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

EMDocs

DECEMBER 18, 2023

Introduction Sepsis and septic shock are life-threatening conditions characterized by severe systemic inflammation and organ dysfunction due to a dysregulated host response to infection. 3,4 Prompt recognition and management of sepsis and septic shock are paramount for the ED clinician. vs. 0.91), positive predictive value (0.27

Sepsis 91

Sepsis Fluid Resuscitation Resuscitation Shock 91

EMDocs

JULY 15, 2023

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 92

EMS Infectious Diseases Shock Ultrasounds 92

Pediatric EM Morsels

FEBRUARY 2, 2024

In one ED study, ALL cases of missed travel-related illness did not have a documented travel history in their ED note , whereas 90% of the identified travel-related illnesses had a provider documented travel history (Greenky 2022) Those who are visiting friends and relatives (VFR) are typically at highest risk. 2022 Jun:56:113-116.

Infectious Diseases 164

Infectious Diseases Pediatrics Sepsis Documentation/Coding 164

Don't Forget the Bubbles

SEPTEMBER 18, 2023

This is true in life-threatening conditions such as sepsis. However, when children do not have features of sepsis, oral antibiotics are equally effective. The take home is that although IV antibiotics are key in sepsis management, oral antibiotics are equally as effective as IV antibiotics for children without critical illness.

Emergency Department 143

Emergency Department Infectious Diseases Pediatrics Sepsis 143

PulmCCM

JUNE 19, 2023

That was in NEJM Aug 18 2022. Read in Lancet Infectious Diseases Severe hypothyroidism, although rare, may be under-recognized in the ICU and lead to worse outcomes during critical illness, authors of a case series argue. Sepsis was a main trigger, and hypothermia and shock were as common (>50%) as coma. and FT4 (0-7.8

Infectious Diseases 52

Infectious Diseases Hyperthermia / Hypothermia Outcomes Sepsis 52

EMDocs

FEBRUARY 8, 2025

Empiric treatment with voriconazole 6 mg/kg twice daily intravenously for 2 doses should be started immediately based on Infectious Disease Society of America (IDSA) guidelines. 22-28 Disposition Consult infectious disease for all IFI patients to ensure appropriate antifungal stewardship. Open Forum Infectious Diseases.

Infectious Diseases 72

Infectious Diseases EMS COPD Research 72

Don't Forget the Bubbles

SEPTEMBER 23, 2024

Consider sepsis and treat it accordingly. Post-transplant lymphoproliferative disease after pediatric kidney transplant. Changes in TAC concentrations related to changes in haematocrit should not lead to a prompt dose adjustment. Urinary tract infection (UTI): more likely in cases of urologic comorbidities and operations (e.g.

Pediatrics 52

Pediatrics Fractures Dehydration Sepsis 52

PEMBlog

APRIL 4, 2025

That data is up versus 2022. 14 states reported exemption rates greater than 5% and in generally 95% vaccination rate for diseases needed for herd immunity. This is based on one study from Hertz in, uh, pediatric infectious disease, and in their study though, the rate of a true positive blood culture was 1.6%

Infectious Diseases 59

Infectious Diseases Pediatrics Emergency Department Wellness 59

Pediatric Education

SEPTEMBER 1, 2024

Complications include death, scarring, skin superinfection, sepsis, encephalitis, meningitis, febrile seizures, and premature birth. Learning Point MPox, previously known as Monkey Pox until 2022 , is caused by the monkey pox virus which is a poxvirus. Patients are not contagious after the crusts fall off.

Infectious Diseases 40

Infectious Diseases Pediatrics Seizures Sepsis 40

EMDocs

DECEMBER 9, 2024

In July 2022, mpox was declared a Public Health Emergency of International Concern (PHEIC) after a clade 2 strain began spreading rapidly across 110 countries. During the 2022 clade 2 mpox outbreak, the majority of cases occurred among men who have sex with men (MSM), including individuals with multiple sexual partners and sex workers.

CDC 75

CDC Documentation/Coding Infectious Diseases Dehydration 75