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

Septic shock is high on the differential diagnosis for this patient’s presentation. 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. What are the most up-to-date guidelines for managing this patient?

Sepsis 91

Sepsis Fluid Resuscitation Resuscitation Shock 91

EMDocs

JULY 15, 2023

However, it must be considered in toxic-appearing patients, those with prosthetic heart valves, artificial joints, or immunocompromised states Clinicians must keep a broad differential and consider other conditions such as necrotizing fasciitis, clostridial myonecrosis, compartment syndrome, toxic shock syndrome, etc. Updated 2022 Aug 8].

EMS 92

EMS Infectious Diseases Shock Ultrasounds 92

EMDocs

JANUARY 6, 2024

10 Dysrhythmias (more commonly ventricular), chest pain, dyspnea, acute CHF and shock are all possible. 12 This is a variant of coronary artery disease in the allograft vessels, characterized by concentric intimal hyperplasia, as opposed to the eccentric pattern seen in atherosclerosis among non-transplant coronary arteries.

EMS 89

EMS Infectious Diseases Shock Emergency Department 89

Pediatric EM Morsels

APRIL 5, 2024

CDC 2022) Testing for many of these illnessess can take time during the acute phase as many are ELISA or PCR tests. Jensenius 2004) Scrub typhus is one of the most common infectious disease in rural areas of south and southeastern Asia and the western Pacific. Capable of causing a relapsing fever.

CDC 164

CDC Infectious Diseases Pediatrics Shock 164

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

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

ALiEM

JUNE 5, 2023

Anthrax is a serious infectious disease caused by gram positive, rod shaped, bacteria known as Bacillus anthracis [1]. Patients suspected of having anthrax should have their disposition and treatment determined in conjunction with your Infectious Disease specialists and your state health department. Updated 2022 Jul 26].

Infectious Diseases 102

Infectious Diseases CDC PPE Military 102

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.

Infectious Diseases 72

Infectious Diseases EMS COPD Research 72

Don't Forget the Bubbles

NOVEMBER 5, 2023

In the Pediatric Infectious Disease Journal, Guo and colleagues assessed the difference in clinical characteristics between viral pneumonia and Mycoplasma pneumoniae in a large Chinese cohort. The effect of myocardial dysfunction on mortality in children with septic shock: a prospective observational study. Alves MTB, et al.

Pediatrics 105

Pediatrics Hospitals Infectious Diseases Outcomes 105

ALiEM

DECEMBER 6, 2024

Some warning signs of severe disease include abdominal pain or vomiting, hepatomegaly, signs of volume overload including ascites or pleural effusion, and an increase in hematocrit with rapid thrombocytopenia. Severe dengue can present with shock, volume overload, severe bleeding, encephalopathy, and liver failure. Dengue fever.

Academics 64

Academics Emergency Department Shock Hospitals 64

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

EMDocs

JANUARY 6, 2025

Based on available hospital resources, the patient is treated for septic shock secondary to pneumonia and an infected wound using broad-spectrum antibiotics and IV crystalloid fluids. Case Resolution The patient and family remain in isolation and receive risk stratification assessment for a notifiable disease of public health concern.

Infectious Diseases 75

Infectious Diseases CDC PPE Rapid Diagnostic Testing 75