Archive

Medical Category: Infectious Disease

Is Fever the New Hotness in Sepsis?

Background: With the introduction of sepsis 3.0, came the quick sepsis related organ failure assessment (qSOFA) score. The purpose of this score is supposed to be a bedside tool to help predict which patients are at the greatest risk of ...

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Infectious Disease

The HYPRESS Trial: Early Steroids to Prevent Septic Shock

Background: The most recent surviving sepsis campaign recommends the use of hydrocortisone in patients with refractory septic shock (i.e. vasopressor dependent).  However, the use of hydrocortisone in severe sepsis without shock still remains a very controversial topic. Recommendations for hydrocortisone ...

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Infectious Disease

REBEL Cast Episode 29: IDSA Pneumonia Update

Every few years we get updates in the guidelines based on new evidence. Guidelines give us a framework to work with in the treatment of disease processes, such as pneumonia. The last Infectious Disease Society of America (IDSA) guidelines update ...

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Infectious Disease

Is It Necessary to Irrigate Abscesses After I&D?

Background: Irrigation after incision and drainage (I&D) of an abscess in the ED is considered by some sources to be standard care but local practice varies considerably. There are no randomized controlled trials to date that look at the potential ...

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Infectious Disease

Trimethoprim-Sulfamethoxazole for Uncomplicated Skin Abscesses?

Background: It is well documented that the number of visits to the ED for abscesses is on the rise in the US, with methicillin-resistant Staphylococcus aureus (MRSA) being the most common cause of purulent skin and soft-tissue infections. The primary ...

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Infectious Disease

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