PulmCCM

APRIL 29, 2024

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). The stakes are going up.

Infectious Diseases 52

Infectious Diseases Sepsis Administration Shock 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. days (secondary endpoint) [51]. Procalcitonin.

Infectious Diseases 88

Infectious Diseases Sepsis Emergency Department Point-of-Care Testing 88

PEMBlog

OCTOBER 18, 2023

rectally, prompting a sepsis workup given his age. The patient was ultimately discharged on a seven-day total course of cephalexin per Pediatric Infectious Disease recommendations. Exanthematous disease induced by toxic shock syndrome toxin 1 in the early neonatal period. Labs were notable for: WBC 9.1 Nishida, H.,

Infectious Diseases 59

Infectious Diseases Shock Pediatrics Wellness 59

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

ACEP Now

MAY 10, 2024

Patients with flank pain (which would suggest pyelonephritis) as well as patients meeting two or more SIRS criteria (which would suggest sepsis) comprise a higher risk group. Clinical Infectious Diseases. For simplicity, we will focus only on the patients with suspected lower urinary tract infection (UTI). 2012;55(6):771-777.

Infectious Diseases 98

Infectious Diseases Sepsis Administration Emergency Department 98

Don't Forget the Bubbles

APRIL 22, 2024

Sepsis: The spread of infection through the bloodstream, known as sepsis, is a critical condition that can lead to organ failure and death if not promptly treated. Current Infectious Disease Reports. BMC ophthalmology. 2021 Dec;21(1):1-7. Dacryocystitis: systematic approach to diagnosis and therapy. 2012 Apr;14:137-46.

Infectious Diseases 85

Infectious Diseases Sepsis Pediatrics Operations 85

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

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 Outcomes 52

EMDocs

OCTOBER 10, 2024

Sepsis is diagnosed and antibiotics started for the first time. High level amputation is considered, but she dies of sepsis and multiorgan failure on hospital day 7. It reveals a 7.5 cm abscess in the R thigh and retro-cecal appendicitis with retro-peritoneal perforation. An I & D of the thigh produces foul-smelling pus.

Documentation/Coding 75

Documentation/Coding Hospitals Sepsis Infectious Diseases 75

PulmCCM

JULY 10, 2023

Continuous meropenem infusion for critically ill patients with sepsis Antibiotics have a time-dependent effect on bacteria; maintaining bacteriocidal concentrations of antibiotics should help subdue infections better than intermittent dosing. Mortality was about 30% in each group, and most patients had hospital-acquired sepsis.

Stroke 52

Stroke Sepsis Infectious Diseases Outcomes 52

EMDocs

JULY 1, 2023

Early consultation with a specialist is recommended in these cases 7,8 Workup: Lab tests can support the diagnosis of KD, especially in incomplete KD cases as above. He has had a high fever of > 103°F (39.4°C) C) for the past week.

EMS 66

EMS Infectious Diseases Pediatrics Research 66

PulmCCM

JUNE 19, 2023

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. Sepsis was a main trigger, and hypothermia and shock were as common (>50%) as coma. and FT4 (0-7.8

Infectious Diseases 52

Infectious Diseases Outcomes Hyperthermia / Hypothermia Sepsis 52

Northwestern EM Blog

JUNE 16, 2024

Myocardial Infarction Medication Sinus node dysfunction Infectious Disease Hypothermia Metabolic Abnormalities (hypothyroidism, hyperkalemia, ect.) For example, hypothyroidism, adrenal insufficiency, sepsis, neuromuscular disease, malnutrition, thiamine deficiency, hypoglycemia can all lead to hypothermia [11-13].

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Infectious Diseases Stroke Poisoning 52

Pediatric Education

DECEMBER 17, 2023

The admitting team was concerned about travel-based causes of meningitis and consulted an infectious disease specialist who felt that the patient should also be given acyclovir and doxycycline in addition to cover for potential herpes simplex and also various rickettsial diseases.

Infectious Diseases 40

Infectious Diseases Pediatrics Sepsis Wellness 40

Don't Forget the Bubbles

JANUARY 10, 2024

These were presented as hazard ratios and included fever at presentation, previous transfusion ever, haemoglobinuria, malaria, sickle cell disease on enrolment, HIV, evidence of sepsis, malnutrition, shock, hypothermia, and dehydration. Sepsis indicators and malaria positivity did not modify the risk. Do you believe the results?

Blood Transfusions 78

Blood Transfusions Outcomes Research Hospitals 78

Pediatric Education

AUGUST 20, 2023

.” In the Belgium study, the most common underlying risk factor was hepatobiliary disease (e.g. In the US study, the most common underlying PLA risk factor was liver transplant with biliary disease, malignancy and intrabdominal pathology and severe sepsis being other common factors in this population.

Pediatrics 40

Pediatrics Infectious Diseases Wellness Sepsis 40

ACEP Now

MAY 4, 2023

Early treatment with broad-spectrum antibiotics is essential to prevent sepsis and preserve testicular function. Some patients will end up with orchiectomy. 1,2 Teaching points: Scrotal pyocele can mimic other testicular etiologies, but should always be included in the differential, as it is a urologic emergency.

Urgent Care 52

Urgent Care Ultrasounds Sepsis Emergency Department 52

Mind The Bleep

SEPTEMBER 17, 2024

Always consider management as per ATLS protocol and SEPSIS 6 if relevant. Pathophysiology and burden of infection in patients with diabetes mellitus and peripheral vascular disease: focus on skin and soft-tissue infections. Ensure the wound has been adequately washed out. link] Quinn, J. McDermott, D., Stein, J., & Kramer, N.

Fractures 52

Fractures Infectious Diseases Documentation/Coding Hospitals 52

ACEP Now

MARCH 6, 2024

A Myriad of Infectious Disease Papers The use of steroids in severe sepsis remains challenging, primarily as proper patient selection is necessary to tease out those with the greatest likelihood of benefit. Survival to hospital discharge favored the “standard care” group, 47.9 percent to 38.3

Research 52

Research Airway Management Stroke Outcomes 52

University of Maryland CC Project

DECEMBER 31, 2023

Jacqueline Kruser, MD MS is an assistant professor of medicine in the Division of Allergy, Pulmonary & Critical Care at the University of Wisconsin. In her lecture today, she talks about the role of the language in the intensive care unit, using examples of specific phrases such as “goals of.

Infectious Diseases 40

Infectious Diseases Sepsis Resuscitation 40

Don't Forget the Bubbles

SEPTEMBER 18, 2023

This is true in life-threatening conditions such as sepsis. However, when children do not have features of sepsis, oral antibiotics are equally effective. The take home is that although IV antibiotics are key in sepsis management, oral antibiotics are equally as effective as IV antibiotics for children without critical illness.

Emergency Department 143

Emergency Department Infectious Diseases Pediatrics Sepsis 143

EMDocs

DECEMBER 18, 2023

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. 3,4 Prompt recognition and management of sepsis and septic shock are paramount for the ED clinician. vs. 0.91), positive predictive value (0.27

Sepsis 65

Sepsis Fluid Resuscitation Resuscitation Shock 65

Don't Forget the Bubbles

MARCH 4, 2024

Reviewed by: John Coveney Article 2: How do we define sepsis in children? International Consensus Criteria for Pediatric Sepsis and Septic Shock. The aim of this paper was to update and evaluate the criteria for sepsis and septic shock in children. It doesn’t help to diagnose or exclude sepsis. doi:10.1001/jama.2024.0179

Hospitals 78

Hospitals Sepsis Fractures Emergency Department 78

EMDocs

OCTOBER 5, 2024

8 Workup and Diagnosis Evaluation should be tailored to the patient presentation, but may include studies such as: CBC, CMP, UA, lactate (if concern for sepsis), Cultures (blood, urine, etc.) Consider Infectious Disease consultation prior to any potential discharges.

EMS 74

EMS Infectious Diseases Sepsis Hospitals 74

RebelEM

MAY 15, 2024

Antibiotics are effectively the only thing standing between these patients and overwhelming sepsis. Improving the immediate management of neutropenic sepsis in the UK: Lessons from a national audit. Neutropenic Fever: Fever (one reading of 38.3C Check old blood cultures and obtain new cultures prior to starting treatment. Clarke, R.

Infectious Diseases 104

Infectious Diseases Administration Sepsis Anaphylaxis 104

EMDocs

JULY 15, 2023

sepsis), immunocompromised patients, IV drug users, patients with prosthetic heart valves or any intravascular device Clinical features may not abe enough to differentiate erysipelas from cellulitis, and in such cases the treatment should be targeted towards cellulitis Labs No laboratory evaluation is required for the diagnosis of erysipelas.

EMS 66

EMS Infectious Diseases Shock Ultrasounds 66

Don't Forget the Bubbles

SEPTEMBER 23, 2024

Consider sepsis and treat it accordingly. Changes in TAC concentrations related to changes in haematocrit should not lead to a prompt dose adjustment. Urinary tract infection (UTI): more likely in cases of urologic comorbidities and operations (e.g. CAKUT, catheterization requirement).

Pediatrics 52

Pediatrics Fractures Dehydration Sepsis 52

Pediatric Education

SEPTEMBER 1, 2024

Complications include death, scarring, skin superinfection, sepsis, encephalitis, meningitis, febrile seizures, and premature birth. 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

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. Contents What makes ID a great career choice? What makes ID a great career choice?

Infectious Diseases 52

Infectious Diseases Research Outcomes Patient Safety 52

ACEP Now

NOVEMBER 7, 2024

If you work in the emergency department, you’re out there in the trenches “suspecting sepsis” on a daily basis. These are among the questions at the forefront in the exciting world of infectious disease. Considering the wide usage of these antibiotics in the current approach to sepsis, an urgent answer ought be sought.

Sepsis 64

Sepsis Outcomes Infectious Diseases Emergency Department 64

EMDocs

DECEMBER 9, 2024

Special populations that might be considered for treatment include: Patients with severe disease (e.g., encephalitis, sepsis, or conditions requiring hospitalization). As shown in Table 2, these include Tecovirimat (TPOXX), Cidofovir (Vistide), Vaccinia Immune Globulin Intravenous (VIGIV), and Brincidofovir (Tembexa).

CDC 59

CDC Documentation/Coding Infectious Diseases Dehydration 59