New to Meducation?
Sign up
Already signed up? Log In

Category

Preview
0
2

Treating Community-Acquired Pneumonia With Steroids

A recent meta-analysis seeks to reduce uncertainty with respect to the efficacy of corticosteroids for treating community-acquired pneumonia.  
medscape.com
almost 5 years ago
Preview
0
8

Critical Care

The diagnosis of patients presenting to the emergency department with acute heart failure (AHF) is challenging due to the similarity of AHF symptoms to other conditions such as chronic obstructive pulmonary disease and pneumonia. Additionally, because AHF is most common in an older population, the presentation of coexistent pathologies further increases the challenge of making an accurate diagnosis and selecting the most appropriate treatment. Delays in the diagnosis and treatment of AHF can result in worse outcomes and higher healthcare costs. Rapid initiation of treatment is thus necessary for optimal disease management. Early treatment decisions for patients with AHF can be guided by risk-stratification models based on initial clinical data, including blood pressure, levels of troponin, blood urea nitrogen, serum creatinine, B-type natriuretic peptide, and ultrasound. In this review, we discuss methods for differentiating high-risk and low-risk patients and provide guidance on how treatment decisions can be informed by risk-level assessment. Through the use of these approaches, emergency physicians can play an important role in improving patient management, preventing unnecessary hospitalizations, and lowering healthcare costs. This review differs from others published recently on the topic of treating AHF by providing a detailed examination of the clinical utility of diagnostic tools for the differentiation of dyspneic patients such as bedside ultrasound, hemodynamic changes, and interrogation of implantable cardiac devices. In addition, our clinical guidance on considerations for initial pharmacologic therapy in the undifferentiated patient is provided. It is crucial for emergency physicians to achieve an early diagnosis of AHF and initiate therapy in order to reduce morbidity, mortality, and healthcare costs.  
ccforum.com
almost 5 years ago
Preview
0
0

Rapid Diagnosis of Bloodstream Infections, Pneumonia, and More

Find out more about rapid pathogen identification in critically ill patients.  
medscape.com
almost 5 years ago
Preview
0
0

Proton-Pump Inhibitors May Boost Death Risk in Inpatients

Drugs commonly used in hospitals to prevent gastrointestinal bleeding can increase the risk for serious infections including pneumonia and C difficile, a modeling study has showed.  
medscape.com
almost 5 years ago
Preview
0
0

Charity urges drug firms to reduce price of pneumonia vaccine

The charity Médecins Sans Frontières (MSF) has launched a global campaign urging drug companies GlaxoSmithKline (GSK) and Pfizer to reduce the price of the pneumonia vaccine for developing countries. The organisation launched its global petition on world pneumonia day, 12 November.  
feeds.bmj.com
almost 5 years ago
Preview
0
0

Charity urges drug firms to reduce price of pneumonia vaccine

The charity Médecins Sans Frontières (MSF) has launched a global campaign urging drug companies GlaxoSmithKline (GSK) and Pfizer to reduce the price of the pneumonia vaccine for developing countries. The organisation launched its global petition on world pneumonia day, 12 November.  
feeds.bmj.com
almost 5 years ago
Sinaiem dark
0
0

is-papain-back-for-food-bolus-management

Papain, a proteolytic enzyme and meat tenderizer, had been used to relieve food bolus impactions since it was first suggested in 1945.  However, it fell out of favor in the 1970s and 1980s after a few oft-cited case reports documented esophageal perforation, aspiration pneumonitis, and hemorrhagic pulmonary edema in the setting of its use.  Many societies and reviews specifically call it “obsolete” or “contraindicated”.  But, a recent paper in The Journal of Emergency Medicine brings it back to the table.  
sinaiem.org
almost 5 years ago
Preview
0
2

Critical Care

Respiratory viruses are increasingly recognized as significant etiologies of pneumonia among hospitalized patients. Advanced technologies using multiplex molecular assays and polymerase-chain reaction increase the ability to identify viral pathogens and may ultimately impact antibacterial use.  
ccforum.com
almost 5 years ago
Preview
0
0

Pediatric Pneumonia - CRASH! Medical Review Series

(Disclaimer: The medical information contained herein is intended for physician medical licensing exam review purposes only, and are not intended for diagnos...  
youtube.com
almost 5 years ago
Preview
1
27

The 5 W's: Wind (Pneumonia/Atelectasis) - CRASH! Medical Review Series

(Disclaimer: The medical information contained herein is intended for physician medical licensing exam review purposes only, and are not intended for diagnos...  
youtube.com
almost 5 years ago
Preview
0
1

Critical Care

Up to one third of patients with influenza A (H1N1) virus require intensive care unit (ICU) admission because of severe pneumonia, sepsis, or acute respiratory distress syndrome or a combination of these. Still, in-ICU mortality rate remains excessively high despite the deployment of maximal therapeutic support, often including extracorporeal membrane oxygenation [1].  
ccforum.com
almost 5 years ago
Preview
0
0

SIRS and Clinical Outcomes of Pediatric Pneumonia

Does SIRS in children with community-acquired pneumonia suggest a higher likelihood of experiencing a more serious outcome?  
medscape.com
almost 5 years ago
Preview
0
0

The Flu Vaccine and Risk For Pneumonia

Among patients hospitalized with CAP, those with laboratory-confirmed influenza were less likely to have had a flu vaccine.  
medscape.com
over 4 years ago
Preview
0
1

Valeant to Be Led by Group of Execs While CEO Fights Pneumonia

Valeant Pharmaceuticals International Inc on Monday said a group of company executives will immediately take over for its chief executive officer until he returns from medical leave, sending shares tumbling 10 percent.  
medscape.com
over 4 years ago
Preview
0
0

Impact of Antibacterials on Resistance in Viral Pneumonia

Could prolonged antibacterial therapy lead to resistance in viral pneumonia patients? Does it provide any benefits in terms of clinical outcomes?  
medscape.com
over 4 years ago
Preview
0
0

Should we be giving steroids to patients with community acquired pneumonia?

Special thanks to Ben Kerrey and Todd Florin, two of my fellow attendings who brought this issue to my attention and helped compile information for the post.  
pemcincinnati.com
over 4 years ago
Preview
0
3

Steroids in CAP: Beneficial, Harmful, or Inconsequential?

A meta-analysis examines the question of whether corticosteroids are of any use in adults hospitalized with community-acquired pneumonia.  
medscape.com
over 4 years ago
Preview
0
1

PI3K Regulates Fungus-Induced Allergic Lung Inflammation

Gain a better understanding of the role P13K-delta plays in fungus-induced allergic lung inflammation.  
medscape.com
over 4 years ago
Preview
0
7

Polymicrobial Intensive Care Unit-Acquired Pneumonia

In this study, the microbiology, characteristics, and outcomes of polymicrobial ICU-acquired pneumonia are discussed.  
medscape.com
over 4 years ago
Preview
0
7

Emerging Therapies for Hospital-Acquired and Ventilator-Associated Bacterial Pneumonia CME

This activity is intended for infectious disease specialists, critical care specialists, pulmonary medicine specialists, and emergency medicine specialists.  
medscape.org
over 4 years ago