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

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

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

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 65

EMS Infectious Diseases Pediatrics Research 65

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

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

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

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

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 78

Infectious Diseases Sepsis Emergency Department Point-of-Care Testing 78

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

PulmCCM

DECEMBER 11, 2023

Sepsis, infectious disease Managing septic shock with a restrictive-fluids approach (preferentially using vasopressors after a single liter crystalloid bolus) led to similar outcomes as the usual practice of bolusing large volumes of fluids first. Either approach in severe sepsis with shock seems reasonable.

Sepsis 94

Sepsis Stroke Shock Infectious Diseases 94

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

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

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

Mount Sinai EM

JULY 27, 2023

sickle cell anemia) Hyposplenia (from atrophy, infarction, engorgement, or infiltration of the spleen in chronic dz such as thalassemias, chronic liver disease, HIV/AIDs, immune disorders, or malignancies) If splenic function is in question, you can obtain a peripheral blood smear and check for Howell-Jolly bodies.

Sepsis 187

Sepsis Wellness Infectious Diseases 187

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

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 65

EMS Infectious Diseases Shock Ultrasounds 65

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 64

Sepsis Fluid Resuscitation Shock Resuscitation 64

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

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 71

Infectious Diseases Administration Sepsis Anaphylaxis 71