EMDocs

OCTOBER 5, 2024

A 62-year-old female patient with a history of recurrent urinary tract infections (UTIs) presents to the emergency department with fever, chills, and dysuria. Pressors where indicated for septic shock (typically Norepinephrine starting at 0.05 Consider Infectious Disease consultation prior to any potential discharges.

EMS 86

EMS Infectious Diseases Sepsis Hospitals 86

EMDocs

DECEMBER 18, 2023

Septic shock is high on the differential diagnosis for this patient’s presentation. Introduction Sepsis and septic shock are life-threatening conditions characterized by severe systemic inflammation and organ dysfunction due to a dysregulated host response to infection. The patient currently resides at a skilled nursing facility.

Sepsis 75

Sepsis Fluid Resuscitation Resuscitation Shock 75

Taming the SRU

AUGUST 30, 2023

While PCT may be more specific for bacterial infections, it is flawed by still being rather non-specific and is not validated as a stand-alone diagnostic criteria for infection in the setting of the emergency department. In 7 studies with 4164 patients, PCT with a cut-off > 0.1 ng/mL (strongly recommended against antibiotics), 0.1-0.25

Infectious Diseases 88

Infectious Diseases Sepsis Emergency Department Point-of-Care Testing 88

EMDocs

JULY 15, 2023

However, it must be considered in toxic-appearing patients, those with prosthetic heart valves, artificial joints, or immunocompromised states Clinicians must keep a broad differential and consider other conditions such as necrotizing fasciitis, clostridial myonecrosis, compartment syndrome, toxic shock syndrome, etc. pneumoniae , S.

EMS 76

EMS Infectious Diseases Shock Ultrasounds 76

ACEP Now

MAY 4, 2023

Case A 37-year-old white male with no past medical history presented to the emergency department (ED) for left testicular pain, redness, and swelling. Scrotal pyocele: uncommon urologic emergency. J Emerg Trauma Shock. The pain and swelling returned days later, which prompted the patient to present to the ED.

Urgent Care 52

Urgent Care Ultrasounds Sepsis Emergency Department 52

Don't Forget the Bubbles

MARCH 4, 2024

We have teamed up with the team from the Emergency Department at Bristol Royal Hospital, who have used this as a springboard for their journal club. (It’s The children’s Emergency department sees approximately 50,000 presentations per year. International Consensus Criteria for Pediatric Sepsis and Septic Shock.

Hospitals 78

Hospitals Sepsis Fractures Emergency Department 78

RebelEM

MAY 15, 2024

Read More: Infectious Disease Society of America 2010 Clinical Practice Guidelines Life in the Fast Lane: Febrile Neutropaenia Uptodate: overview of neutropenic fever syndromes EMRAP: Risk stratification of neutropenic fever MDCalc: MASCC Score MDCalc: CISNE Score References: Ahn S, Rice TW, Yeung SJ, Cooksley T. Ann Emerg Med.

Infectious Diseases 86

Infectious Diseases Administration Sepsis Anaphylaxis 86

EMDocs

JANUARY 6, 2024

10 Dysrhythmias (more commonly ventricular), chest pain, dyspnea, acute CHF and shock are all possible. 12 This is a variant of coronary artery disease in the allograft vessels, characterized by concentric intimal hyperplasia, as opposed to the eccentric pattern seen in atherosclerosis among non-transplant coronary arteries.

EMS 73

EMS Infectious Diseases Shock Emergency Department 73

Don't Forget the Bubbles

NOVEMBER 5, 2023

In the Pediatric Infectious Disease Journal, Guo and colleagues assessed the difference in clinical characteristics between viral pneumonia and Mycoplasma pneumoniae in a large Chinese cohort. The effect of myocardial dysfunction on mortality in children with septic shock: a prospective observational study. Alves MTB, et al.

Pediatrics 105

Pediatrics Hospitals Infectious Diseases Outcomes 105

ALiEM

DECEMBER 6, 2024

A 21-year-old otherwise healthy female presented to the Emergency Department with a fever after recently returning from Ghana. Some warning signs of severe disease include abdominal pain or vomiting, hepatomegaly, signs of volume overload including ascites or pleural effusion, and an increase in hematocrit with rapid thrombocytopenia.

Academics 64

Academics Emergency Department Shock Hospitals 64

EMDocs

DECEMBER 9, 2024

Authors: Noah Kronk, MS-4 (University of Missouri-Columbia); Jessica Pelletier, DO, MHPE (APD, EM Attending Physician, University of Missouri-Columbia, USA) // Reviewed by: Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) Case A 30-year-old female presents to the emergency department (ED) with fever, fatigue, and an extensive rash.

CDC 68

CDC Documentation/Coding Infectious Diseases Dehydration 68

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. Case Resolution The patient and family remain in isolation and receive risk stratification assessment for a notifiable disease of public health concern.

Infectious Diseases 67

Infectious Diseases CDC PPE Rapid Diagnostic Testing 67

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.

Infectious Diseases 61

Infectious Diseases EMS COPD Research 61