Pediatric EM Morsels

AUGUST 18, 2023

Rose 2014) However, resistance has remained overall low in children when compared to adult antibiograms.(Hersh From 2001 to 2009, in a pediatric hospital gram negative culture showed a drop in sensitivity to ciprofloxacin from 96% to 93%. This was similarly seen with levofloxacin. All antibiotics have side effects.

Pediatrics 130

Pediatrics Infectious Diseases Hospitals Seizures 130

EM Guide Wire

JULY 30, 2019

The Mimics Venous stasis PAD DVT or superficial thrombophlebitis Dermatosclerosis Diabetic myonecrosis Lymphedema Contact dermatitis Necrotizing fasciitis Workup Good history and physical exam Always ultrasound to look for purulence or abscess Labs largely unhelpful Treatment Simple cellulitis w/out purulence = Keflex (consult local antibiogram) Cellulitis (..)

Shock 40

Shock Resuscitation Ultrasounds 40

Taming the SRU

AUGUST 25, 2023

patient on AC and remains pharmacologically active rivaroxaban/edoxaban: last dose within 18 hours (or 24 hours if CrCl <50ml/min) apixaban: last dose within 18 hours (or 24 hours if Scr >1.5mg/dL) lab assessment with PT> 16s, anti-Xa level greater of equal to 0.5 to 1 mcg/kg/hour procedural sedation loading dose: 0.5-1

Seizures 66

Seizures Fractures EKG/ECG Resuscitation 66

EMDocs

APRIL 27, 2024

and Staphylococcus spp. 2 F ungal involvement (usually Aspergillus fumigatus ), especially in immunocompromised patients.

EMS 81

EMS Infectious Diseases Radiology Radiology 81

EMDocs

MARCH 11, 2024

Doxycycline is considered first-line for the treatment of cholera, though azithromycin or ciprofloxacin may be considered depending on patient allergies and local antibiograms. Most guidelines now recommend the use of doxycycline even in women and children.

Dehydration 87

Dehydration CDC Rapid Diagnostic Testing Fluid Resuscitation 87

EB Medicine

JANUARY 2, 2019

Per a 2010 and 2011 Cochrane review, there is not evidence to recommend one antibiotic over another, so let your local antibiograms guide your treatment. As such, treat asymptomatic bacteriuria according to local antibiograms. Nachi: And this trial specifically examined the utility of nitrofurantoin.

Ultrasounds 40

Ultrasounds Radiology Radiology Infectious Diseases 40

EB Medicine

OCTOBER 1, 2018

Also, have a look at your local antibiogram. If the answer is no and no, then narrow your coverage. You don’t necessarily have to use a bunch of Vanco, or a big gun antipseudomonal like Pip/tazo. I can’t tell you how many times this changes prescribing habits for even things like simple UTIs.

Sepsis 40

Sepsis Shock Fluid Resuscitation Hospitals 40