“Sepsis Code to Resus 1.” Your charge nurse comes out of her office, “Doc, you know that’s the cardiac arrest patient right? They’re not febrile. Why are we ordering antibiotics?” Despite all the hoopla and controversy surrounding mandated CMS guidelines surrounding the Surviving Sepsis Campaign, there’s limited evidence that antibiotics Read more…
Written by Rosy Hao, MD Edited by Wesley Chan MD This post was inspired by a post originally in ALiEM [1]. This post aims to demystify amoxicillin treatment for common pediatric infections and look at the evidence behind antibiotic use in some pediatric infections. What is the evidence behind antibiotic Read more…
Author: Robby Allen, MD Edited by: Eden Kim MD, Roshanak Benabbas MD Acknowledgments: Michael Lucchesi MD, Aleksandr Gleyzer MD Our “EM controversies” lecture series continued with a faculty showdown: Dr. Lucchesi versus Dr. Gleyzer. Watch the debate here. Their Challenge? Antibiotics for nasal packing. What does the evidence say? Read more…
An overview of Huang, DT et al. (2018). Procalcitonin-Guided Use of Antibiotics for Lower Respiratory Tract Infection. N Engl J Med, 379(3), pp.236-249 https://www.ncbi.nlm.nih.gov/pubmed/29781385 Background: Procalcitonin is an acute phase reactant used to differentiate bacterial from viral infections. Previous Read more…
To summarize the case, we have a 34-year-old male with no past medical history presenting with 3 days of intermittent epistaxis. The bleeding has mostly been light, but the current bleed has lasted approximately 20 minutes and is brisk. He has tried holding pressure with minimal improvement. He does not Read more…
A 34 year-old male with no past medical history presents with 3 days of intermittent epistaxis. The bleeds have been light for the past few days consisting of mostly a few blood streaks on the tissue. This current bleed however, has lasted nearly 20 minutes and has been a steady Read more…
Cellulitis is commonly diagnosed and treated in the Emergency Department ED) with considerable variation in treatment and disposition patterns. These patients may be: Given a dose of intravenous (IV) antibiotics before discharge home Placed in observation unit for IV antibiotics before transitioning to oral medications prior to discharge Discharged with Read more…
Presented by: Dr. Eris Cani / Summarized by: Dr. Sarah Jung / Reviewed by: Dr. Stanley Moy HAPPY 2016!!! Summary: Procalcitonin is a specific biomarker that can be useful for diagnosing bacterial infections Most evidence for PCT utilization is for patients with LRTI (rule-in or rule-out pneumonia) Read more…