Goodness Gracious We’re &*@ing Up Sinusitis
Antibiotics usually do not help sinus problems. Antibiotics cost money. Antibiotics have risks.
Septic shock is all about EARLY FLUIDS and EARLY appropriate ANTIBIOTICS…
…for every hour you delay, the patient has a 33% increased risk of death!
Choosing wisely: Unnecessary tests and treatments cost money and harm your patient financially (DO NO HARM)!
Don’t order CT head scans in adults and children who have suffered minor head injuries (unless positive for a head injury clinical decision rule). Don’t prescribe antibiotics in adults with bronchitis/asthma and children with bronchiolitis. Don’t order lumbosacral (low back) spinal imaging in patients with non-traumatic low back pain who have no red flags/pathologic indicators […]
Necrotizing Fasciitis
Patients classically present with the triad of pain, swelling and erythema. The most consistent feature of early NF is that the pain is out of proportion to the swelling or erythema. Other important features that make NF likely are: Tenderness extending beyond the apparent involved area Indistinct margins of involvement Absence of lymphangitis  (because the infection is […]
NO Antibiotic prophylaxis for Base of Skull Fractures
There is still no good evidence to support the use of prophylactic antibiotics or meningitis vaccination in patients with CSF leak from uncomplicated basilar skull fracture.
Do you remember how Antibiotics worked?
Antibiotics for Trauma Laparotomy
Surgical Care Improvement Project (SCIP), mandates the use of an appropriate antibiotic within 1 hour preop (in ED before heading to theatre) and stopping it within 24 hours postop in trauma laparotomy.
Empiric Antibiotics for the Diabetic Foot
Antibiotic Sensitivity Chart
Antibiotic sensitivity chart…Antibiotic-resistant superbugs is now a global epidemic…rational use of antibiotics in the ED can curb this
Choosing Wisely
Antibiotics should not be used to treat asymptomatic bacteriuria. Physicians should avoid prescribing antibiotics for upper respiratory infections since most are viral. Antibiotics should be avoided for stasis dermatitis of lower extremities. The standard of care is leg elevation plus compression.
