ACEP Now

JUNE 8, 2023

Categories of pneumonia have included CAP, hospital-acquired (HAP), ventilator-associated (VAP), and, beginning in 2005, health care-acquired (HCAP). As a result, the 2019 guidelines from the Infectious Disease Society of America (IDSA) significantly rein in those patients who should receive empiric coverage for MRSA or P.

Infectious Diseases 59

Infectious Diseases Administration Hospitals Shock 59

EMDocs

JULY 1, 2023

Management of Kawasaki disease includes high-dose aspirin and intravenous immune globulin (IVIG). Patients should be admitted to the hospital and cardiology consulted early in their course. Signs and symptoms of Kawasaki disease include fever for > 5 days, unilateral cervical lymphadenopathy > 1.5 C) for the past week.

EMS 84

EMS Infectious Diseases Pediatrics Research 84

Total Medical ComplianceHIPAA

OCTOBER 9, 2024

Clean and disinfect surfaces with an EPA registered hospital level disinfectant. For dental facilities only: Dental Unit Waterlines should be shocked then tested before use. If the testing reveals failing water quality, shock and test again. OSHA would expect adequate restrooms for employees. Remember- Safety First for all!

Hazardous Materials 59

Hazardous Materials Infectious Diseases PPE Shock 59

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]. . + Procalcitonin (PCT) Etiology: PCT was first discovered in 1984. However, it was not until a 1993 study that its significance was realized.

Infectious Diseases 89

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

EMDocs

JANUARY 11, 2024

Methods This scientific statement was led by the AHA and NCS and focused on the acute and critical care management of adult cardiac arrest survivors of in-hospital and out-of-hospital cardiac arrest. Individual topics were organized by organ system, with small groups addressing each system.

Seizures 94

Seizures Shock Infectious Diseases CPR 94

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

JULY 10, 2023

In the MERCY trial, 607 critically ill patients with sepsis (most with septic shock) at 26 hospitals in Croatia, Italy, Kazakhstan, and Russia were randomized to receive meropenem by either continuous (3 g / 24 hours) or intermittent administration (1 g every 8 hours). Read in Read in Clinical Infectious Diseases

Stroke 52

Stroke Sepsis Infectious Diseases Outcomes 52

Don't Forget the Bubbles

JANUARY 10, 2024

Severe anaemia is a common and life-threatening cause of hospital admission in children in sub-Saharan Africa. 8% die in hospital, with a further 12% dying in the six months following discharge. Population 6171 children from three hospitals in Uganda and one in Malawi were assessed for eligibility. Do you believe the results?

Blood Transfusions 78

Blood Transfusions Research Outcomes Hospitals 78

ACEP Now

MAY 4, 2023

Dr. Rader works at Ascension Macomb-Oakland Hospital. Dr. Fishman is an associate program director at Ascension Macomb-Oakland Hospital. J Emerg Trauma Shock. Morgan Leadbetter works at Michigan State University College of Osteopathic Medicine. References Bruner DI, Ventura EL, Devlin JJ. 2012;5(2):206.

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 hospital is the Paediatric Major Trauma Centre for the South-West. International Consensus Criteria for Pediatric Sepsis and Septic Shock. doi:10.1001/jama.2024.0179

Hospitals 78

Hospitals Sepsis Fractures Emergency Department 78

EMDocs

OCTOBER 5, 2024

They are found primarily in hospital specimens but are increasing in frequency in samples from the community. Pressors where indicated for septic shock (typically Norepinephrine starting at 0.05 Consider Infectious Disease consultation prior to any potential discharges. IV fluid resuscitation as needed.

EMS 93

EMS Infectious Diseases Sepsis Hospitals 93

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. What are the most up-to-date guidelines for managing this patient?

Sepsis 83

Sepsis Fluid Resuscitation Resuscitation Shock 83

RebelEM

MAY 15, 2024

Follow your hospital’s protocol (if available). High Risk Patients will need hospitalization and IV antibiotics. Clinical practice guideline for the use of antimicrobial agents in neutropenic patients with cancer: 2010 update by the infectious diseases society of america, Clinical Infectious Diseases, 2011, 52(4):e56-93.

Infectious Diseases 90

Infectious Diseases Administration Sepsis Anaphylaxis 90

EMDocs

JANUARY 6, 2024

1 Indications for transplant include: Non-ischemic cardiomyopathy (49%) Ischemic cardiomyopathy (35%) Restrictive cardiomyopathy (4%) Retransplantation following failed prior transplant (3%) Hypertrophic cardiomyopathy (3%) Congenital heart disease (3%) Valvular cardiomyopathy (3%) The median survival after heart transplant is over 12 years.

EMS 80

EMS Infectious Diseases Shock Emergency Department 80

Pediatric EM Morsels

APRIL 5, 2024

(Jensenius 2004) Scrub typhus is one of the most common infectious disease in rural areas of south and southeastern Asia and the western Pacific. Travel and tick-borne diseases: Lyme disease and beyond. Travel Medicine and Infectious Disease, 2018, 26, pp.1-2. link] Parola P, and Paddock C.

CDC 164

CDC Infectious Diseases Pediatrics Shock 164

Pediatric EM Morsels

FEBRUARY 2, 2024

Hospitalization for travel-related illness are around 10% for both VFR and tourists (Leuthard 2015) Multiple studies have reported the most common travel infections in various countries. A “Syndromic” Approach for Diagnosing and Managing Travel-Related Infectious Diseases in Children. Glob Pediatr Health. 2021 May; 8:1-16.

Infectious Diseases 164

Infectious Diseases Pediatrics Sepsis Documentation/Coding 164

PEMBlog

JANUARY 17, 2024

Camargo, Clinical Trial: Comparative Effectiveness of Cephalexin Plus Trimethoprim-Sulfamethoxazole Versus Cephalexin Alone for Treatment of Uncomplicated Cellulitis: A Randomized Controlled Trial, Clinical Infectious Diseases, Volume 56, Issue 12, 15 June 2013, Pages 1754–1762, [link] Liu C, Bayer A, Cosgrove SE, et al.

Infectious Diseases 59

Infectious Diseases Sepsis Wellness Pediatrics 59

PulmCCM

JUNE 19, 2023

No drug or combination improved the primary outcome (a composite outcome of hypoxemia, visit to the emergency department, hospitalization, or death). Read in Lancet Infectious Diseases Severe hypothyroidism, although rare, may be under-recognized in the ICU and lead to worse outcomes during critical illness, authors of a case series argue.

Infectious Diseases 52

Infectious Diseases Hyperthermia / Hypothermia Outcomes Sepsis 52

Don't Forget the Bubbles

FEBRUARY 24, 2025

Two-month-old Isla presents to their local hospital following a prolonged apnoea at home. The condition increases blood viscosity and pulmonary vascular resistance, leading to pulmonary hypertension, haemodynamic collapse, and, ultimately, death due to hypoxaemia and refractory shock. They had a two-day history of reduced feeding.

Pediatrics 59

Pediatrics Outcomes Blood Transfusions Sepsis 59

EMDocs

FEBRUARY 8, 2025

On chart review, a sputum culture collected during a recent hospital visit grew a species of Aspergillus. 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. mortality: 42-63% 5 Invasive Candida spp.

Infectious Diseases 65

Infectious Diseases EMS COPD Research 65

Don't Forget the Bubbles

NOVEMBER 5, 2023

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). Hospital Admissions for Abusive Head Trauma Before and During the COVID-19 Pandemic. Can’t get enough of Bubble Wrap? Healy CM, et al. JAMA Pediatr.

Pediatrics 105

Pediatrics Hospitals Infectious Diseases Outcomes 105

ALiEM

DECEMBER 6, 2024

While in Ghana, she volunteered at a refugee hospital, ate street food, and was exposed to local animals. Although mild cases of dengue can be treated supportively, more severe cases typically require hospitalization. Severe dengue can present with shock, volume overload, severe bleeding, encephalopathy, and liver failure.

Academics 64

Academics Emergency Department Shock Hospitals 64

EMDocs

DECEMBER 9, 2024

Patients who do not require hospitalization can be discharged with instructions to strictly quarantine from others, including mammals (dogs, cats, etc.), as these animals can contribute to the spread of disease. Special populations that might be considered for treatment include: Patients with severe disease (e.g., 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. Case Resolution The patient and family remain in isolation and receive risk stratification assessment for a notifiable disease of public health concern.

Infectious Diseases 72

Infectious Diseases CDC PPE Rapid Diagnostic Testing 72