Now

It has been well over a year since the controversial publication of the Agency for Healthcare Research and Quality (AHRQ) report on diagnostic errors in the emergency department (ED). Similarly elevated rates of error, and related harms, are associated with other serious vascular, infectious disease, and cancer-related diagnoses, as well.

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EM@3AM: ESBL-Producing Organisms and Their Management

EMDocs

ESBL are found exclusively in Gram-negative organisms, including: Klebsiella pneumoniae Klebsiella oxytoca Escherichia coli Proteus mirabilis Pseudomonas aeruginosa The first reported beta-lactamase enzyme was reported in 1963, and today there are well over 350 ESBL enzyme variants. Microb Drug Resist 2011; 17:267. In: PostTW, ed.

EMS 97