Background: The well-established, standard treatment for acute appendicitis is surgical appendectomy. However, recent research has challenged the dominance of the surgical approach in looking at antibiotics alone. The available literature on non-operative treatment of appendicitis (NOTA) has important limitations: exclusion ...
Take Home Points Watch for continued bleeding in excess of 500 ml or bleeding that is “more than normal.” Call it postpartum hemorrhage and start resuscitation Call your obstetric and/or surgical consultants early as operative intervention is often required Replace ...
Background/Introduction: The use of Sodium Bicarbonate (SB) in cardiac arrest has had a complicated history with strong and varied opinions on its effectiveness. SB was recommended in earlier ACLS guidelines, mostly stemming from the notion that severe metabolic acidosis due to ...
Babesiosis Epidemiology Incidence: Overall annual incidence rose from 0.6 to 0.9 cases per 100,000 in the United States between 2012 and 2015 (Gray 2019) Annual incidence is highest in those between 60-69 years of age (Gray 2019) Age: Median age ...
Rocky Mountain Spotted Fever (RMSF) Epidemiology Incidence: Overall annual incidence rose from 1.7 to 7 cases per million in the United States between 2000 and 2007 (Openshaw 2010) Annual incidence is highest in children aged 5-9 years of age (Amsden ...
Ehrlichiosis Epidemiology Incidence: Overall annual incidence noted to be 3.2 cases per million in the United States between 2008 and 2012 (Biggs 2016) Highest incidence occurs in those 60-69 years of age (Biggs 2016) Age: Median age is 55 years ...
Anaplasmosis Epidemiology Incidence: Overall annual incidence rose from 1.4 to 6.1 cases per million in the United States between 2000 and 2010 (Ismail 2017) In endemic areas, the incidence rate is suggested to be more than 50 cases per 100,000 ...
Tick Borne Illness Tick-borne disease surveillance studies have shown increasing prevalence, transmission, and disease burden over the last decade. Tick-borne illnesses remain a public health threat and the true incidence remains unknown and is thought to be underrepresented. Although Lyme ...
Background: ICU discharge is often delayed due to intravenous vasopressor requirements to maintain clinically indicated blood pressure goals. In some patients without impairment of tissue oxygenation, the use of oral agents could facilitate weaning from IV vasopressors and lead to ...
Take Home Points Measles is highly infective: One infected person can infect approximately 10-20 unvaccinated people 2 doses of MMR is 97% protective Unvaccinated people can acquire measles from travel to endemic areas with low vaccination rates There is a ...
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