PulmCCM

NOVEMBER 6, 2023

Intuitively, plasma seemed even less likely to help the very sickest of the sick— those mechanically ventilated with ARDS from Covid-19, whose mortality rate was well over 50% at many centers. Only it turns out, it did help. Or could, anyway. patients infected with the Wuhan/Delta variants in 2020-2021).

Blood Transfusions 98

Blood Transfusions Operations Resuscitation Infectious Diseases 98

American Medical Compliance

JUNE 16, 2023

Needlesticks are causing patients to be infected with unwanted diseases. This raises concerns about how providers store needlesticks as well as protect patients and healthcare workers alike. Reference CDC (17 October 2022). The consequences of needlestick infections can be severe and life-altering for healthcare workers.

CDC 52

CDC Infectious Diseases Wellness 52

American Medical Compliance

FEBRUARY 2, 2024

COVID-19 Prevention Requirements The Occupational Safety and Health Standards Board decided to approve COVID-19 preventative standards that are not emergency measures on December 15, 2022. Click the button below to learn more about these practices, as well as other COVID-19 associated practices necessary in your dental facility.

Infectious Diseases 52

Infectious Diseases Documentation/Coding PPE Wellness 52

Sensible Medicine

JUNE 6, 2023

In late 2022 we learned that a large RCT found that the monoclonal lecanemab appeared to slow progression in AD. Both the amyloid believers and non-believers would do well to think about whether they are interpreting evidence objectively or are trying make trial results they don’t believe go away.

Outcomes 98

Outcomes Infectious Diseases Research Academics 98

EMDocs

JUNE 17, 2023

The Pediatric Infectious Disease Journal. insect bite, scratch, etc.) or nearby infection (e.g., URI, dacryocystitis, blepharitis, impetigo, hordeolum, etc.) Rosh Review Website Link Further FOAMed [link] [link] [link] References Baiu I, Melendez E. Periorbital and Orbital Cellulitis. 2020;323(2):196-196. doi:10.1001/jama.2019.18211

EMS 84

EMS Infectious Diseases Pediatrics Emergency Department 84

Don't Forget the Bubbles

FEBRUARY 28, 2024

The researchers concluded that oral brivudine offers an effective, well-tolerated therapy in immunocompromised children and could be used as an outpatient treatment. 2022; 11:595478. 2022; 14(2):192. European Journal of clinical microbiology and infectious diseases. Do you believe the results? Frontier Immunology.

Pediatrics 59

Pediatrics Infectious Diseases Outcomes Research 59

ALiEM

MAY 13, 2024

They may be well-circumscribed or may have irregular borders. Well-circumscribed abscess with heterogeneous debris C. Larger abscess with well-circumscribed borders D. Superficial abscess with well-circumscribed borders Table 1. 2022 Feb 1;38(2):e674-e677. 2022 Jan;79(1):90. Pediatr Emerg Care. 2020.01.004.

Ultrasounds 64

Ultrasounds Pediatrics Emergency Department Wellness 64

Pediatric Education

NOVEMBER 19, 2023

They felt he was breastfeeding well and had only mild jaundice. His examination was normal and the diagnosis of a well newborn infant was made. mg/dL which was well below treatment threshold. Some infants may need car seat tolerance screening as well. The laboratory evaluation of a transcutaneous bilirubin was 8.4

Infectious Diseases 40

Infectious Diseases Administration Pediatrics Wellness 40

Pediatric Education

OCTOBER 1, 2023

Learning Point As of 2022 only two countries still have endemic WPV ; those are Afghanistan and Pakistan which in 2019 had a total of 163 recorded cases. Non-polio enteroviruses have emerged which cause acute flaccid paralysis as well. The last cVDPV isolates were noted in November 2022. link] Polio. Accessed June 27, 2023.

Infectious Diseases 40

Infectious Diseases Pediatrics Outcomes Wellness 40

ALiEM

AUGUST 14, 2023

Treatment is appropriate antibiotics and improved foley hygiene, foley exchange as well as improved bowel regimen to increase stool transit time. References Meekins Pauline, Ramsay Amy, Ramsay Michael. Purple Urine Bag Syndrome. West J Emerg Med. 2012 Dec;13(6):499-500. Scleszka Laura, Swan Tricia. October 9, 2020. online] EMRA.

Academics 52

Academics Wellness Infectious Diseases 52

PEMBlog

DECEMBER 4, 2024

Updated 2022 Oct 7]. If you’re unvaccinated and not up to date, well then what are you doing in healthcare? I’ve had patients say, well, I don’t want tetanus. Well, tough Schenectes. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Unless you have symptoms.

Pediatrics 52

Pediatrics PPE Wellness Infectious Diseases 52

ALiEM

AUGUST 21, 2023

Treatment includes emergent consultation with orthopedics or hand surgery as well as early initiation of IV antibiotics. Accessed November 30, 2022. References Ritter K, Fitch R. Tenosynovitis. In: Knoop KJ, Stack LB, Storrow AB, Thurman R. The Atlas of Emergency Medicine, 5e. McGraw Hill; 2021. OrthopClin N Am 2017;48:217-27.

Academics 52

Academics Outcomes Hospitals Wellness 52

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

Pediatric Education

MAY 14, 2023

The pathophysiology is not well understood but is thought to begin with increased intracranial pressure leading to increased catecholamines and sympathetic storm, which then leads to systemic vasoconstriction and accumulating blood in the pulmonary system. StatPearls Publishing; 2022. Am Fam Physician. 2020;101(12):730-738.

Pediatrics 40

Pediatrics Infectious Diseases Burns Wellness 40

Pediatric EM Morsels

AUGUST 18, 2023

(Jackson 2016) It can also be used in UTIs , but is typically reserved for special cases where the infectious bacteria is found to be multidrug resistant or in complicated UTIs. Morley 2022) This myth is: BUSTED. BMC Infectious Disease. Symptoms resolved within 24 hours of withdrawal of the medication. 41(2):121-122.

Pediatrics 130

Pediatrics Infectious Diseases Seizures Hospitals 130

EMDocs

JULY 15, 2023

The patient reported feeling better, pain and other symptoms were well controlled 24 hours after starting antibiotics and pain medication. The border may be raised, but erysipelas does not cause overt superficial skin lesions that other infectious rashes might cause (e.g., Updated 2022 Aug 8]. Cellulitis and Abscess. Erysipelas.

EMS 76

EMS Infectious Diseases Shock Ultrasounds 76

Taming the SRU

AUGUST 30, 2023

As the name would suggest, inflammatory markers are biological markers of, well, inflammation. A 2015 meta-analysis of 9 studies consisting of 725 patients published in the International Journal of Infectious Diseases found PCT far superior to CRP, with PCT having a sensitivity of 90 and specificity of 98% [36]. doi: 10.1097/MD.0000000000023315.

Infectious Diseases 88

Infectious Diseases Sepsis Emergency Department Point-of-Care Testing 88

ALiEM

DECEMBER 9, 2024

Physical Exam Vitals : BP 128/84; HR 88; Temp 98F; RR 18; SpO2 (on RA) 100% General : Well appearing HEENT : No conjunctival injection Cardiovascular : S1, S2; no murmurs, rubs, or gallops Skin : Erythematous patch with central clearing in left popliteal fossa Laboratory Data WBC : 5.1 Lyme Disease. 2022, Jan 19. Lyme disease.

Emergency Department 60

Emergency Department CDC EMS Academics 60

RebelEM

AUGUST 3, 2023

What They Did: Parallel, 2-arm, noninferiority, open-label, multicenter, international randomized clinical trial Occurred in 6 specialized centers (3 in North America – US & Canada and 3 Outside of North America – Australia) Trial took place from June 2021 to December 2022 Used PEN-FAST to risk stratify patients.

Anaphylaxis 52

Anaphylaxis Allergic Reactions Outcomes Infectious Diseases 52

EMDocs

DECEMBER 18, 2023

Multiple studies published in 2022 have indicated that, despite disagreement surrounding prognostic accuracy, no such screening tool so far exists. The Infectious Diseases Society of America (IDSA) guidelines provide the most up-to-date guidance on appropriate agent choice.

Sepsis 75

Sepsis Fluid Resuscitation Resuscitation Shock 75

Don't Forget the Bubbles

JANUARY 22, 2024

Blood cultures are commonly drawn for certain focal infections such as pneumonia , skin and soft tissue infections (SSTIs), asthma , bronchiolitis as well and UTIs. Don’t Forget the Bubbles, 2022 Levinson W, Kallewaard M, Bhatia RS, et al. 2022 Sep 13;10:945540. Archives of Disease in Childhood 2020;105:A86-A87.

Emergency Department 90

Emergency Department Best Practices Radiology Radiology 90

Pediatric Education

SEPTEMBER 1, 2024

Smallpox is an ancient disease and an especially well-known cause of severe morbidity and mortality and therefore was used as a curse or epiphet. The lesions are 7-10 mm in diameter, round, firm, deep-seated and well circumscribed… ” Lesions tend to appear more on the forearms and face than rest of the body.

Infectious Diseases 40

Infectious Diseases Pediatrics Seizures Sepsis 40

ACEP Now

MAY 9, 2024

It has been well over a year since the controversial publication of the Agency for Healthcare Research and Quality (AHRQ) report on diagnostic errors in the emergency department (ED). Similarly elevated rates of error, and related harms, are associated with other serious vascular, infectious disease, and cancer-related diagnoses, as well.

Research 52

Research Emergency Department Infectious Diseases Hospitals 52

EMDocs

JANUARY 6, 2024

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. 15 The exact incidence or acute coronary syndrome in heart transplant patients is not well characterized.

EMS 73

EMS Infectious Diseases Shock Emergency Department 73

Don't Forget the Bubbles

SEPTEMBER 23, 2024

This is particularly crucial in younger children who have received a large adult kidney and typically have relatively low creatinine levels when stable and well. Additionally, any child with a kidney transplant might have some degree of chronic kidney disease (CKD). When in doubt, call the team. and Kizilbash, S., Winterberg, P.D.

Pediatrics 52

Pediatrics Fractures Dehydration Sepsis 52

Sensible Medicine

SEPTEMBER 25, 2024

Varma admits to precisely what I argued: infectious disease public health docs use propaganda and lobbying and corruption to sell products and not well designed randomized trials. One mistake he makes in the video however is thinking the market share of tecovirimat is related to the number of pills dispensed.

Infectious Diseases 142

Infectious Diseases Administration Hospitals Research 142

EMDocs

NOVEMBER 25, 2024

volvulus as well as improvements in the diagnosis and treatment of this morbid disease. Patients from endemic regions with signs and symptoms suggestive of onchocerciasis will require multidisciplinary consultation, including ophthalmology, dermatology, and infectious disease. Lancet Glob Health. 2021;9(4):e418-e430.

Infectious Diseases 63

Infectious Diseases Emergency Department EMS Administration 63

EMDocs

JANUARY 6, 2025

She receives IV calcium gluconate and bicarbonate as well as oral potassium binders for hyperkalemia. Case Resolution The patient and family remain in isolation and receive risk stratification assessment for a notifiable disease of public health concern. Background: Refugees on the Rise As of 2022, it was estimated that there were 35.3

Infectious Diseases 67

Infectious Diseases CDC PPE Rapid Diagnostic Testing 67

Dr. No

JANUARY 27, 2022

The effect of this rule, as noted, is that the infectious diseases listed, including covid–19, almost always trump other potentially valid underlying causes of death. Edit 1600 29 Jan 2022: inverted percentages in paragraph under Table 1 corrected (72% to 28%, 58% to 42%).

Documentation/Coding 52

Documentation/Coding Infectious Diseases Wellness 52

EMDocs

NOVEMBER 2, 2024

A broad workup is initiated for altered mental status, including an STD panel, which shows a reactive Venereal Disease Research Laboratory (VDRL) and a negative CT head. Consultation with an infectious disease and neurology specialist can be considered to guide treatment and proper disposition. 2022, doi:10.7759/cureus.32747

EMS 104

EMS Infectious Diseases CDC Research 104

EMDocs

FEBRUARY 8, 2025

Well keep it short, while you keep that EM brain sharp. 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. She is well appearing with otherwise normal vital signs.

Infectious Diseases 61

Infectious Diseases EMS COPD Research 61