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2023 Critical Care Year in Review (Part 1)

PulmCCM

Sepsis, infectious disease Managing septic shock with a restrictive-fluids approach (preferentially using vasopressors after a single liter crystalloid bolus) led to similar outcomes as the usual practice of bolusing large volumes of fluids first. I hope you continue to find it valuable. Wishing you all a safe and happy holiday season!

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Needlesticks Infections on the Rise

American Medical Compliance

Needlestick Infections Needlestick infections, also known as percutaneous injuries, occur when healthcare professionals accidentally prick themselves with needles or other sharps contaminated with infectious materials. Reference CDC (17 October 2022). Visit [link] for more information.

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Imported Malaria

Pediatric EM Morsels

More specifically they have seen this trend continue to rise in the era of post-COVID travel (Choy 2022). Another change is the CDC approved the use of IV artesunate for malaria treatment in the US in May 2022. WHO 2022) In a previous PEM morsel, we mentioned Sickle Cell Trait is only protective against P. falciparum.

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The resurgence of vaccine preventable infections: Measles and Pertussis

Don't Forget the Bubbles

This contributed to a sharp increase in cases of both diseases in 2024. A review of child deaths in England and Wales from 2019 to 2022 revealed that delayed or missed vaccinations were a contributing factor in 3% of cases. European Centre for Disease Prevention and Control. 2010;375(9716):2134-45. Measles facts [Internet].

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Monkeypox Outbreak Facts

American Medical Compliance

While the disease may not be severe as of yet, it is still contagious and can be spread easily from person to person. According to the CDC, rashes typically last up to four weeks and it often occurs before other symptoms develop. The CDC reports that nearly all patients who experience the virus can expect to survive. References.

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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).

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Traveling Ticks: Tickborne Illnesses and International Travel

Pediatric EM Morsels

However, it is often overlooked that tickborne illnesses are among the most common travel-related illnesses globally (CDC Traveller’s Health 2017). CDC 2024) Generally, most ticks require >24 hours of attachment for there to be a risk of transfer of the infectious agent.

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