Fri.Apr 04, 2025

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Are Prophylactic Antibiotics Needed For Facial Fractures?

The Trauma Pro

The use of prophylactic antibiotics in patients with facial fractures has been controversial since forever. Some trauma professionals argue that these fractures, many of which involve a sinus or the mouth, should be considered as open fractures. Several studies on the use of antibiotics prophylactically, preoperatively, and postoperatively have shown a significant amount of variability.

Fractures 113
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A Call for Parentalism in Medicine

Sensible Medicine

VB is an 88-year-old woman. She had remained vigorous into her mid ‘80s, biking and playing pickle-ball with younger friends. She was admitted to the hospital with an MI. She had come to the emergency room with five days of chest pain. There were ST elevations across all the precordial leads and signs of heart failure on physical exam. Troponin level was 500 and declining.

Hospice 58
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Podcast Episode: The Unvaccinated Child with Fever

PEMBlog

This episode of PEM Currents: The Pediatric Emergency Medicine Podcast focuses on the approach to unvaccinated or undervaccinated children aged 336 months presenting to the ED with fever. Host Brad Sobolewski reviews differences in immune response, risk for serious and invasive bacterial infections, and outlines evaluation strategies including labs, imaging, and empiric antibiotics.