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 […]

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.

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 […]

Emergency Medicine Kenya Foundation

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