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

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

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

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

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 74

Seizures Shock Infectious Diseases CPR 74

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 67

EMS Ultrasounds Emergency Department Infectious Diseases 67

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

Pediatric EM Morsels

NOVEMBER 3, 2023

Travel Medicine and Infectious Disease 44 (2021) 102196. falciparum parasitemia , and no other defined cause of AMS (WHO 2023). PMID: 36209409 Comelli A, Guarner ME, Tomasoni LR, Zamboni AF, Pavo BM, Zanotti P, Caligaris S, Matteeli A, Soriano-Arandes A, Castelli F.

Seizures 245

Seizures Pediatrics CDC Infectious Diseases 245

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

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 Outcomes Research Hospitals 78

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 78

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

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 82

Infectious Diseases Pediatrics EMS Administration 82

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

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

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 63

EMS Infectious Diseases Shock Emergency Department 63

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 65

EMS Infectious Diseases Shock Ultrasounds 65

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 71

Infectious Diseases Administration Sepsis Anaphylaxis 71

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 64

Sepsis Fluid Resuscitation Shock Resuscitation 64

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

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