RebelEM

JANUARY 9, 2024

Except for patients with poor gut absorption or those with critical infectious processes such as septic shock or necrotizing fasciitis, this belief appears to be unfounded. Clinical infectious diseases : an official publication of the Infectious Diseases Society of America. 1997; 24(3):457-67.

Infectious Diseases 95

Infectious Diseases Pediatrics EMS Administration 95

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).

Infectious Diseases 52

Infectious Diseases Sepsis Administration Shock 52

ACEP Now

JUNE 8, 2023

As a result, the 2019 guidelines from the Infectious Disease Society of America (IDSA) significantly rein in those patients who should receive empiric coverage for MRSA or P. An official clinical practice guideline of the American Thoracic Society and Infectious Diseases Society of America. aeruginosa. 2019;200(7):e45–67.

Infectious Diseases 59

Infectious Diseases Administration Hospitals Shock 59

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 84

EMS Infectious Diseases Pediatrics Research 84

Total Medical ComplianceHIPAA

OCTOBER 9, 2024

For dental facilities only: Dental Unit Waterlines should be shocked then tested before use. If the testing reveals failing water quality, shock and test again. Keep in mind that persons involved in the clean up need to be protected from infectious diseases, chemical exposures, radiation, electrical shock, and potential fire hazards.

Hazardous Materials 59

Hazardous Materials Infectious Diseases PPE Shock 59

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

EMDocs

JANUARY 11, 2024

Systems included neurological, cardiac, pulmonary, hematology, infectious disease, gastrointestinal, endocrine, fluids management, and general critical care. In patients with enteral intolerance or shock, start with trophic EN (rates of 10–20 mL/h) and adjust according to tolerance (91%, 19/21).

Seizures 94

Seizures Shock Infectious Diseases CPR 94

EMDocs

NOVEMBER 4, 2023

Clinical Infectious Disease. J Emerg Trauma Shock. Published 2008 Sep 19. doi:10.1186/1757-1626-1-165 Hackett B, Sletten Z, Bridwell R E (July 03, 2020) Testicular Abscess and Ischemia Secondary to Epididymo-orchitis. Cureus 12(7): e8991. doi:10.7759/cureus.8991 8991 ​​Schlossberg D. Cambridge Univ Pr. 2008) ISBN:0521871123.

EMS 87

EMS Ultrasounds Emergency Department Infectious Diseases 87

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

PulmCCM

JULY 10, 2023

In the MERCY trial, 607 critically ill patients with sepsis (most with septic shock) at 26 hospitals in Croatia, Italy, Kazakhstan, and Russia were randomized to receive meropenem by either continuous (3 g / 24 hours) or intermittent administration (1 g every 8 hours). Read in Read in Clinical Infectious Diseases

Stroke 52

Stroke Sepsis Infectious Diseases Outcomes 52

ACEP Now

MAY 4, 2023

J Emerg Trauma Shock. Fishman is an associate program director at Ascension Macomb-Oakland Hospital. References Bruner DI, Ventura EL, Devlin JJ. Scrotal pyocele: uncommon urologic emergency. 2012;5(2):206. Hackett B, Sletten Z, Bridwell RE. testicular abscess and ischemia secondary to epididymo-orchitis. 2020;12(7):e8991.

Urgent Care 52

Urgent Care Ultrasounds Sepsis Emergency Department 52

EM Ottawa

APRIL 4, 2024

Point-of-care ultrasound (PoCUS) is becoming a cornerstone tool in our assessment of patient presentations and is helping us guide our clinical management. This is also represented in the amount of literature that has been published on the use of PoCUS in 2023.

Ultrasounds 73

Ultrasounds Infectious Diseases COPD Shock 73

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. Were the study groups similar at the start of the trial? Groups were well matched at baseline.

Blood Transfusions 78

Blood Transfusions Research Outcomes Hospitals 78

EMDocs

OCTOBER 5, 2024

Pressors where indicated for septic shock (typically Norepinephrine starting at 0.05 Disposition Patients with complicated UTI, pyelonephritis, bacteremia, or other ESBL-E infections should be admitted for IV antibiotic treatment and would benefit from Infectious Disease consultation. The Lancet Infectious Diseases.

EMS 93

EMS Infectious Diseases Sepsis Hospitals 93

EMDocs

DECEMBER 18, 2023

Septic shock is high on the differential diagnosis for this patient’s presentation. 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. What are the most up-to-date guidelines for managing this patient?

Sepsis 83

Sepsis Fluid Resuscitation Shock Resuscitation 83

EMDocs

JULY 15, 2023

However, it must be considered in toxic-appearing patients, those with prosthetic heart valves, artificial joints, or immunocompromised states Clinicians must keep a broad differential and consider other conditions such as necrotizing fasciitis, clostridial myonecrosis, compartment syndrome, toxic shock syndrome, etc. pneumoniae , S.

EMS 84

EMS Infectious Diseases Shock Ultrasounds 84

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

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. Check out DFTB’s module on SIRS, Sepsis and Shock Module – Don’t Forget the Bubbles (dontforgetthebubbles.com) Why does it matter?

Hospitals 78

Hospitals Sepsis Fractures Emergency Department 78

EMDocs

JANUARY 6, 2024

10 Dysrhythmias (more commonly ventricular), chest pain, dyspnea, acute CHF and shock are all possible. 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.

EMS 80

EMS Infectious Diseases Shock Emergency Department 80

Pediatric EM Morsels

APRIL 5, 2024

Jensenius 2004) Scrub typhus is one of the most common infectious disease in rural areas of south and southeastern Asia and the western Pacific. Travel and tick-borne diseases: Lyme disease and beyond. Travel Medicine and Infectious Disease, 2018, 26, pp.1-2. link] Parola P, and Paddock C.

CDC 164

CDC Infectious Diseases Pediatrics Shock 164

Pediatric EM Morsels

FEBRUARY 2, 2024

A “Syndromic” Approach for Diagnosing and Managing Travel-Related Infectious Diseases in Children. Infectious Disease Acquisition in Pediatric International Travelers: A 10-Year Review at a Canadian Tertiary Care Hospital. Glob Pediatr Health. 2021 May; 8:1-16. PMID: 34423077 Flores MS, Hickey PW, Fields JH, Ottolini MG.

Infectious Diseases 164

Infectious Diseases Pediatrics Sepsis Documentation/Coding 164

EB Medicine

JANUARY 2, 2019

Nachi: And the last treatment to discuss is for pregnant patient with acute appendicitis. Nachi: There is a wealth of literature on this topic and Dr.

Ultrasounds 40

Ultrasounds Radiology Radiology Infectious Diseases 40

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

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 Hyperthermia / Hypothermia Outcomes Sepsis 52

ALiEM

JUNE 5, 2023

Anthrax is a serious infectious disease caused by gram positive, rod shaped, bacteria known as Bacillus anthracis [1]. Patients suspected of having anthrax should have their disposition and treatment determined in conjunction with your Infectious Disease specialists and your state health department. Published 2020 May 12.

Infectious Diseases 102

Infectious Diseases CDC PPE Military 102

Don't Forget the Bubbles

FEBRUARY 24, 2025

The condition increases blood viscosity and pulmonary vascular resistance, leading to pulmonary hypertension, haemodynamic collapse, and, ultimately, death due to hypoxaemia and refractory shock. The Pediatric Infectious Disease Journal 37(3):p 202-205, March 2018. Pediatrics. 2010;126:e81627 Cherry et al. Nieves et al.

Pediatrics 59

Pediatrics Outcomes Blood Transfusions Sepsis 59

Mind The Bleep

DECEMBER 16, 2023

References TravelHealthPro [link] BMJ Best Practice [link] UK national guidelines: [link] Written by: Dr Hermaleigh Townsley – IMT2 Infectious Diseases Reviewed by: Dr Hugh Adler ID/MM – SpR

Rapid Diagnostic Testing 52

Rapid Diagnostic Testing Infectious Diseases Best Practices Seizures 52

Life in the Fast Lane

FEBRUARY 21, 2025

Chris Nickson Melioidosis Melioidosis is a severe infectious disease caused by the bacterium Burkholderia pseudomallei. It presents with a wide range of clinical manifestations, from localized infections to severe sepsis and septic shock.

Infectious Diseases 52

Infectious Diseases Sepsis Shock 52

EMDocs

FEBRUARY 8, 2025

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. 22-28 Disposition Consult infectious disease for all IFI patients to ensure appropriate antifungal stewardship. Open Forum Infectious Diseases.

Infectious Diseases 65

Infectious Diseases EMS COPD Research 65

Don't Forget the Bubbles

NOVEMBER 5, 2023

In the Pediatric Infectious Disease Journal, Guo and colleagues assessed the difference in clinical characteristics between viral pneumonia and Mycoplasma pneumoniae in a large Chinese cohort. The effect of myocardial dysfunction on mortality in children with septic shock: a prospective observational study. Alves MTB, et al.

Pediatrics 105

Pediatrics Hospitals Infectious Diseases Outcomes 105

Sensible Medicine

NOVEMBER 23, 2024

While advocates might point to the political clout he exerted to increase funding for infectious disease research, this influence can lead to distorting of funding priorities away from public need and tunnel vision in the direction of the institute. This almost certainly happened during covid.

Infectious Diseases 141

Infectious Diseases Research Leadership Academics 141

ALiEM

DECEMBER 6, 2024

Some warning signs of severe disease include abdominal pain or vomiting, hepatomegaly, signs of volume overload including ascites or pleural effusion, and an increase in hematocrit with rapid thrombocytopenia. Severe dengue can present with shock, volume overload, severe bleeding, encephalopathy, and liver failure.

Academics 64

Academics Emergency Department Shock Hospitals 64

EMDocs

DECEMBER 9, 2024

Toxic Shock Syndrome: A Literature Review. New Practical Aspects of Sweet Syndrome. Am J Clin Dermatol. 2022;23(3):301-318. doi:10.1007/s40257-022-00673-4 Atchade E, De Tymowski C, Grall N, Tanaka S, Montravers P. Antibiotics. 2024;13(1):96. doi:10.3390/antibiotics13010096 World Health Organization (WHO).

CDC 72

CDC Documentation/Coding Infectious Diseases Dehydration 72

EMDocs

JANUARY 6, 2025

Based on available hospital resources, the patient is treated for septic shock secondary to pneumonia and an infected wound using broad-spectrum antibiotics and IV crystalloid fluids. Case Resolution The patient and family remain in isolation and receive risk stratification assessment for a notifiable disease of public health concern.

Infectious Diseases 72

Infectious Diseases CDC PPE Rapid Diagnostic Testing 72