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EM@3AM: Murine Typhus

EMDocs

The disease is generally mild, but in untreated cases, it can lead to more severe outcomes, especially in patients with underlying conditions such as glucose-6-phosphate dehydrogenase deficiency. Even though the disease often resolves spontaneously, prompt antibiotic therapy is essential for optimal outcomes. and Sarah L.

EMS 101
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The Latest in Critical Care, 2/5/24 (Issue #28)

PulmCCM

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).

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#FOAMed Review 51st Edition

EM Curious

ULTRASOUND GOODIE BAG ULTRASOUND FOR LATE PREGNANCY [PODCAST]: While not a routine exam we perform other than confirming fetal heart tones, definitely some great pearls on more advanced US topic. Consider an ultrasound guided ulnar nerve block. Part 1 here. US GUIDED ULNAR NERVE BLOCK [BLOG]: Boxer's fracture need a reduction?

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Diagnostics: Inflammatory Markers

Taming the SRU

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.

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The Latest in Critical Care, 7/10/23 (Issue #8)

PulmCCM

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
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SGEM#209: Cephalexin – You Are My Only One for Uncomplicated Cellulitis

The Skeptics' Guide to EM

With point of care ultrasound, you diagnose cellulitis without the presence of an abscess affecting a 6cm diameter area. Case: A 22-year-old male with no significant past medical history arrives to your department for an area of tender erythema to the right forearm for two days that has grown in size without purulence or drainage.

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AHA/NCS Statement on Critical Care Management of Post ROSC Patients

EMDocs

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).