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EM@3AM: Malignant/Necrotizing Otitis Externa

EMDocs

The changing face of malignant (necrotising) external otitis: clinical, radiological, and anatomic correlations. Infectious diseases , 4 (1), 34–39. The changing face of malignant (necrotising) external otitis: clinical, radiological, and anatomic correlations. Infectious diseases, 4(1), 34–39. The Lancet.

EMS 83
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Discitis

Don't Forget the Bubbles

Radiological resolution can take time. Infectious spondylodiscitis. Clinical Infectious Diseases. Pediatric Radiology. Vertebral osteomyelitis: assessment using MR. Radiology. Infectious Discitis and Spondylodiscitis in Children. It is also used to monitor improvement/resolution. Discitis in children.

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A Rolling Stone Without a Home: Bouveret Syndrome on PoCUS

EM Ottawa

POCUS demonstrated signs of small bowel obstruction and subsequently guided the decision to pursue radiology-performed imaging. In this case, the patient presented with abdominal pain and a known history of cholelithiasis.

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Reopening After A Hurricane: Steps for Healthcare Facilities to Ensure Safety and Compliance

Total Medical ComplianceHIPAA

Maintenance should be performed on any equipment before using in the delivery of patient care, this includes autoclaves, suction lines, ultrasounds, radiology equipment, etc. Sterilized instruments that have become compromised should be cleaned, repackaged and sterilized again. Perform spore testing on autoclaves prior to use.

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Spring 2019: Healthcare Updates to Know

Advanced Medical Reviews

Department of Health and Human Services recently released a report addressing the country’s ability to address threats in the following areas: extreme weather and natural disasters, pandemic and infectious diseases, technology and cyber threats and chemical, biological, radiological and nuclear threats.

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The PROPHY-VAP Trial: Ceftriaxone to Prevent VAP in Patients with Acute Brain Injury

RebelEM

It is possible that the ceftriaxone altered baseline bacterial colonization within the respiratory tract, causing cultures to be negative despite positive clinical and radiological signs, leaving room for a false negative diagnosis. SECONDARY OUTCOMES At day 28 , ceftriaxone group had (vs placebo): Lower VAP risk (20% vs 36%); hazard ratio 0.62

CDC 126
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REBEL Core Cast 107.0 – Vertebral Osteomyelitis

RebelEM

Executive Summary: 2015 Infectious Disease Society of America (IDSA) Clinical Practice Guidelines for the Diagnosis and Treatment of Native Vertebral Osteomyelitis in Adults. Diagnostic Radiology: Musculoskeletal and Breast Imaging. Graphics Image 1: [link] Image 2: [link] References Berbari EF, Kanj SS, et al.