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EM@3AM: Murine Typhus

EMDocs

Clinical Infectious Diseases , vol. Ischemic Hepatitis and Septic Shock Secondary to Murine Typhus Infection in Pregnancy. 2017 Feb;166:16-24. State of the art of diagnosis of rickettsial diseases: the use of blood specimens for diagnosis of scrub typhus, spotted fever group rickettsiosis, and murine typhus.

EMS 104
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Clinical Conundrums: Should You Give the First Dose of Antibiotics IV Before Discharging Home on Oral Antibiotics?

RebelEM

Except for patients with poor gut absorption or those with critical infectious processes such as septic shock or necrotizing fasciitis, this belief appears to be unfounded. Clinical infectious diseases : an official publication of the Infectious Diseases Society of America. Pneumonia 2017.

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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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The 79th Bubble Wrap x Bristol Royal Hospital For Children

Don't Forget the Bubbles

This study retrospectively identified 1,414 children, presenting to 15 UK EDs (2016 -2017), who had been screened for malaria. International Consensus Criteria for Pediatric Sepsis and Septic Shock. The aim of this paper was to update and evaluate the criteria for sepsis and septic shock in children. Paediatr Int Child Health.

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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. Pressors where indicated for septic shock (typically Norepinephrine starting at 0.05 Consider Infectious Disease consultation prior to any potential discharges. 2017 Jun 28;12(6):e doi: 10.1371/journal.pone.0180121.

EMS 97
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REBEL Core Cast 122.0 – Neutropenic Fever

RebelEM

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. Epub 2017 Nov 22.

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Two Big Changes in Community Acquired Pneumonia Treatment

ACEP Now

As a result, the 2019 guidelines from the Infectious Disease Society of America (IDSA) significantly rein in those patients who should receive empiric coverage for MRSA or P. An official clinical practice guideline of the American Thoracic Society and Infectious Diseases Society of America. aeruginosa. 2019;200(7):e45–67.