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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. Najivash, P.,

EMS 80
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The Latest in Critical Care, 10/30/23 (Issue #18)

PulmCCM

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
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Are we on the right TRACT? 

Don't Forget the Bubbles

Exclusion criteria included children with known chronic diseases, exclusively breast-fed infants , or those who had already received an immediate transfusion at presentation to the hospital prior to recruitment. 3,950 children were recruited between September 2014 to May 2017. Were the study groups similar at the start of the trial?

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

EMDocs

4 The incidence of ESBL-E identified in bacterial cultures in the United States increased by 53% from 2012 to 2017. 8 Workup and Diagnosis Evaluation should be tailored to the patient presentation, but may include studies such as: CBC, CMP, UA, lactate (if concern for sepsis), Cultures (blood, urine, etc.)

EMS 86
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Diagnostics: Inflammatory Markers

Taming the SRU

A 2017 review in the American Journal of Emergency Medicine reiterates that no single inflammatory markers (including CRP, ESR, and PCT) can be used as a stand-alone test to confirm or exclude infection, but instead advocates for using the tests as adjunctive information for emergency physicians to shape their pre-test probability of infection [26].

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EM@3AM: Erysipelas

EMDocs

sepsis), immunocompromised patients, IV drug users, patients with prosthetic heart valves or any intravascular device Clinical features may not abe enough to differentiate erysipelas from cellulitis, and in such cases the treatment should be targeted towards cellulitis Labs No laboratory evaluation is required for the diagnosis of erysipelas.

EMS 76
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Is this MPox?

Pediatric Education

Complications include death, scarring, skin superinfection, sepsis, encephalitis, meningitis, febrile seizures, and premature birth. It causes similar disease and is one of the most studied viruses because of its linkage to vaccine development. Patients are not contagious after the crusts fall off.