PHEM Cast

SEPTEMBER 25, 2019

Sepsis Click for UK Sepsis Trust guidance for different clinical settings. Parenteral penicillin for children with meningococcal disease before hospital admission: case-control study. Scroll down for the Screening and Action tool for under 5s for prehospital care and ambulance services. 2006 Jun 3;332(7553):1295–8.

Ambulance Services 52

Ambulance Services Sepsis Burns Hospitals 52

EMDocs

NOVEMBER 27, 2023

Authors: Katey DG Osborne, MD (EM Attending Physician; Tacoma, WA), Rachel Bridwell, MD (EM Attending Physician; Tacoma, WA) // Reviewed by: Alex Koyfman, MD (@EMHighAK, EM Attending Physician, UTSW / Parkland Memorial Hospital) and Brit Long, MD (@long_brit, EM Attending Physician, San Antonio, TX) Welcome to emDOCs revamp!

EMS 91

EMS Sepsis Burns EKG/ECG 91

ALiEM

FEBRUARY 9, 2024

These in the high-risk category are usually admitted to the hospital to assess for AMI as well as other causes of troponin elevation. The discomfort has a burning character, though he has never been diagnosed with reflux before. as seen in heart failure, arrhythmias, or sepsis). It started 2 hours ago.

EKG/ECG 110

EKG/ECG Emergency Department Burns Wellness 110

Taming the SRU

AUGUST 30, 2023

In a small study involving 79 hospitalized children, PCT was found to be elevated in bacterial infections, with a decrease after appropriate antibiotic therapy, and decreased in viral infections [24]. However, PCT can be elevated in severe trauma, such as burns or surgery [5,25]. days (secondary endpoint) [51]. Cleland DA, Eranki AP.

Infectious Diseases 89

Infectious Diseases Sepsis Emergency Department Point-of-Care Testing 89

EB Medicine

NOVEMBER 1, 2018

It was peer reviewed by Dr. O’Keefe and Dr. Silverberg from Florida State University College of Medicine and Kings County Hospital, respectively. Jeff: And unlike past issues covering more common pathologies, like, say, sepsis, this month’s team reviewed much more literature than just the past 10 years. That’s -- high.

Emergency Department 40

Emergency Department Burns EKG/ECG Shock 40

PulmCCM

FEBRUARY 19, 2024

Let Families Activate Rapid Response Teams, Says SCCM The Society of Critical Care Medicine (SCCM) issued a new guideline on how hospitals and care teams should respond to emergencies outside the ICU or ED (i.e., SCCM now suggests this should be a standard practice at most hospitals. on the medical and surgical wards). Read it here.

Hospitals 52

Hospitals Resuscitation Burns Documentation/Coding 52

Taming the SRU

JULY 21, 2023

link] A patient presents with an itchy and burning feeling on their eyelids. In infants, this can represent a medical emergency as it can quickly lead to orbital cellulitis and sepsis. Hospitalization and emergent ophthalmology consultation are warranted, in addition to IV broad spectrum antibiotics. Accessed April 15, 2022.

Emergency Department 88

Emergency Department EMS Burns Wellness 88

Don't Forget the Bubbles

AUGUST 4, 2024

The Bubble Wrap Plus is a monthly Paediatric Journal Club reading list from Professor Jaan Toelen (University Hospitals Leuven) and Dr Anke Raaijmakers (Sydney Children’s Hospital). The Journal of Pediatrics published an article on education interventions to reduce diagnostic errors in burned or bruised patients suspected of abuse.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Pediatrics Burns Sepsis 52

EMDocs

JANUARY 20, 2025

Sepsis There has been much controversy over the last two decades around the various nuances of volume resuscitation in ED patients with suspected sepsis, much of which goes beyond the scope of this limited review. 2024, 33 use of ultrasound may lead to a reduction in mortality, less volume of fluids given, and decreased hospital stay.

Dehydration 73

Dehydration Fluid Resuscitation Sepsis Resuscitation 73

Taming the SRU

JUNE 6, 2023

Allows for the patient to be held for a psychiatric evaluation Varies greatly based on state laws In OH, this means patient can be held for 24h prior to being evaluation by a psychiatrist & may be held for additional 72h after that initial evaluation is performed In OH, can be signed by physician, psychologist, mental health NP, mental health clinical (..)

Documentation/Coding 64

Documentation/Coding Seizures Psychiatric Wellness 64

EMDocs

FEBRUARY 8, 2025

On chart review, a sputum culture collected during a recent hospital visit grew a species of Aspergillus. accounts for 20% of all IFIs 3 Specific Risk Factors: HIV/AIDS (#1 risk factor), organ transplant 1 Candida auris Globally distributed, nosocomial infection and hospital outbreaks 1 Candida spp.

Infectious Diseases 65

Infectious Diseases EMS COPD Research 65

Sensible Medicine

DECEMBER 31, 2024

In the 1840’s, Semmelweis was the equivalent of a modern-day Chief Resident (sans work hours limitations) on an obstetric ward at Vienna General Hospital. He developed sepsis very similar to puerperal fever and died. This time, it was the GBD authors who were the witches burned at the stake.

Sepsis 145

Sepsis CDC Burns Academics 145