EM Curious

JULY 22, 2015

More FOAMed TWO STEPS FORWARD, ONE STEP BACK 2015 ACEP TPA POLICY [PODCAST]: After some revisions to the 2015 ACEP tPA draft, the final version is in with some minor changes that you may or may not enjoy. Check out the video below from The Dental Box on stabilizing a subluxed tooth. Read on here at Rebel EM.

Infectious Diseases 52

Infectious Diseases EMS Ultrasounds Emergency Department 52

Don't Forget the Bubbles

JANUARY 22, 2024

2015) highlighted that a poor understanding of statistics often results in a belief that screening is more beneficial than it actually is. 2015 ;24(2):167-74. 2015 May 12;350:h2308 Malhotra A, Maughan D, Ansell J, et al. Malhotra et al. There is limited acknowledgement of the potential harms of any given test. BMJ Qual Saf.

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Emergency Department Best Practices Radiology Radiology 90

The Skeptics' Guide to EM

NOVEMBER 28, 2020

However, we do have a firm understanding of the germ theory of disease and masks have been used for over 100 years as an infectious disease strategy. There was one recent cluster randomized control trial looking at surgical masks, cloth masks or a control group in healthcare workers ( MacIntyre et al BMJ 2015 ).

Infectious Diseases 52

Infectious Diseases Operations Outcomes Wellness 52

RebelEM

FEBRUARY 29, 2024

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.

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CDC Radiology Radiology Head Injuries 122

Don't Forget the Bubbles

MARCH 18, 2024

Clinical Infectious Diseases [Internet]. Disease severity of Shiga toxin-producingE. 2015 Nov;46(5):586–9. Relationship between red blood cell transfusion requirements and severity of renal disease during the acute stage of hemolytic uremic syndrome. 2015 Jul 4;30(12):2115–9. 2015 [cited 2024 Jan 19].

Dehydration 59

Dehydration Infectious Diseases Seizures Pediatrics 59

Advanced Emergency Nursing from AENJ

JUNE 16, 2015

Tags: advanced emergency nursing, ED, ER, NP, nurse practitioner, CNS, clinical nurse specialist, APRN, critical care, trauma, injury, pediatrics, infectious disease, medical isolation, surgical mask, PAPR, PPE, HAZMAT, respiratory protection Published: 6/16/2015 7:46:00 PM

PPE 40

PPE Infectious Diseases Emergency Nursing Operations 40

ALiEM

MAY 13, 2024

J Pediatr 2015 [8] 151 Prospective cohort study of patients 3mo-21yrs comparing clinical assessment to POCUS 96% (90-99%) 87% (74-95%) POCUS changed management in 27% of cases.** Epub 2015 Nov 10. Lam et al., J Emerg Med 2018 [6] 327 Prospective cohort study of children 6mo-18yrs comparing clinical assessment to POCUS 90.3% (83.4-94.7%)

Ultrasounds 64

Ultrasounds Pediatrics Emergency Department Wellness 64

PulmCCM

OCTOBER 30, 2023

Professional Medical Societies Call for Elimination of SEP-1 The Infectious Diseases Society of America (IDSA), along with societies for emergency medicine physicians and hospitalists, are again speaking up about the ongoing policy experiment known as the Centers for Medicare and Medicaid Severe Sepsis/Septic Shock Management Bundle (SEP-1).

Sepsis 52

Sepsis Shock Hospitals Infectious Diseases 52

Don't Forget the Bubbles

JANUARY 10, 2024

Published 2015 Feb 2. 1993;55(1-2):47-51. doi:10.1016/0001-706x(93)90047-f Kiguli S, Maitland K, George EC, et al. Anaemia and blood transfusion in African children presenting to hospital with severe febrile illness. 2015;13:21. doi:10.1186/s12916-014-0246-7 Lacroix J, Hébert PC, Hutchison JS, et al. N Engl J Med. 2007;356(16):1609-1619.

Blood Transfusions 78

Blood Transfusions Research Outcomes Hospitals 78

EMDocs

NOVEMBER 16, 2024

Infections For stable patients, obtain microbiologic samples prior to antibiotics (per the American Academy of Orthopedic surgery and The Infectious Diseases Society of America). 2015 Jun;27(2):63-71. Epub 2015 Jun 30. 7,8 Majority are managed operatively. 7,8 Consider fascia iliaca block for symptomatic pain relief.

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EMS Dislocations Fractures Operations 98

RebelEM

MAY 15, 2024

Read More: Infectious Disease Society of America 2010 Clinical Practice Guidelines Life in the Fast Lane: Febrile Neutropaenia Uptodate: overview of neutropenic fever syndromes EMRAP: Risk stratification of neutropenic fever MDCalc: MASCC Score MDCalc: CISNE Score References: Ahn S, Rice TW, Yeung SJ, Cooksley T. Raad, II, et al.,

Infectious Diseases 101

Infectious Diseases Administration Sepsis Anaphylaxis 101

EMDocs

JULY 15, 2023

2015, July 31). Infectious Diseases Society of America. Practice guidelines for the diagnosis and management of skin and soft tissue infections: 2014 update by the Infectious Diseases Society of America. 2023, February 14). Erysipelas – Dermatologic Disorders. Merck Manuals Professional Edition. Erysipelas.

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EMS Infectious Diseases Shock Ultrasounds 94

EMDocs

MAY 29, 2023

Comparative Value of Erythrocyte Sedimentation Rate (ESR) and C-Reactive Protein (CRP) Testing in Combination Versus Individually for the Diagnosis of Undifferentiated Patients With Suspected Inflammatory Disease or Serious Infection: A Systematic Review and Economic Analysis [Internet]. 2015 Sep 15;61(6):e26-46. Epub 2015 Jul 29.

Infectious Diseases 58

Infectious Diseases Emergency Department EMS Hospitals 58

Pediatric EM Morsels

FEBRUARY 2, 2024

Hospitalization for travel-related illness are around 10% for both VFR and tourists (Leuthard 2015) Multiple studies have reported the most common travel infections in various countries. In the 1950’s travel accounted for 25 million international tourists. A study of swiss tourists found they compromised 53.4%

Infectious Diseases 164

Infectious Diseases Pediatrics Sepsis Documentation/Coding 164

Don't Forget the Bubbles

SEPTEMBER 18, 2023

2015 Jun 23 [cited 2022 Dec 28]; Available from: [link] Venekamp RP, Schilder AGM, van den Heuvel M, Hay AD. The 2020 Australian guideline for prevention, diagnosis and management of acute rheumatic fever and rheumatic heart disease. Randel A, Infectious Disease Society of America. 2015 May 19;12(5):e1001825.

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Emergency Department Infectious Diseases Pediatrics Sepsis 143

EB Medicine

JANUARY 2, 2019

A 2015 randomized trial found similar outcomes for IM methotrexate compared to placebo for tubal ectopics. Nachi: There is a wealth of literature on this topic and Dr. Initial study conclusions are promising. But again, you need to know the characteristics of the test at your ER.

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Ultrasounds Radiology Radiology Infectious Diseases 40

Pediatric Education

DECEMBER 17, 2023

The admitting team was concerned about travel-based causes of meningitis and consulted an infectious disease specialist who felt that the patient should also be given acyclovir and doxycycline in addition to cover for potential herpes simplex and also various rickettsial diseases. Rickettsioses in Children – A Review.

Infectious Diseases 40

Infectious Diseases Pediatrics Sepsis Wellness 40

Pediatric EM Morsels

OCTOBER 6, 2023

Typhoid Fever in the US Pediatric Population, 1999-2015: Opportunities for Improvement. 2019 Jul;25(7):1082-1088. PMID: 31270506 McAteer J, Derado G, Hughes M, Bhatnager A, Medalla F, Chatham-Steverns K, Appiah G, Mintz E. Clin Infect Dis. 2021 Dec 6;73(11): e4581-e4589. PMID: 33247585 Mogasale V, Ramani E, Mogasale VV, Park J.

Pediatrics 164

Pediatrics CDC Seizures Documentation/Coding 164

Don't Forget the Bubbles

SEPTEMBER 18, 2024

Another useful study showing the distribution of viral infection in different ages and household setups comes from the BIG LoVE study (2015) where households had viral PCR swabs completed weekly for a year. Adapted from: Byington et al (2015, Clinical Infectious Disease, [link] ) When to think about primary immunodeficiency?

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Emergency Department Wellness Infectious Diseases Pediatrics 98

Pediatric EM Morsels

DECEMBER 6, 2024

3, 2015, pp. “Parvovirus B19 and Its Role in Human Disease.” ” The Lancet Infectious Diseases , vol. link] Centers for Disease Control and Prevention (CDC). . “Parvovirus B19 Infection in Pregnancy: A Review of the Risks and Management Strategies.” link] Larcher, C., 6, 2008, pp.

Blood Transfusions 164

Blood Transfusions Infectious Diseases CDC Pediatrics 164

Don't Forget the Bubbles

FEBRUARY 24, 2025

Between 2002 and 2015, 200 infants with pertussis were placed on ECMO, but only 56 survived, representing a survival rate of just 28%. The Pediatric Infectious Disease Journal 37(3):p 202-205, March 2018. Impact of rapid leukodepletion on the outcome of severe clinical pertussis in young infants. Pediatrics. Nieves et al.

Pediatrics 59

Pediatrics Outcomes Blood Transfusions Sepsis 59

ALiEM

DECEMBER 20, 2024

Red Book: 2015 Report of the Committee on Infectious Diseases. Elk Grove Village, IL: American Academy of Pediatrics; 2015:432445. References American Academy of Pediatrics: Herpes simplex. In: Kimberlin DW, Brady MT, Jackson MA, Long SS, eds. Studdiford JS, Valko GP, Belin LJ, Stonehouse AR.

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Infectious Diseases Pediatrics Academics Emergency Department 64

PEMBlog

OCTOBER 31, 2024

N Engl J Med 2018; 379:2015-2026. N Engl J Med. 2018 Nov 22;379(21):2002-2014. doi: 10.1056/NEJMoa1802598. PMID: 30462938; PMCID: PMC6358014. Freedman et al. Multicenter Trial of a Combination Probiotic for Children with Gastroenteritis. DOI: 10.1056/NEJMoa1802597. Parker et al. Pediatrics, 2013. Szajewska et al.

Outcomes 105

Outcomes Pediatrics Emergency Department Research 105

Taming the SRU

JANUARY 31, 2025

Moderate evidence it helps in a Cochrane review in 2022 NSAIDs Cochrane review 2020 Acute pain: effective but small change Sciatica: no effect Tylenol BMJ Meta-analysis 2015 Tylenol NOT effective Muscle relaxers 2017 Meta Analysis Effective for acute LBP, unclear for chronic No evidence for benzodiazepines qikt: Acute limb ischemia WITH Drs.

Documentation/Coding 54

Documentation/Coding Infectious Diseases Resuscitation Administration 54

EB Medicine

DECEMBER 1, 2018

Jeff: The information contained in this article comes from articles found on pubmed, the cochrane database, center for disease control, and the world health organization. Additionally, guidelines were reviewed from the american college of emergency physicians, infectious disease society of america, and the american academy of pediatrics.

Emergency Department 40

Emergency Department CDC Infectious Diseases EMS 40

Don't Forget the Bubbles

JANUARY 20, 2025

Leprosy, also known as Hansen’s disease, is a chronic infectious disease caused by Mycobacterium leprae. The disease is named after Dr. Gerhard Armauer Hansen, who discovered the causative bacterium in 1873. It primarily affects the skin, peripheral nerves, upper respiratory tract, and eyes. References Reibel, F.,

Infectious Diseases 59

Infectious Diseases Research Documentation/Coding Hospitals 59

Mind The Bleep

JANUARY 24, 2025

Pathophysiology and burden of infection in patients with diabetes mellitus and peripheral vascular disease: focus on skin and soft-tissue infections. Clinical microbiology and infection: the official publication of the European society of clinical microbiology and infectious diseases. International journal of molecular sciences.

Dislocations 52

Dislocations Fractures Soft Tissue Injuries Infectious Diseases 52

Don't Forget the Bubbles

SEPTEMBER 23, 2024

The evolution of population pharmacokinetic models to describe the enterohepatic recycling of mycophenolic acid in solid organ transplantation and autoimmune disease. Asymptomatic hypertension Other systemic illness impacting upon fluid intake, medication and renal transplant function (e.g. Clin Pharmacokinet. 2011;50(1):1-24. Aydin, A.M.,

Pediatrics 52

Pediatrics Fractures Dehydration Sepsis 52

Mind The Bleep

SEPTEMBER 17, 2024

Pathophysiology and burden of infection in patients with diabetes mellitus and peripheral vascular disease: focus on skin and soft-tissue infections. Clinical microbiology and infection: the official publication of the European Society of Clinical Microbiology and Infectious Diseases, 21 Suppl 2, S27–S32. References Kennedy, S.

Fractures 52

Fractures Infectious Diseases Documentation/Coding Hospitals 52

Dr. No

JANUARY 27, 2022

The effect of this rule, as noted, is that the infectious diseases listed, including covid–19, almost always trump other potentially valid underlying causes of death. With the caveats established, Table 1 shows the average annual numbers of deaths for common causes for 2015-2019, and the numbers in 2020 and 2021.

Documentation/Coding 52

Documentation/Coding Infectious Diseases Wellness 52

EMDocs

NOVEMBER 2, 2024

Consultation with an infectious disease and neurology specialist can be considered to guide treatment and proper disposition. Consultation with laboratory or infectious disease experts is important in selecting appropriate diagnostic testing. Sexually transmitted disease surveillance 2018. Neurosyphilis.”

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EMS Infectious Diseases CDC Research 115

EMDocs

MARCH 24, 2025

1 Over the decades, HIV has transitioned from being a terminal illness to a manageable chronic condition for many individuals due to improved knowledge in the diagnosis and treatment of the disease globally. World Health Organization; 2015. 6 The region also experiences the highest rates of HIV-related morbidity and mortality.

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CDC Blood Transfusions Infectious Diseases Sexual Assault 92