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Diagnostics and Therapeutics: The Who, What, Where, When and Why of Lumbar Punctures

Taming the SRU

2018) Epidemiology of lumbar punctures in hospitalized patients in the United States. Scandinavian journal of infectious diseases , 45 (9), 657–663. Clinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases , 22 Suppl 3 , S37–S62.

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Diagnostics: Inflammatory Markers

Taming the SRU

Spinal Infection: According to the Infectious Disease Society of America’s (IDSA) 2015 guidelines for native vertebral osteomyelitis, CRP and ESR in the setting of protracted back pain have sensitivities ranging from 94 to 100% for ruling out infection and malignancy in these patients. 2018 Aug 1;10(8):a028456. Epub 2018 Oct 19.

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

RebelEM

3, 6 Among patients with stroke or traumatic brain injury (TBI), the risk may be as high as 28%-76% and 23%-60%, respectively. Post-stroke infection: a systematic review and meta-analysis. Tanaffos 2018 , 17 (2), 110-116. 4, 8 Paper: Dahyot-Fizelier, C., Infect Control Hosp Epidemiol 2014 , 35 (8), 915-936. Westendorp, W.

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The Latest in Critical Care, 7/10/23 (Issue #8)

PulmCCM

A 2018 meta-analysis reviewed here suggested that prolonged infusion of antipseudomonal beta-lactams reduced mortality by 30% compared with shorter infusions, and more observational data has accumulated since that time. There’s a period of time after ischemic stroke when damaged cerebral blood vessels are susceptible to bleeding.

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Symptomatic Bradycardia: Considering the Differential Diagnosis

Northwestern EM Blog

The most common symptoms include: Lightheadedness Syncope Chest pain Exercise intolerance Fatigue **Important note: The heart rate at which patients experience symptoms may vary based on their ability to increase stroke volume. Joglar, J. Marine, J. McLeod, C. Patton, K. Pellegrini, C. Selzman, K. Thompson, A., & Varosy, P.

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Episode 23 - Influenza Diagnosis and Management in the Emergency Department

EB Medicine

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.

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EM@3AM: Neurosyphilis

EMDocs

cognitive and behavioral impairment) – 33% Ataxia – 28% Stroke – 23% Ophthalmic symptoms (e.g., Consultation with an infectious disease and neurology specialist can be considered to guide treatment and proper disposition. Sexually transmitted disease surveillance 2018. Symptoms: Personality change (i.e.,

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