Episode 105.0 – Initial Antibiotic Choice in Cellulitis

07/10/17 • -1 min

This week we dissect a JAMA article on the whether it's necessary to add TMP-SMX to cephalexin in the treatment of uncomplicated cellulitis

https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_105_0_Final_Cut.m4a Download Leave a Comment Tags: Cellulitis, IDSA, Infectious Diseases, MRSA

Show Notes

SSTI Flow Diagram (Stevens 2014)

EM Lit of Note: Double Coverage, Cellulitis Edition

Pharm ER Tox Guy: Uncomplicated Cellulitis? Consider Strep-Only Coverage

Core EM: Cellulitis

Stevens DL et al. Practice guidelines for the diagnosis and management of skin and soft tissue infections: 2014 update by the infectious diseases society of America. Clin Infect Dis 2014; 59(2): e10-52. PMID: 24973422

This week we dissect a JAMA article on the whether it's necessary to add TMP-SMX to cephalexin in the treatment of uncomplicated cellulitis

https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_105_0_Final_Cut.m4a Download Leave a Comment Tags: Cellulitis, IDSA, Infectious Diseases, MRSA

Show Notes

SSTI Flow Diagram (Stevens 2014)

EM Lit of Note: Double Coverage, Cellulitis Edition

Pharm ER Tox Guy: Uncomplicated Cellulitis? Consider Strep-Only Coverage

Core EM: Cellulitis

Previous Episode

Episode 104.0 – Procedural Sedation and Analgesia

This week we dive into the various common agents used in procedural sedation and analgesia in the ED.

https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_104_0_Final_Cut.m4a Download 2 Comments Tags: Anesthesia, Critical Care, Procedural Sedation, PSA

Show Notes

Show Notes

Core EM : Parenteral Benzodiazepines

Core EM: Procedural Sedation and Analgesia Resources

EM Updates: Ketamine Brain Continuum

First 10 EM: Managing laryngospasm in the emergency department

Episode 106.0 – Procedural Sedation and Analgesia II

This week we drop into some of the nitty gritty on PSA including preparation and patient assessment as well as discuss some common pitfalls.

https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_106_0_Final_Cut.m4a Download Leave a Comment Tags: Pitfalls, Procedural Sedation, PSA

Show Notes

Take Home Points

Always perform a full pre-PSA evaluation including an airway assessment. Time of last meal shouldn’t delay your sedation based on the best available evidence.
Always do a complete setup including consideration of different agents, dosage calculations, preparation of airway equipment and reversal agents.
PSA serious adverse events are rare but you still must be prepared for them. Careful agent selection and dosing can help prevent issues but, know your outs.
If apnea develops, do some basic maneuvers before you reach for the BVM or laryngoscope. Remember OOPS as in “oops, my patient went apneic.” Oxygen on, pull the mandible forward and sit the patient up. This fixes most issues

Show Notes

Core EM: Procedural Sedation and Analgesia Resources

EM Updates:Emergency Department Procedural Sedation Checklist v2

REBEL EM: Complications of Procedural Sedation

Bellolio MF et al. Incidence of adverse events in adults undergoing procedural sedation in the emergency department: a systematic review and meta-analysis. Acad Emerg Med 2016; 23: 119-34. PMID: 26801209