by Doran Drew, Amanda Mattice | Jun 23, 2022 | Critical Care, Featured, Grand Round Summaries, Infectious Disease, Resuscitation
A review of some of the most relevant elements of the 2021 surviving sepsis campaign for the emergency physician. Definitions Our operative definition of sepsis & septic shock are the sepsis-3 definitions [1]. Sepsis: “Sepsis is a life threatening organ...
by Kevin Durr, Jeff Perry, Hans Rosenberg | Jan 24, 2022 | Full Article, Infectious Disease, Journal Club
Methodology: 3.5/5 Usefulness: 3.5/5 COVID STEROID 2 Trial Group, Munch MW, et al. JAMA. 2021 Nov 9;326(18):1807-1817. doi: 10.1001/jama.2021.18295. Question and Methods: This blinded randomized clinical trial compared the effects of 12 mg daily relative to 6 mg daily...
by Darren Wong, Hans Rosenberg | Oct 25, 2021 | Full Article, Infectious Disease, Journal Club
Methodology: 1/5 Usefulness: 1/5 von Dach E, et al. JAMA. 2020 Jun 2;323(21):2160-2169. doi: 10.1001/jama.2020.6348. Question and Methods: In a multi-center, noninferiority, randomized, double-blinded clinical trial, the authors compared the rates of...
by Mikki McGuinty, Rajiv Thavanathan, James Gilbertson | Sep 9, 2021 | Featured, Infectious Disease, Podcast
Listen on Apple PodcastsListen on SpotifyListen on Google PodcastsListen on Stitcher EMOttawa Podcast Episode 6Tick Borne Illness Part 2 – Anaplasmosis (Click here to access Podcast Main menu) Click here for Part 1, focusing on Lyme disease. In part 2 of our...
by Jessica McCallum, Alex Coutin | Oct 15, 2020 | Featured, Global health, Grand Round Summaries, Infectious Disease, Infectious Disease, Public health, Tropical Medicine
In part one of this two-part series, we took a bite out of Lyme disease and Malaria (see what we did there?). In this part, we’ll be covering African tick-bite fever, African sleeping sickness, Dengue, Chikungunya, and Zika. Fever in the returning traveler is...
by Hans Rosenberg | Jun 29, 2020 | Full Article, Infectious Disease, Infectious Disease, Journal Club, OBGYN
Methodology: 3/5 Usefulness: 2.5/5 Gaydos CA et al. Ann Emerg Med. 2019 Jul;74(1):36-44. doi: 10.1016/j.annemergmed.2018.09.012. Epub 2018 Nov 2. Question and Methods: RCT of women receiving pelvic testing for CT/NG comparing standard of care test (NAAT) vs....
by Rory Connolly | Jun 4, 2020 | COVID-19, Infectious Disease, Slider, Ultrasound
Lung PoCUS can rapidly diagnose the underlying etiology at the bedside of the acutely dyspneic patient. Lung PoCUS has excellent test characteristics for the diagnosis of pulmonary edema, pneumothorax and pleural effusions allowing the treating physician to rapidly...
by Hans Rosenberg | Apr 6, 2020 | Full Article, Infectious Disease, Journal Club, Respirology
Methodology: 3/5 Usefulness: 2.5/5 Butler CC, et al. N Engl J Med. 2019 Jul 11;381(2):111-120 Editorial: COPD Exacerbations – A Target for Antibiotic Stewardship. Question and Methods: This was a multicenter RCT to determine if POCT CRP testing vs usual care may help...
by Hans Rosenberg | Feb 17, 2020 | Infectious Disease, Journal Club, Respirology
Methodology: 4/5 Usefulness: 2/5 Alexander E., et al. JAMA. 2019 Sep 27. doi: 10.1001/jama.2019.15468. Editorial: Lefamulin-A New Antibiotic for Community-Acquired Pneumonia. Question and Methods: LEAP-2 was a phase 3, double-blinded RCT to determine non-inferiority...
by Krishan Yadav, Shahbaz Syed | Feb 7, 2019 | Featured, Infectious Disease, Infographics
Non-purulent skin and soft tissue infections (SSTIs; i.e. cellulitis or erysipelas) account for up to 3% of all emergency department (ED) visits. Once the diagnosis of a non-purulent SSTI is made, the emergency physician must select the appropriate antibiotic agent,...