EMDocs

APRIL 27, 2024

However, the bioavailability of antipseudomonal antibiotics has improved outcomes, limiting surgery as a confirmatory diagnostic procedure and as needed for granulation tissue removal. Infectious diseases , 4 (1), 34–39. Infectious diseases, 4(1), 34–39. and Staphylococcus spp. The Lancet. link] Grandis, J.,

EMS 102

EMS Infectious Diseases Radiology Radiology 102

EMDocs

MAY 9, 2024

judgment vs. negligence” and “causation,” or the likelihood of a better outcome with earlier surgery). The defense would hire highly qualified experts in emergency medicine, ENT, neurosurgery, infectious disease, nursing, etc.,

Seizures 101

Seizures Dehydration Documentation/Coding Infectious Diseases 101

RebelEM

FEBRUARY 29, 2024

1, 2 Its occurrence often portends worse outcomes in intubated patients, whose projected hospital course was already tenuous. SECONDARY OUTCOMES At day 28 , ceftriaxone group had (vs placebo): Lower VAP risk (20% vs 36%); hazard ratio 0.62 4, 8 Paper: Dahyot-Fizelier, C.,

CDC 111

CDC Radiology Radiology Head Injuries 111

Sensible Medicine

JUNE 6, 2023

Two nearly identical trials of the monoclonal drug aducanumab, ENGAGE and EMERGE, had disparate outcomes: ENGAGE showed no benefit and EMERGE showed that the drug slowed decline. This seemed important to consider, and so we looked at whether outcomes in trials of monoclonal antibodies for AD correlated with rates of ARIA.

Outcomes 96

Outcomes Infectious Diseases Research Academics 96

PulmCCM

NOVEMBER 6, 2023

This could inform responses in future infectious disease outbreaks; one key seems to be to ensure high titers of neutralizing antibody (at least 1:320 in this study) are present in donor plasma. Thromboelastometry (e.g., The others either improved without it (n=17), deteriorated (n=2) or experienced technical failures (n=8).

Blood Transfusions 98

Blood Transfusions Operations Infectious Diseases Resuscitation 98

PulmCCM

FEBRUARY 5, 2024

Fever in the ICU: Guideline Update The Society of Critical Care Medicine (SCCM) and the Infectious Diseases Society of America (IDSA) issued an interim update to their 2008 recommendations for the management of fever in the ICU. PulmCCM is not affiliated with SCCM or IDSA. °C oral measured multiple times).

Best Practices 111

Best Practices Ultrasounds Infectious Diseases Sepsis 111

EM Curious

JULY 8, 2015

More FOAMed INFECTIOUS DISEASE SMORGASBORD CORE EM PODCAST EPISODE 3 [PODCAST]: Swami sits down to run over some high yield EM topics in the arena of infectious disease, from antibiotic choice in HCAP, to new paradigms in soft tissues infectious. With a bonus brief on disaster management.

Infectious Diseases 52

Infectious Diseases Disaster Management Sepsis Ultrasounds 52

Taming the SRU

AUGUST 30, 2023

Spinal Infection: According to the Infectious Disease Society of America’s (IDSA) 2015 guidelines for native vertebral osteomyelitis, CRP and ESR in the setting of protracted back pain have sensitivities ranging from 94 to 100% for ruling out infection and malignancy in these patients. J Arthroplasty. 2019 Feb;34(2S):S187-S195.

Infectious Diseases 89

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

The Skeptics' Guide to EM

MARCH 18, 2023

Association of early oseltamivir with improved outcomes in hospitalized children with influenza, 2007-2020. Guest Skeptic: Dr. Marisu Rueda-Altez is a pediatric infectious disease fellow at Children’s National Hospital in Washington, DC. JAMA Pediatr. JAMA Pediatr. JAMA Pediatr.

Pediatrics 40

Pediatrics Infectious Diseases Administration Outcomes 40

Pediatric Education

MAY 26, 2024

The pediatrician said that the child was overall healthy and thriving, with the usual minor infectious disease episodes. The long-term health outcomes for children in childcare are difficult to assess. Multiple Childcare Arrangements and Health Outcomes in Early Childhood. but not for injuries. but not for injuries.

Infectious Diseases 40

Infectious Diseases Pediatrics Outcomes Wellness 40

Pediatric EM Morsels

AUGUST 9, 2024

If not treated early, then increased risk of poor outcomes and death. Maternal screening early in pregnancy is the best means to prevent congenital syphilis. Penicillin is 98% effective at preventing congenital syphilis. Hussain, 2023 ] Excellent prognosis if treated early.

Hyperthermia / Hypothermia 154

Hyperthermia / Hypothermia Emergency Department Seizures Pediatrics 154

RCEM Learning

APRIL 9, 2024

By following these steps and dedicating sufficient time and effort to your preparation, you can increase your chances of achieving a favourable outcome. Remember, consistent practice and exposure to a variety of SBA questions are key to success in the FRCEM SBA exam. The post FRCEM SBA appeared first on RCEMLearning.

Infectious Diseases 52

Infectious Diseases Airway Management Resuscitation Poisoning 52

American Medical Compliance

AUGUST 7, 2024

PPEs that OSHA mandates minimize exposure to infectious diseases, ensuring that healthcare workers are adequately protected during patient care. Additionally, OSHA guidelines require the proper handling and disposal of hazardous materials.

Hazardous Materials 105

Hazardous Materials Documentation/Coding Legal Issues Infectious Diseases 105

PEMBlog

JANUARY 21, 2025

Diagnostic Costs : Influenza rapid diagnostic tests: $100-$200 Risk Stratification : Young children (<5 years), particularly those <2 years, and children with chronic conditions such as asthma or immunosuppression, are at higher risk for severe outcomes.

Rapid Diagnostic Testing 52

Rapid Diagnostic Testing Pediatrics Dehydration Outcomes 52

EMDocs

OCTOBER 10, 2024

A delay in antibiotics administration was unfortunate but no one can say on a “more probable than not” basis that earlier treatment would have changed the outcome. Takeaways : There are more questions than answers in this case, but: This is a common outcome. Is it possible that the two were un-related? No case was filed.

Documentation/Coding 93

Documentation/Coding Hospitals Sepsis Infectious Diseases 93

Pediatric EM Morsels

AUGUST 11, 2023

Infections there become complicated very quickly and the outcomes can be very poor. Inpatient Vs Outpatient Therapy No standard approach… but… here is what I say: “ Always Fear Infections in the Hands, Feet, or Face.” ” Those areas have very important and delicate structures.

Burns 130

Burns Pediatrics EMS Outcomes 130

PulmCCM

JULY 17, 2023

vs 2.5%, a prespecified outcome. Read in Lancet Infectious Diseases Tranexamic acid for severe hemorrhage after trauma (PATCH) An astonishing 2 million people die from bleeding after trauma each year around the world, it is estimated. The findings met the prespecified threshold for non-inferiority margin set at 10%.

Infectious Diseases 52

Infectious Diseases Outcomes Operations Research 52

PulmCCM

JULY 10, 2023

At 28 days, there were no observed differences in the primary outcome (an odd composite of mortality and emergence of antibiotic resistance), and no difference in survival at 90 days. Read at FDA Paxlovid appears to improve outcomes from Covid-19 infection in younger patients with significant comorbidities , but not in healthy young adults.

Stroke 52

Stroke Sepsis Infectious Diseases Outcomes 52

Don't Forget the Bubbles

JANUARY 10, 2024

Some wonder if giving blood to children with a haemoglobin <6g/dl will improve outcomes. Outcomes Primary outcome Mortality at 28 days after randomisation. The authors chose a patient-centred, primary outcome in keeping with their pragmatic design. What were the research questions? The study asked TWO questions: 1.

Blood Transfusions 78

Blood Transfusions Research Outcomes Hospitals 78

Don't Forget the Bubbles

MARCH 18, 2024

Clinical Infectious Diseases [Internet]. Disease severity of Shiga toxin-producingE. Disease severity of Shiga toxin-producingE. Early Volume Expansion and Outcomes of Hemolytic Uremic Syndrome. Treatment and outcome of Shiga-toxin-associated hemolytic uremic syndrome (HUS). 2016 Jan;6(1):e009933.

Dehydration 59

Dehydration Infectious Diseases Seizures Pediatrics 59

The Skeptics' Guide to EM

MARCH 4, 2018

Currently, the Infectious Diseases Society of America ( IDSA ) guidelines for patients with cellulitis without systemic signs of infection, penetrating trauma, injection drug use, or other evidence of MRSA recommend only prescribing antibiotics against streptococci (1). .

Infectious Diseases 40

Infectious Diseases Documentation/Coding Ultrasounds Outcomes 40

Sensible Medicine

SEPTEMBER 25, 2023

This has the effect of balancing known and unknown factors, which could affect the primary outcome. The primary outcome of interest was excess burden of multiorgan abnormalities (two or more organs) relative to controls. This study, however, is not an RCT, it is an observational comparison, looking back at results in two groups.

Infectious Diseases 52

Infectious Diseases Hospitals Outcomes Research 52

EM Ottawa

JUNE 10, 2024

Findings: The primary outcome of recurrence of UTI within 30 […] The post Short Oral Antibiotic Therapy for Pediatric Febrile Urinary Tract Infections: A Randomized Trial appeared first on EMOttawa Blog.

Pediatrics 63

Pediatrics Outcomes Infectious Diseases 63

Don't Forget the Bubbles

FEBRUARY 28, 2024

Outcomes were: (1) crusting of the lesions; then (2) complete healing of lesions -the end goal of treatment. Was the exposure and outcome accurately measured to minimise bias? There were no objective tests to confirm disease clearance. It was not clear if there was any vested interest in ensuring a certain outcome.

Pediatrics 59

Pediatrics Infectious Diseases Outcomes Research 59

Dr. No

DECEMBER 19, 2021

Graham Medley , professor of infectious disease modelling at LSHTM, and chief pongo for the time being of SAGE’s modelling group SPI-M, defends the group’s practice of ‘giving the decision makers the information they ask for’ Read that again, and let it sink in.

Infectious Diseases 52

Infectious Diseases Outcomes Dehydration Operations 52

ACEP Now

MARCH 6, 2024

The PATCH-Trauma trial took a critical look at TXA in major trauma in the advanced trauma systems of Australia and found a mixed result: a slightly greater number of patients were still alive six months following TXA administration, but there was no difference in survival with a good functional outcome. percent to 38.3

Research 52

Research Airway Management Stroke Outcomes 52

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

Pediatric Education

MAY 12, 2024

These differences can be very important for outcomes of research studies. They can also be important for monitoring of clinical outcomes of treatment in gastroenterological diseases. Stool consistency is only one factor in assessing clinical or research outcomes, including where the stool was produced (i.e.

Pediatrics 40

Pediatrics Infectious Diseases Research Outcomes 40

EMDocs

JANUARY 11, 2024

Systems included neurological, cardiac, pulmonary, hematology, infectious disease, gastrointestinal, endocrine, fluids management, and general critical care. Centers managing patients after CA should collect data and evaluate outcomes of care (95.7%, 22/23).

Seizures 94

Seizures Shock Infectious Diseases CPR 94

Pediatric Education

AUGUST 20, 2023

Related Cases Disease: Abscesses | Liver Diseases | Liver Transplantation Symptom/Presentation: Health Maintenance and Disease Prevention Specialty: Gastroenterology | Infectious Diseases | Surgery Age: School Ager To Learn More To view pediatric review articles on this topic from the past year check PubMed.

Pediatrics 40

Pediatrics Infectious Diseases Wellness Sepsis 40

Emergency Medicine Education

MARCH 30, 2023

88275 patients reviewed and in hospital mortality and discharge to hospice as a primary outcome measured. JAMA published a retrospective cohort study among septic patients who received vasopressor (norepinephrine) and hydrocortisone to show if adding fludrocortisone was more effective to this regimen compare with only giving hydrocortisone.

Hospice 40

Hospice Outcomes Hospitals Infectious Diseases 40

ALiEM

AUGUST 21, 2023

Risk factors for poor outcomes include immunocompromise (HIV, diabetes, immunosuppression), intravenous drug use, peripheral vascular disease, and polymicrobial infection. Antibiotics should target gram-positive organisms (Staphylococcus, including MRSA, and Streptococcus).

Academics 52

Academics Outcomes Hospitals Wellness 52

EMDocs

NOVEMBER 16, 2024

13 Management: Dislocation As with all dislocation, early reduction improves outcomes. Infections For stable patients, obtain microbiologic samples prior to antibiotics (per the American Academy of Orthopedic surgery and The Infectious Diseases Society of America). 7,8 Majority are managed operatively. 2015;97(17):1386-1397.

EMS 94

EMS Dislocations Fractures Operations 94

EMDocs

OCTOBER 5, 2024

12 Complications Inadequate empiric therapy can lead to treatment delays and worse outcomes. Imipenem confers highest risk of seizures ESBL-E are often hospital acquired infections and can prolong hospital stay or lead to worse outcomes. Consider Infectious Disease consultation prior to any potential discharges.

EMS 93

EMS Infectious Diseases Sepsis Hospitals 93

Pediatric EM Morsels

SEPTEMBER 20, 2024

HUS findings: Microangiopathic hemolytic anemia , Renal failure , and Thrombocytopenia The most dreaded outcomes of HUS include need for renal replacement therapy both short and long term and unfortunately death. It is critical to detect HUS early in its disease course to ensure the best outcomes. 2021 May;232:200-206.e4.

Pediatrics 164

Pediatrics Ultrasounds Dehydration Emergency Department 164

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. Raad, II, et al.,

Infectious Diseases 90

Infectious Diseases Administration Sepsis Anaphylaxis 90

Don't Forget the Bubbles

MARCH 4, 2024

This was a secondary outcome embedded in the Travel Fever study – a multi-centre, retrospective diagnostic accuracy study for imported malaria. Safety and efficacy of a nitrous oxide procedural sedation programme in a paediatric emergency department: a decade of outcomes. Emerg Med J. 2024 Jan 22;41(2):76-82. PMID: 38123983.

Hospitals 78

Hospitals Sepsis Fractures Emergency Department 78