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2023 Critical Care Year in Review (Part 1)

PulmCCM

Sepsis, infectious disease Managing septic shock with a restrictive-fluids approach (preferentially using vasopressors after a single liter crystalloid bolus) led to similar outcomes as the usual practice of bolusing large volumes of fluids first. I hope you continue to find it valuable. Wishing you all a safe and happy holiday season!

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The PROPHY-VAP Trial: Ceftriaxone to Prevent VAP in Patients with Acute Brain Injury

RebelEM

Background: Ventilator-associated pneumonia (VAP), or what the CDC recently renamed infection-related ventilator-associated complication (IVAC), is defined as a nosocomial pneumonia occurring on day 3 of mechanical ventilation that was preceded by 2 days of stable or decreasing ventilator requirements. 4, 8 Paper: Dahyot-Fizelier, C.,

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Episode 23 - Influenza Diagnosis and Management in the Emergency Department

EB Medicine

Jeff: The information contained in this article comes from articles found on pubmed, the cochrane database, center for disease control, and the world health organization. Additionally, guidelines were reviewed from the american college of emergency physicians, infectious disease society of america, and the american academy of pediatrics.

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EM@3AM: Neurosyphilis

EMDocs

cognitive and behavioral impairment) – 33% Ataxia – 28% Stroke – 23% Ophthalmic symptoms (e.g., Consultation with an infectious disease and neurology specialist can be considered to guide treatment and proper disposition. The following is a list of some of the most common signs and symptoms in order of frequency.

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ED care of refugee populations from sub-Saharan Africa

EMDocs

Open-access image source: By M.Bitton – Own work, CC BY-SA 3.0, [link] Infectious Disease Exposure It is estimated that, on average, refugees seeking refuge in Uganda visit a health facility 1.8 times per month and that 80-120 refugees are screened daily for infectious diseases in the triage and emergency units.