RebelEM

FEBRUARY 29, 2024

Patient data anonymized when presented to adjudication committee to avoid detection bias Well-balanced patient characteristics between groups. It was hypothesized that ceftriaxone may impact bacterial colonization, and further research should characterize respiratory flora prior to initiation of prophylactic antibiotics.

CDC 111

CDC Radiology Radiology Head Injuries 111

ACEP Now

MAY 9, 2024

It has been well over a year since the controversial publication of the Agency for Healthcare Research and Quality (AHRQ) report on diagnostic errors in the emergency department (ED). Patient safety and diagnostic errors research is critical to the design of a health system in which errors are minimized.

Emergency Department 52

Emergency Department Research Infectious Diseases Hospitals 52

Don't Forget the Bubbles

JANUARY 10, 2024

The factorial design chosen by Dr Maitland and her research group means that several comparisons in transfusion practice could be carried out at the same time. What were the research questions? Does the study address a clearly focused research question? Groups were well matched at baseline. N Engl J Med.

Blood Transfusions 78

Blood Transfusions Research Outcomes Hospitals 78

Pediatric Education

OCTOBER 8, 2023

The diagnosis of a healthy female was made who would be traveling to an area endemic for several infectious diseases. The pediatrician consulted the Centers for Disease Control website for vaccine recommendations for the Congo which indicated the need for malaria prophylaxis as well as Yellow Fever and Typhoid vaccine.

Infectious Diseases 40

Infectious Diseases Pediatrics Military Wellness 40

Don't Forget the Bubbles

FEBRUARY 28, 2024

Yes, the study made its aims clear and tried to contribute data to an area of research where there is currently a paucity. This ttechnique relies on the researcher’s judgement, making it subject to bias, affecting validity. European Journal of clinical microbiology and infectious diseases. Antiviral Research.

Pediatrics 59

Pediatrics Infectious Diseases Outcomes Research 59

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 EM Morsels

SEPTEMBER 20, 2024

Though most children recover well after STEC is cultured from their stool, some will go on to display the findings that make up HUS. The most notable varietal of the STEC is E.coli 0157:H7 (do you remember that from medical school?). E.coli 0157:H7 may lead to HUS in young children ( ~15% ).

Pediatrics 164

Pediatrics Ultrasounds Dehydration Emergency Department 164

RebelEM

MAY 15, 2024

The loss of these cells leads to immunosuppression as well as decreased responsiveness of the immune system as a whole Patients with neutropenia will not only get very sick very quickly, but also will have blunted immune response and may not localize signs of infection well Fever or malaise may be their only presenting symptoms.

Infectious Diseases 90

Infectious Diseases Administration Sepsis Anaphylaxis 90

The Skeptics' Guide to EM

NOVEMBER 28, 2020

He is the President of the national charity Canadian Association of Physicians for the Environment (CAPE), as well as the co-founder and co-chair of the local non-profit the Calgary Climate Hub, and […] The post SGEM#309: That’s All Joe Asks of You – Wear a Mask first appeared on The Skeptics Guide to Emergency Medicine.

Infectious Diseases 52

Infectious Diseases Operations Outcomes Wellness 52

EMDocs

JANUARY 6, 2024

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. 15 The exact incidence or acute coronary syndrome in heart transplant patients is not well characterized.

EMS 80

EMS Infectious Diseases Shock Emergency Department 80

EMDocs

DECEMBER 18, 2023

1 However, given that the benefit for patients with sepsis who are not in shock is not as apparent if the diagnosis is unclear, antibiotics can be delayed for up to three hours to allow further infectious workup and avoid inappropriate antibiotic delivery. Aditum Journal of Clinical and Biochemical Research. Intensive Care Med.

Sepsis 83

Sepsis Fluid Resuscitation Resuscitation Shock 83

PEMBlog

JULY 10, 2024

The RPR or Rapid Plasma Reagent, which has now largely replaced the earlier VDRL or Venereal Disease Research. Patients with neurologic complaints should undergo CSF testing as well. You’ll want to start with a non treponemal test, such as an RPR or VDRL. These are highly sensitive tests. But watch out for false positives.

Pediatrics 52

Pediatrics CDC Seizures Emergency Department 52

Pediatric EM Morsels

APRIL 5, 2024

(Jensenius 2004) Treatment : doxycycline Human granulocytic anaplasmosis Causative Agent: Anaplasma phagocytophilum , a rickettsial bacteria (Sanchez 2016) Previously seen in the endemic regions of North America where lyme is common, it is now being seen more frequently in travelers to Europe and eastern Asia as well. Ogden, and P.J.

CDC 164

CDC Infectious Diseases Pediatrics Shock 164

Don't Forget the Bubbles

FEBRUARY 24, 2025

They were a well-grown, term infant born in good condition. However, there is currently no evidence-based consensus on its use, and further research is needed to establish its efficacy and optimal timing. The Pediatric Infectious Disease Journal 37(3):p 202-205, March 2018. Sounding familiar? Pediatrics. Nieves et al.

Pediatrics 59

Pediatrics Outcomes Blood Transfusions Sepsis 59

EMDocs

FEBRUARY 8, 2025

Well keep it short, while you keep that EM brain sharp. 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. She is well appearing with otherwise normal vital signs. Future Microbiology.

Infectious Diseases 65

Infectious Diseases EMS COPD Research 65

American Medical Compliance

FEBRUARY 21, 2025

Through this training, healthcare providers will gain insights into the main categories of SDOH, their influence on patient well-being, and the populations most affected. Healthcare providers will learn how to recognize these social factors and advocate for strategies that improve early childhood health and well-being.

Outcomes 52

Outcomes Infectious Diseases Wellness Academics 52

PEMBlog

DECEMBER 4, 2024

Bordetella pertussis was isolated in 1906 by Belgian researchers, Jules Bordet and Octave Gengou, I hopefully I pronounced them right, but they’re long gone, so they won’t be mad at me,, leading to the development of a whole cell pertussis vaccine in the 1940s. I’ve had patients say, well, I don’t want tetanus.

Pediatrics 52

Pediatrics PPE Wellness Infectious Diseases 52

Don't Forget the Bubbles

JANUARY 20, 2025

Leprosy, also known as Hansen’s disease, is a chronic infectious disease caused by Mycobacterium leprae. The disease is named after Dr. Gerhard Armauer Hansen, who discovered the causative bacterium in 1873. Skin lesions are typically well-defined and hypo-pigmented with sensory loss.

Infectious Diseases 59

Infectious Diseases Research Documentation/Coding Hospitals 59

Pediatric Education

APRIL 2, 2023

He had been relatively well except for one ear infection and two upper respiratory infections since starting childcare. The patient’s clinical course revealed that the mother was willing to do influenza vaccine the following week for both children but still declined the COVID vaccine as she wanted to do more research into it.

Infectious Diseases 40

Infectious Diseases Pediatrics Research Wellness 40

Don't Forget the Bubbles

SEPTEMBER 23, 2024

This is particularly crucial in younger children who have received a large adult kidney and typically have relatively low creatinine levels when stable and well. Additionally, any child with a kidney transplant might have some degree of chronic kidney disease (CKD). Journal of Bone and Mineral Research , 21 (3), pp.380-387.

Pediatrics 52

Pediatrics Fractures Dehydration Sepsis 52

Mind The Bleep

NOVEMBER 20, 2024

Infectious disease (ID) is much more than simply collecting blood cultures; it’s a dynamic and exciting specialty that offers the opportunity to work with patients of all ages, varying acuities, and diverse clinical presentations. We will also discuss strategies for enhancing your portfolio. What makes ID a great career choice?

Infectious Diseases 52

Infectious Diseases Research Patient Safety Sepsis 52

Pediatric Education

SEPTEMBER 1, 2024

Smallpox is an ancient disease and an especially well-known cause of severe morbidity and mortality and therefore was used as a curse or epiphet. The lesions are 7-10 mm in diameter, round, firm, deep-seated and well circumscribed… ” Lesions tend to appear more on the forearms and face than rest of the body.

Infectious Diseases 40

Infectious Diseases Pediatrics Seizures Sepsis 40

EMDocs

NOVEMBER 2, 2024

A broad workup is initiated for altered mental status, including an STD panel, which shows a reactive Venereal Disease Research Laboratory (VDRL) and a negative CT head. Consultation with an infectious disease and neurology specialist can be considered to guide treatment and proper disposition.

EMS 111

EMS Infectious Diseases CDC Research 111

Sensible Medicine

SEPTEMBER 25, 2024

Varma admits to precisely what I argued: infectious disease public health docs use propaganda and lobbying and corruption to sell products and not well designed randomized trials. One mistake he makes in the video however is thinking the market share of tecovirimat is related to the number of pills dispensed.

Infectious Diseases 145

Infectious Diseases Administration Hospitals Research 145

EMDocs

NOVEMBER 25, 2024

However, recent progress in onchocerciasis research has led to an improved understanding of the immunopathology of O. volvulus as well as improvements in the diagnosis and treatment of this morbid disease. Ongoing research aims to develop more effective treatments to target adult worms and reduce treatment duration.

Infectious Diseases 69

Infectious Diseases Emergency Department EMS Administration 69