EB Medicine

APRIL 2, 2019

Nachi: All the more reason we need evidence based guidelines, which our team from South Carolina has nicely laid out after reviewing 107 references dating back to 1990, as well as guidelines from the CDC and the national guideline clearinghouse. On top of this, there is also growing antibiotic resistance, making treatment more difficult.

Infectious Diseases 40

Infectious Diseases Emergency Department Sexual Assault CDC 40

American Medical Compliance

FEBRUARY 23, 2023

The Employees Returning to Work Infection Control Compliance (ICC) course is designed to educate employees on how to protect themselves and others and mitigate community transmission of infectious diseases. They reduce the spread of infectious diseases in the workplace. ICC training sets industry standards.

Infectious Diseases 52

Infectious Diseases PPE CDC Best Practices 52

NIOSH Science Blog

AUGUST 4, 2020

However, during widespread respiratory infectious disease outbreaks, there may be a need to implement respirator extended use practices due to an inadequate supply of FFRs. Skin irritation caused by disposable FFR use for extended periods of time has been documented during past outbreaks of respiratory infectious diseases.

Infectious Diseases 49

Infectious Diseases Documentation/Coding Wellness 49

Taming the SRU

FEBRUARY 5, 2024

The LP is now a standard procedure and in 2010 well over 135,000 LPs were performed in Emergency Departments throughout the US (3). As may be seen in the table below, there are several themes as well a range of stringency. Scandinavian journal of infectious diseases , 45 (9), 657–663. WHO - Who Needs an LP in the ED?

Infectious Diseases 86

Infectious Diseases Seizures Ultrasounds Sepsis 86

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. What is it?

Infectious Diseases 59

Infectious Diseases Sepsis Wellness Pediatrics 59

Pediatric EM Morsels

AUGUST 18, 2023

(Jackson 2016) It can also be used in UTIs , but is typically reserved for special cases where the infectious bacteria is found to be multidrug resistant or in complicated UTIs. BMC Infectious Disease. PMID: 26407358 Meesters K, Mauel R, Dhont E, Walle JV, De Bruyne P. PMID: 29471791 Morley C, Carvalho de Almeida C, Moloney S.

Pediatrics 130

Pediatrics Infectious Diseases Hospitals Seizures 130

American Medical Compliance

FEBRUARY 2, 2024

Use of the ATD Standard Cal/OSHA requires employers covered by the Aerosol Transmissible Disease (ATD) Standard (California Code of Regulations, Title 8, Section 5199) to protect employees from airborne infectious disease such as COVID-19 and pathogens transmitted by aerosols.

Infectious Diseases 52

Infectious Diseases Documentation/Coding PPE Wellness 52

American Medical Compliance

JUNE 16, 2023

Needlesticks are causing patients to be infected with unwanted diseases. This raises concerns about how providers store needlesticks as well as protect patients and healthcare workers alike. It is important to do what is necessary to prevent needlestick infections and accidental contact with potentially dangerous needlesticks.

CDC 52

CDC Infectious Diseases Wellness 52

Taming the SRU

AUGUST 6, 2023

Kletsel Pustular psoriasis Psoriasis is characterized by discrete plaques of erythema, scales, and fissures of the extremities It is associated with significant morbidity & treatment consists of topical steroids, along with referral to establish with dermatology Use caution with systemic steroids as they can potentially worsen flares While rare, (..)

Infectious Diseases 74

Infectious Diseases Pediatrics Fractures Wellness 74

PulmCCM

FEBRUARY 5, 2024

Fever in the ICU: Guideline Update The Society of Critical Care Medicine (SCCM) and the Infectious Diseases Society of America (IDSA) issued an interim update to their 2008 recommendations for the management of fever in the ICU. Ultrasound is well-suited for identifying most serious biliary system abnormalities.

Best Practices 111

Best Practices Ultrasounds Infectious Diseases Sepsis 111

RCEM Learning

APRIL 9, 2024

Take care of your physical and mental well-being, and ensure you get adequate rest and relaxation. Stay Calm and Confident: Prior to the exam, maintain a calm and positive mindset. Build your confidence by regularly practicing SBA questions and reinforcing your knowledge.

Infectious Diseases 52

Infectious Diseases Airway Management Dislocations Resuscitation 52

Pediatric Education

NOVEMBER 19, 2023

They felt he was breastfeeding well and had only mild jaundice. His examination was normal and the diagnosis of a well newborn infant was made. mg/dL which was well below treatment threshold. Some infants may need car seat tolerance screening as well. The laboratory evaluation of a transcutaneous bilirubin was 8.4

Infectious Diseases 40

Infectious Diseases Administration Pediatrics Wellness 40

Cook County EM Blog

MARCH 31, 2022

Rabies, a neurotropic lyssavirus in the family rhabdoviridae, presents as a progressive encephalopathy known to have the highest case fatality rate of all known infectious diseases. As a sobering reminder, the appearance of the clinical signs and symptoms of rabies herald an almost certain death.

Infectious Diseases 52

Infectious Diseases Administration Wellness 52

ACEP Now

JANUARY 12, 2024

7 Postvoid residual urine volume and levels of prostate-specific antigen are useful for diagnostic purposes, as well as possible CT scan or ultrasound to evaluate for an enlarged and inflamed prostate. Current Opinion in Infectious Diseases. 6 Some studies estimate that E. In: Linn WD, Wofford MR, O’Keefe ME, et al.,

Infectious Diseases 52

Infectious Diseases Ultrasounds Wellness Hospitals 52

Pediatric Education

OCTOBER 8, 2023

The diagnosis of a healthy female was made who would be traveling to an area endemic for several infectious diseases. The pediatrician consulted the Centers for Disease Control website for vaccine recommendations for the Congo which indicated the need for malaria prophylaxis as well as Yellow Fever and Typhoid vaccine.

Infectious Diseases 40

Infectious Diseases Pediatrics Military Wellness 40

PulmCCM

NOVEMBER 6, 2023

Intuitively, plasma seemed even less likely to help the very sickest of the sick— those mechanically ventilated with ARDS from Covid-19, whose mortality rate was well over 50% at many centers. Convalescent plasma, it was concluded, didn’t help patients with severe Covid-19 as a general group. Only it turns out, it did help.

Operations 98

Operations Blood Transfusions Resuscitation Infectious Diseases 98

Taming the SRU

JUNE 12, 2023

However, there have been no studies statistically powered well enough regarding dog bite lacerations to confirm or dispute this claim. Practice guidelines for the diagnosis and management of skin and soft tissue infections: 2014 update by the Infectious Diseases Society of America. Clinical Infectious Diseases.

Infectious Diseases 94

Infectious Diseases Emergency Department Administration Academics 94

ACEP Now

MAY 9, 2024

It has been well over a year since the controversial publication of the Agency for Healthcare Research and Quality (AHRQ) report on diagnostic errors in the emergency department (ED). Similarly elevated rates of error, and related harms, are associated with other serious vascular, infectious disease, and cancer-related diagnoses, as well.

Research 52

Research Emergency Department Infectious Diseases Hospitals 52

EM Ottawa

SEPTEMBER 28, 2023

He looks well by ED standards. You are treating a 43-year-old male with two days of left lower quadrant abdominal pain, a documented fever of 38.4 and malaise. He has no urinary or bowel symptoms. His past medical history is unremarkable. After a focused history and physical examination, you narrow the differential to diverticulitis.

Documentation/Coding 113

Documentation/Coding Wellness Infectious Diseases EMS 113

ALiEM

MAY 13, 2024

They may be well-circumscribed or may have irregular borders. Well-circumscribed abscess with heterogeneous debris C. Larger abscess with well-circumscribed borders D. Superficial abscess with well-circumscribed borders Table 1. The rim may be echogenic or blend in with surrounding tissue.

Ultrasounds 64

Ultrasounds Pediatrics Emergency Department Wellness 64

The Skeptics' Guide to EM

NOVEMBER 28, 2020

He is the President of the national charity Canadian Association of Physicians for the Environment (CAPE), as well as the co-founder and co-chair of the local non-profit the Calgary Climate Hub, and […] The post SGEM#309: That’s All Joe Asks of You – Wear a Mask first appeared on The Skeptics Guide to Emergency Medicine.

Infectious Diseases 52

Infectious Diseases Outcomes Wellness Operations 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

Pediatric Education

APRIL 21, 2024

The past medical history showed no bruising or bleeding problems, no pulmonary problems and he had otherwise been well. He also said that since this had happened he had been more nauseated. He was current with his immunizations but had not yet received his seasonal influenza vaccine. The family history was negative.

Pediatrics 40

Pediatrics Infectious Diseases Radiology Radiology 40

Dr. Mike Sevilla

FEBRUARY 10, 2022

Of course, you were like me, saying to yourself, “Well, we will chat again soon.” Of course, from an infectious disease standpoint, I understood its importance. Are there long time friends that you just haven’t talked with since the start of the pandemic? Or, “One of these days I’ll give them a call again.” Two long years.

Infectious Diseases 52

Infectious Diseases Wellness 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. Well, this may not be completely true.

Infectious Diseases 52

Infectious Diseases Disaster Management Sepsis Ultrasounds 52

Pediatric EM Morsels

OCTOBER 6, 2023

(Forster, 2021) Transmission is by Fecal-Oral route (Chiodini 2018) Incubation period 6-30 days after exposure (Chiodini 2018) Salmonella typhi produces an endotoxin although its clinical significance is not yet well understood (Gibani 2019) Two typhoid vaccines are available for those > 6 m/o and are 50-80% effective.

Pediatrics 161

Pediatrics CDC Seizures Infectious Diseases 161

ALiEM

OCTOBER 16, 2023

Additional Images Physical Exam Vitals : BP 115/80; HR 120; T 101°F; RR 16; O2 sat 97% General : Well appearing in no acute distress HEENT : Poor dentition, mild trismus. Treatment should include both an extended course of antibiotic therapy as well as surgical source control of abscesses. The floor of the mouth is unremarkable.

Wellness 60

Wellness Academics Emergency Department Hospitals 60

Pediatric EM Morsels

JANUARY 19, 2024

Unfortunately, the possibility of congenital infections always looms large as well, including congenital syphilis. We have previously touched on congenital issues like Congenital Adrenal Hyperplasia , Congenital Pulmonary Airway Malformation , Neonatal Leukemia , and of course there is always the Inconsolable Infant.

Infectious Diseases 230

Infectious Diseases CDC Pediatrics Fractures 230

Pediatric EM Morsels

AUGUST 11, 2023

Having authored 575 ( well, now 576 ) of them, I am often quite convinced that there are no new topics to discuss. This is the 601st Ped EM Morsel ! Then July happens and we get 14 more amazing interns who help educate me and remind me that there is always more to learn.

Burns 130

Burns Pediatrics EMS Outcomes 130

Pediatric Education

OCTOBER 15, 2023

The mother denied any drooling, choking, emesis or spitting up, coughing, cyanosis, dysphonia or pain elsewhere such as chest or abdomen, as well as any social problems at home. She denied any infectious disease symptoms. The past medical history was negative. The diagnosis of dysphagia was made.

Pediatrics 40

Pediatrics Infectious Diseases Wellness 40

American Medical Compliance

FEBRUARY 15, 2023

No fines or fees are implemented as well. Assisted Living Education and Training Employees of assisted living facilities do not have the same level of exposure to infectious diseases and bloodborne pathogens as the workers of long-term care facilities and nursing homes. The state testing schedule is limited.

Administration 52

Administration Infectious Diseases Operations Best Practices 52

American Medical Compliance

FEBRUARY 15, 2023

No fines or fees are implemented as well. Assisted Living Education and Training Employees of assisted living facilities do not have the same level of exposure to infectious diseases and bloodborne pathogens as the workers of long-term care facilities and nursing homes. The state testing schedule is limited.

EMS 52

EMS Administration Infectious Diseases Operations 52

ACEP Now

MARCH 6, 2024

Many clinicians staffing emergency departments intubate infrequently, as well, and these results are likely applicable to a wide scope of practice. 10 The trial was stopped due to superiority due to both its overall mortality benefit, as well as a reduction in the need for mechanical ventilation. percent to 38.3

Research 52

Research Airway Management Stroke Outcomes 52

Pediatric Education

JUNE 18, 2023

He and his mother had cleaned it well with soap and water and then used some iodine solution on his leg scrapes. They may contain additional active ingredients as well including alcohol. Patient Presentation A 12-year-old male came to clinic for his health maintenance examination.

Allergic Reactions 40

Allergic Reactions Poisoning Pediatrics Infectious Diseases 40

Pediatric Education

JULY 30, 2023

Her family was well-aware of signs and symptoms that the papillomas were recurring and when this occurred she slowly developed a raspy voice. Initially she was managed with laryngoscopy and microblade excision but she had needed more frequent treatments and was also treated with human papilloma virus (HPV) vaccine.

Infectious Diseases 40

Infectious Diseases Pediatrics Wellness 40

Pediatric Education

APRIL 2, 2023

He had been relatively well except for one ear infection and two upper respiratory infections since starting childcare. Patient Presentation A 6-month-old male came to clinic for his health supervision visit. His mother was concerned about also giving influenza and COVID vaccines in addition to his regular vaccines.

Infectious Diseases 40

Infectious Diseases Pediatrics Research Wellness 40

ALiEM

JANUARY 22, 2024

The patient also complained of shortness of breath for one week associated with a dry cough, as well as an altered sensorium for one day. Fever was documented to be 102°F and was not associated with any chills or rigors. The patient during his hospital stay developed ARDS and was on mechanical ventilation for 20 days.

Documentation/Coding 64

Documentation/Coding Academics Emergency Department Hospitals 64