Infectious Diseases, “Answers”
Although there are no prospective randomized controlled trials looking specifically at ED patients with UTI symptoms, it is safe to say that a urine culture in healthy adult non-pregnant females with new onset urinary symptoms without concern for pyelonephritis or bacteraemia is unlikely to change management or outcome… SO STOP ORDERING THEM
Surviving Sepsis Guidelines 2021: Recommendations and Best Practice Statements
The recommendation for an initial fluid bolus of 30 mL/kg was downgraded from a strong recommendation to a weak recommendation, based on the low quality of evidence. However, resuscitation should start immediately. Balanced crystalloid solution (e.g., lactated Ringer’s solution) should be used (rather than normal saline) for resuscitation. Administration of vasopressors should be initiated via […]
Pneumonia
Infectious Diseases Society of America Guidelines on the Treatment and Management of Patients with COVID-19
COVID-19 is a pandemic with a rapidly increasing incidence of infections and deaths. Many pharmacologic therapies are being used or considered for treatment. Summarized below are the recommendations with comments related to the clinical practice guideline for the treatment and management of COVID-19.
Surviving Sepsis Campaign: COVID-19 Guidelines
The Surviving Sepsis Campaign COVID-19 panel issued 54 statements, of which 4 are best practice statements, 9 are strong recommendations, and 35 are weak recommendations. No recommendation was provided for 6 questions. The topics were: 1) infection control, 2) laboratory diagnosis and specimens, 3) hemodynamic support, 4) ventilatory support, and 5) COVID-19 therapy.
Paediatric Sepsis Guidelines 2020
The Surviving Sepsis Campaign Bundle: 2018 update
Neutropaenic fever in kids
Don’t be fooled. The patient with no immune system deserves significant respect and requires our vigilance. Be thorough.Where is the source? Look at the mucous membranes and consider necrotizing fasciitis (i.e., look in the perineum)! Be aggressive! If the child looks sick, throw all of the antibiotics at them. If the child looks well, […]
Fluid Resuscitation
The PLR Maneuver is the only accurate method to date for determining fluid responsiveness
Top 10 Posts of 2016
10. All Shock Explained 9. Priapism Non-ischemic (high-flow) Ischemic (low-flow) Physical Exam Typically painless, not fully tumescent Painful, fully tumescent with corpus cavernosa rigidity without involvement of corpus spongiosum and glans penis Aetiology High-flow priapism is extremely rare and most commonly associated with antecedent trauma including blunt trauma, or resulting from needle injury of […]
