ACEP Now

MAY 10, 2024

6 Therefore, with a negative leukocyte esterase and a negative nitrite, you can withhold treatment, while a positive nitrite should trigger antibiotic administration regardless of the leukocyte esterase result. Clinical Infectious Diseases. link] Cai T, Mazzoli S, Mondaini N, et al. 2012;55(6):771-777. Am J Obstet Gynecol.

Infectious Diseases 98

Infectious Diseases Sepsis Emergency Department Administration 98

American Medical Compliance

AUGUST 7, 2024

OSHA (Occupational Safety and Health Administration) Adhering to OSHA (Occupational Safety and Health Administration) regulations is vital for ensuring safe and healthy working conditions for healthcare workers.

Hazardous Materials 105

Hazardous Materials Documentation/Coding Legal Issues Patient Safety 105

PulmCCM

FEBRUARY 5, 2024

Fever in the ICU: Guideline Update The Society of Critical Care Medicine (SCCM) and the Infectious Diseases Society of America (IDSA) issued an interim update to their 2008 recommendations for the management of fever in the ICU. to enforce compliance with an administrative policy). PulmCCM is not affiliated with SCCM or IDSA.

Best Practices 111

Best Practices Ultrasounds Infectious Diseases Sepsis 111

EMDocs

JULY 1, 2023

High-dose methylprednisolone (B) is not currently recommended, as steroids for Kawasaki disease are controversial. Low-dose aspirin (D) would not fully treat Kawasaki disease as high-dose aspirin is required. Kawasaki disease: two case reports from the Aga Khan Hospital, Dar es Salaam-Tanzania. C) for the past week. Lakhani, N.

EMS 91

EMS Infectious Diseases Pediatrics Research 91

American Medical Compliance

FEBRUARY 15, 2023

Congress established the Occupational Safety and Health Administration (OSHA), with the purpose of creating safe and health conscience work conditions. Passing the exam will qualify the individual for an assisted living administrator certificate. Furthermore, OSHA estimates that 5.6

Administration 52

Administration Infectious Diseases Operations Best Practices 52

American Medical Compliance

FEBRUARY 15, 2023

Congress established the Occupational Safety and Health Administration (OSHA), with the purpose of creating safe and health conscience work conditions. Passing the exam will qualify the individual for an assisted living administrator certificate. Furthermore, OSHA estimates that 5.6

EMS 52

EMS Administration Infectious Diseases Operations 52

EM Curious

JULY 22, 2015

INFECTIOUS DISEASE TRIO MUCORMYCOSIS, WEST NILE VIRUS & ROCK MOUNTAIN SPOTTED FEVER: [BLOG]: Clinical practice updates that you should know about regarding these uncommon but cannot miss diagnoses. Read on here at Rebel EM.

Infectious Diseases 52

Infectious Diseases EMS Ultrasounds Emergency Department 52

EM Literature of Note

SEPTEMBER 13, 2024

Generally speaking, the administration of nirsevimab diminished lower respiratory tract infection presentations, bronchiolitis presentations, and bronchiolitis admission by approximately 60% as compared to prior years. The two “COVID seasons” of 2020-21 and 2021-22 were excluded from their comparisons.

Emergency Department 87

Emergency Department Pediatrics Administration Wellness 87

ACEP Now

OCTOBER 26, 2023

However, to the extent these practices derive from departmental or institutional policies, emergency physicians need to work with ED nursing and clerical staff and hospital administration to revise overly conservative approaches to PHI transmittal of relevant clinical information. Permitted uses and disclosures: exchange for treatment.

Infectious Diseases 52

Infectious Diseases Documentation/Coding Hospitals Emergency Department 52

Critical Care Now

MAY 12, 2022

Interests include trauma, toxicology, and infectious diseases. If the tympanic membrane was not completely visualized after administration of the medication, irrigation with 50 – 100 mL of lukewarm normal saline may be completed.

Infectious Diseases 52

Infectious Diseases Stroke Emergency Department Administration 52

CasesBlog

JANUARY 12, 2023

The Food and Drug Administration (FDA) has approved the following new medication for the treatment of Helicobacter pylori (H.

Administration 40

Administration Infectious Diseases 40

Pediatric Education

SEPTEMBER 29, 2024

Alternatively, if the child was in a refugee camp, the record is likely accurate as that is when the health officials timed their consistent vaccine administration. For example, a record where every vaccine is given exactly every month on the same day may be a false record. Is an extra dose going to hurt the patient?

Pediatrics 40

Pediatrics Infectious Diseases Patient Safety Administration 40

EMDocs

NOVEMBER 16, 2024

Infections For stable patients, obtain microbiologic samples prior to antibiotics (per the American Academy of Orthopedic surgery and The Infectious Diseases Society of America). In stable patients, fluid/tissue cultures should be obtained prior to administration of antibiotics. 7,8 Majority are managed operatively.

EMS 97

EMS Dislocations Fractures Operations 97

Pediatric EM Morsels

NOVEMBER 3, 2023

Travel Medicine and Infectious Disease 44 (2021) 102196. Food and Drug Administration Approval of Artesunate for Severe Malaria: Enough to Achieve Best Practice? PMID: 36209409 Comelli A, Guarner ME, Tomasoni LR, Zamboni AF, Pavo BM, Zanotti P, Caligaris S, Matteeli A, Soriano-Arandes A, Castelli F. Clin Microbiol Rev.

Seizures 281

Seizures Pediatrics CDC Infectious Diseases 281

RebelEM

MAY 15, 2024

Early administration of antibiotics is the only factor known to reduce this mortality. Early administration of antibiotics is the only factor known to reduce this mortality. Cohort Study of the Impact of Time to Antibiotic Administration on Mortality in Patients with Febrile Neutropenia. Raad, II, et al., Gibson C, Berliner N.

Infectious Diseases 98

Infectious Diseases Administration Sepsis Anaphylaxis 98

American Medical Compliance

JANUARY 23, 2024

The following Comprehensive Blood Administration Training is designed to educate healthcare providers on various blood products. Therefore, it’s essential to understand things such as blood testing, blood transfusions and blood administration, and how to file the necessary documentation.

Administration 52

Administration Blood Transfusions Infectious Diseases Documentation/Coding 52

Don't Forget the Bubbles

DECEMBER 16, 2024

Whooping Cough: A Cyclical but Preventable Disease Whooping cough, caused by the bacterium Bordetella pertussis , is another infectious disease experiencing a resurgence despite the availability of vaccines. These outbreaks increase the risk of imported cases in other regions, including the UK.

Infectious Diseases 59

Infectious Diseases Documentation/Coding Pediatrics CDC 59

ACEP Now

JUNE 8, 2023

As a result, the 2019 guidelines from the Infectious Disease Society of America (IDSA) significantly rein in those patients who should receive empiric coverage for MRSA or P. Corticosteroid Use Historically, the administration of corticosteroids in patients hospitalized with pneumonia has been controversial. aeruginosa.

Infectious Diseases 59

Infectious Diseases Administration Hospitals Shock 59

EMDocs

DECEMBER 18, 2023

Therefore, delayed initiation of vasopressors poses a greater risk for harm than potential extravasation or local tissue ischemia from peripheral administration. 1 The initial vasopressor of choice for septic shock is norepinephrine, as early administration has been shown to increase survival in these patients. units/minute.

Sepsis 90

Sepsis Fluid Resuscitation Resuscitation Shock 90

RebelEM

FEBRUARY 29, 2024

Discussion In patients with brain injury who required ICU admission and mechanical ventilation, the PROPHY-VAP trial found that early administration of a single dose of ceftriaxone decreased the risk of VAP, exposure to ventilation, exposure to antibiotics, prolonged ICU and hospital stay, and mortality, with no safety concerns.

CDC 119

CDC Radiology Radiology Head Injuries 119

EMDocs

NOVEMBER 4, 2023

A) Administration of a 30 mL/kg bolus of normal saline B) Admission for intravenous vancomycin C) CT scan of the pelvis D) Emergency surgical consultation and broad-spectrum antibiotics Answer: D Fournier gangrene is necrotizing fasciitis of the perineal, genital, or perianal anatomy. Clinical Infectious Disease.

EMS 94

EMS Ultrasounds Emergency Department Infectious Diseases 94

The Skeptics' Guide to EM

MARCH 18, 2023

Guest Skeptic: Dr. Marisu Rueda-Altez is a pediatric infectious disease fellow at Children’s National Hospital in Washington, DC. Guest Skeptic: Dr. Marisu Rueda-Altez is a pediatric infectious disease fellow at Children’s National Hospital in Washington, DC. JAMA Pediatr. JAMA Pediatr. Would he benefit from that too?”

Pediatrics 40

Pediatrics Infectious Diseases Administration Outcomes 40

PulmCCM

NOVEMBER 6, 2023

This could inform responses in future infectious disease outbreaks; one key seems to be to ensure high titers of neutralizing antibody (at least 1:320 in this study) are present in donor plasma. Based on this data, transfused cryoprecipitate does not seem to a merit addition as a component of massive transfusion protocols for trauma.

Blood Transfusions 98

Blood Transfusions Operations Resuscitation Infectious Diseases 98

EMDocs

OCTOBER 10, 2024

Delay in administration of antibiotics. A delay in antibiotics administration was unfortunate but no one can say on a “more probable than not” basis that earlier treatment would have changed the outcome. Initial focus only on thigh problem. Delay in diagnosis of abscess of thigh. The leg/groin/thigh area had a “necrotizing infection.”

Documentation/Coding 97

Documentation/Coding Hospitals Sepsis Infectious Diseases 97

PulmCCM

JULY 10, 2023

In the MERCY trial, 607 critically ill patients with sepsis (most with septic shock) at 26 hospitals in Croatia, Italy, Kazakhstan, and Russia were randomized to receive meropenem by either continuous (3 g / 24 hours) or intermittent administration (1 g every 8 hours). Read in Read in Clinical Infectious Diseases

Stroke 52

Stroke Sepsis Infectious Diseases Outcomes 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

ACEP Now

MARCH 6, 2024

The PATCH-Trauma trial took a critical look at TXA in major trauma in the advanced trauma systems of Australia and found a mixed result: a slightly greater number of patients were still alive six months following TXA administration, but there was no difference in survival with a good functional outcome. percent to 38.3 N Engl J Med.

Research 52

Research Airway Management Stroke Outcomes 52

EMDocs

JULY 25, 2023

PEP administration will breed resistance! Follow-up Patients should be referred to infectious disease and/or the local health department for follow-up testing. You can view these alternative regimens in the CDC Clinical Practice Guidelines; we will provide a link in the show notes ( [link] , pages 31-32).

Infectious Diseases 92

Infectious Diseases CDC Documentation/Coding Administration 92

Pediatric Education

SEPTEMBER 24, 2023

These authors also noted that other good quality studies showed co-administration with other vaccines did not have any clinically relevance interference with efficacy. What other infectious diseases are toxin-mediated? What are recommendations for tetanus shot administration for wounds? Questions for Further Discussion 1.

Infectious Diseases 45

Infectious Diseases Administration CDC Pediatrics 45

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 71

Infectious Diseases EMS COPD Research 71

Taming the SRU

JANUARY 31, 2025

Taming the Sru WITH Dr. Hajdu High quality cardiopulmonary resuscitation (CPR), administration of epinephrine and defibrillation on rhythm changes when indicated should be the mainstay of treatment for cardiac arrest caused by nonshockable rhythms including pulseless electrical activity (PEA) and asystole.

Documentation/Coding 54

Documentation/Coding Infectious Diseases Resuscitation Administration 54

EMDocs

NOVEMBER 25, 2024

6 By 2030, it is estimated that Nigeria followed by the Democratic Republic of the Congo and South Sudan will have the greatest disease burden. million infected people suffer from skin disease and 1.15 doi:10.1016/S2214-109X(24)00043-3 Centers for Disease Control and Prevention (U.S.). 7 Approximately 14.6 Am J Trop Med Hyg.

Infectious Diseases 73

Infectious Diseases Emergency Department EMS Administration 73

Pediatric Education

NOVEMBER 19, 2023

They declined several routine screenings and treatments in the hospital including no Hepatitis B vaccine, Vitamin K administration and hearing screening. More commonly declined are those that are invasive requiring drawing blood or medication or vaccine administration. This cannot be prevented by prophylactic Vitamin K administration.

Infectious Diseases 40

Infectious Diseases Administration Pediatrics Wellness 40

Taming the SRU

JUNE 12, 2023

There are multiple factors to consider when managing dog and mammalian bites in the ED, including closure, prophylactic antibiotic administration, and rabies post-exposure prophylaxis. The gluteus should never be used because observations suggest administration in this area results in lower neutralizing antibody titers.

Infectious Diseases 103

Infectious Diseases Emergency Department Administration Academics 103

Cook County EM Blog

MARCH 31, 2022

Rabies, a neurotropic lyssavirus in the family rhabdoviridae, presents as a progressive encephalopathy known to have the highest case fatality rate of all known infectious diseases. The bat in question Why it Matters? As a sobering reminder, the appearance of the clinical signs and symptoms of rabies herald an almost certain death.

Infectious Diseases 52

Infectious Diseases Administration Wellness 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. In fact, the message should be, we expect a future trial will work, and in the meantime we should be able to sell the drug under emergency use authorization.

Infectious Diseases 145

Infectious Diseases Administration Hospitals Research 145

EMDocs

DECEMBER 9, 2024

50 The ACAM2000 vaccine uses a live, replication-competent Vaccinia virus, meaning it can produce additional viral particles after administration. No major contraindications have been identified other than a serious vaccine component allergy.

CDC 75

CDC Documentation/Coding Infectious Diseases Dehydration 75