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Back to Basics: Revisiting Common EM Controversies

Back to Basics: Revisiting Common EM Controversies

by Maren Jazi, Richard Hoang | May 16, 2018 | Featured, Grand Round Summaries, Infectious Disease

In this post, we will explore the current literature regarding common EM controversies, covering the nature and prevalence of penicillin allergies, the management of skin and soft tissue infections, and the role of NSAIDs for acute pain. Penicillin allergies in the ED...
Meningitis in the ED Patient

Meningitis in the ED Patient

by Nick Prudhomme, Richard Hoang | Apr 19, 2018 | Grand Round Summaries, Infectious Disease

Meningitis is defined as the inflammation of the membranes of the brain and/or spinal cord. The incidence of bacterial meningitis is in the range of 5-10 cases per 100,000 patients per year1. Despite modern medical therapy, it is associated with a case fatality rate...
Prehospital antibiotics in the ambulance for sepsis: a multicentre, open label, randomised trial

Prehospital antibiotics in the ambulance for sepsis: a multicentre, open label, randomised trial

by Hans Rosenberg | Apr 16, 2018 | Infectious Disease, Journal Club

Journal Club Summary Alam N, et al. Lancet Respir Med. 2018 Jan;6(1):40-50.  Question and Methods: The authors of this nation-wide open-label RCT studied the mortality effect of pre-hospital antibiotics on febrile patients with one other non-laboratory SIRS criteria...
Responsible Antibiotic Use in the Emergency Department

Responsible Antibiotic Use in the Emergency Department

by Miguel Cortel-LeBlanc, Richard Hoang | Oct 12, 2017 | Featured, Grand Round Summaries, Infectious Disease

  Part 1: Concerns with Antibiotic Overuse Three of the most common antibiotic-related unwanted effects seen the ED include: Their toxic effects Selection of pathogenic bacteria Increasing antibiotic resistance The Magnitude of Antibiotic-Related Toxic Effects A...

Time to Treatment and Mortality during Mandated Emergency Care for Sepsis

by Hans Rosenberg | Sep 11, 2017 | Critical Care, Infectious Disease, Journal Club

Journal Club Summary Seymour CW, et al. Journal N Engl J Med. 2017 Jun 8;376(23):2235-2244. EDITORIAL: State Sepsis Mandates – A New Era for Regulation of Hospital Quality. Hershey TB, et al. N Engl J Med. 2017 May 21. Methodology Score:  3.5/5 Usefulness Score:...
Zika Virus – What we know and what we don’t

Zika Virus – What we know and what we don’t

by emottawa | May 11, 2017 | Grand Round Summaries, Infectious Disease

The Zika Virus exploded onto the international health scene in the last several months. It was first discovered in humans in 1951 and remained limited to Africa and Asia until the first major outbreak in Micronesia in 2007. Since then the virus has continued to evolve...
What We Know About Lyme Disease.

What We Know About Lyme Disease.

by emottawa | Nov 11, 2016 | Grand Round Summaries, Infectious Disease

  Relative to its incidence and prevalence, Lyme disease has gathered a tremendous amount of attention, particularly in the last decade or so. This can be attributed, in part, to the perceived difficulty in properly diagnosing and treating the disease. However,...
Skin and Soft Tissue Infections in the ED

Skin and Soft Tissue Infections in the ED

by emottawa | Dec 11, 2015 | Grand Round Summaries, Infectious Disease

        Cellulitis and erysipelas – collectively referred to as skin and soft tissue infections (SSTIs) – are a seemingly simple entity to manage. Yet the burden of SSTIs and the complexity of this disease process may surprise you!   From 1997 to...
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