All Ohio EM

NOVEMBER 7, 2018

Bottom line: the CDC is wrong. If they have 2 of the 4 criteria (shock index > 1, penetrating mechanism, positive FAST, pelvic fracture), go ahead and start the MTP early. While permissive hypotension is all the rage in hemorrhagic shock, head injured patients are the exception. w 25% Albumin 1.5g/kg in the ED).

Leadership 40

Leadership CDC Shock Fractures 40

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

PulmCCM

OCTOBER 16, 2023

There’s no randomized trial data to support this practice, and the Healthcare Infection Control Practices Advisory Committee (HICPAC, whose recommendations CDC generally adopts) has advised against routine replacement of central lines as an infection prevention strategy. At some centers, central lines are regularly replaced (e.g.,

CDC 52

CDC Hospitals Ultrasounds Documentation/Coding 52

ACEP Now

SEPTEMBER 13, 2023

Working closely with the CDC, I came to know a lot about rural medicine and how to improve it,” he says, guessing he may have been tapped for the committee through his work as principal investigator on more than $6.1 million in federal grants. Accidental Death and Disability: The Neglected Disease of Modern Society. National Academics.

EMS 45

EMS Research Military Academics 45

PEMBlog

JUNE 5, 2024

Sasser SM, Hunt RC, Faul M, Sugerman D, Pearson WS, Dulski T, Wald MM, Jurkovich GJ, Newgard CD, Lerner EB; Centers for Disease Control and Prevention (CDC). You should also consider the possibility of quote unquote spinal shock. than it is spinal shock. Lancet Child & Adolescent Health. MMWR Recomm Rep. PMID: 22237112.

Fractures 52

Fractures Pediatrics Radiology Radiology 52

EB Medicine

MAY 3, 2019

Jeff: If those figures seem a bit high, another CDC study found that in a general population survey of a quarter million people between 2006-2008, 9% met the criteria for major depression. Jeff: And while it seems crass to even mention the financial impact, the number is shocking - suicide has an estimated economic burden of $5.4

Emergency Department 40

Emergency Department Psychiatric Documentation/Coding Outcomes 40

EMDocs

AUGUST 15, 2023

Background: According to the Center for Disease Control (CDC), approximately 7,000-8,000 people in the United States (US) suffer envenomation by a snake each year. Venomous Snakes | NIOSH | CDC. What antivenoms are available to treat crotalid envenomation? What is the dosing schedule for antivenom? Treatment of snakebite poisoning.

Poisoning 97

Poisoning CDC Administration EMS 97

Pediatric EM Morsels

APRIL 5, 2024

However, it is often overlooked that tickborne illnesses are among the most common travel-related illnesses globally (CDC Traveller’s Health 2017). CDC 2024) Generally, most ticks require >24 hours of attachment for there to be a risk of transfer of the infectious agent.

CDC 164

CDC Infectious Diseases Pediatrics Shock 164

RebelEM

NOVEMBER 11, 2024

compared cefepime to piperacillin-tazobactam in a cohort of 250 patients with septic shock and found a signal toward higher mortality in those receiving cefepime. Surviving sepsis campaign: international guidelines for management of sepsis and septic shock 2021. In 2021, Buckley et. 3 The same year, Ross et. JAMA Intern Med.

Sepsis 101

Sepsis Outcomes Administration Shock 101

Pediatric EM Morsels

FEBRUARY 2, 2024

In 2013 this number had reached over 1 billion (Leuthard 2015) Diarrhea is the most common travel-related diagnosis in multiple studies and accounts for around 40 – 60% (Leuthard 2015, Hagmann 2014) Systemic febrile illnesses (18%) and dermatologic disorders (17%) were the next most common (Hagmann 2014) Systemic febrile illnesses most commonly (..)

Infectious Diseases 164

Infectious Diseases Pediatrics Sepsis Documentation/Coding 164

PulmCCM

MARCH 4, 2024

They kept a “septic shock” category for those requiring vasopressors or with lactate >5 mmol/L. Reliance on SIRS in children has resulted in large numbers of false positive sepsis cases and overtreatment with antibiotics, experts say.

Sepsis 52

Sepsis CDC Pediatrics Documentation/Coding 52

Sensible Medicine

AUGUST 14, 2024

In his work, Dr. Goldwater describes a kind of toxic-shock (cytokine) reaction in the body that results from the combination of a cold virus plus being infected with a common bacterium—each pathogen relatively harmless on its own but deadly together. million babies born in 2020, and the CDC reports there were about 1,389 SIDS deaths.

CDC 94

CDC Sepsis Research Pediatrics 94

ALiEM

JUNE 5, 2023

Bacillus anthracis Group A streptococcus Pseudomonas aeruginosa Staphylococcus aureus (Photo credit: CDC/ James H. Notify the CDC via the National Notifiable Disease Surveillance System. Which of the following is the most likely explanation for this skin lesion in a worker handling sheep hides? Chambers J, Yarrarapu SNS, Mathai JK.

Infectious Diseases 102

Infectious Diseases CDC PPE Military 102

EMDocs

MARCH 11, 2024

The clinical picture of this patient was consistent with hypovolemic shock secondary to acute cholera infection. 18 Patients with signs and symptoms of severe dehydration or shock, including stupor, coma, uncontrollable vomiting, extreme fatigue that prevents drinking, and unstable vital signs should receive IV fluid resuscitation.

Dehydration 107

Dehydration CDC Rapid Diagnostic Testing Fluid Resuscitation 107

Sensible Medicine

NOVEMBER 23, 2024

As far as anyone can tell, no one has been fired from the CDC for their production of a flawed test for SARS-CoV2 in February 2020. The shocking Congressional testimony of NIAID scientist David Morens in May 2024 has brought this issue into sharp focus and raised ire among lawmakers and the public.

Infectious Diseases 141

Infectious Diseases Research Leadership Academics 141

EMDocs

DECEMBER 9, 2024

The outbreak spread to four additional African countries, leading the Africa CDC to declare it a Public Health Emergency of Continental Security. 43 As shown in Table 1, the CDC recommends acetaminophen or NSAIDs for general pain relief, with gabapentin or opioids reserved for more severe cases. In: CDC Yellowbook. 43 Table 3.

CDC 72

CDC Documentation/Coding Infectious Diseases Dehydration 72

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. She is sent to the medical ward after three days in the ED with the diagnoses of resolving septic shock, severe malaria, and AKI. 57 Table 2.

Infectious Diseases 72

Infectious Diseases CDC PPE Rapid Diagnostic Testing 72

Sensible Medicine

SEPTEMBER 4, 2024

Biden-Harris’ CDC recommends boosters even for people who have had COVID 4 times before. It’s shocking how many of you read and support our effort. Here is Vinay Prasad: Harris plans to continue Biden’s agenda, as such, there are 4 ways in which she is anti-science. Subscribe now Thanks for reading Sensible Medicine.

Administration 130

Administration Operations CDC Documentation/Coding 130