The Curbsiders Internal Medicine Podcast #465 Hospital Medicine Recap Extravaganza: Diabetic Foot, Sepsis, Syncope, Acute Coronary Syndrome, and more!
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Dec 30, 2024 The hosts take a deep dive into managing diabetic foot infections, discussing essential strategies like debridement and tailored antibiotics. They tackle the urgent management of sepsis, emphasizing prompt fluid resuscitation and the effectiveness of point-of-care ultrasound. Critical patient care strategies are highlighted, particularly in emergency situations, addressing opioid management and syncope. The team also reflects on their experiences over the past year, emphasizing the importance of teamwork and the connections made within the hospital medicine community.
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Diabetic Foot Infection Discussions
- Use Dr. Webster's four-step approach for discussing diabetic foot infections with patients: debridement, antibiotics, blood flow, and wound healing.
- This structured approach organizes conversations and ensures comprehensive care.
Wound Cultures
- Prioritize tissue cultures over wound swabs for identifying pathogens in diabetic foot infections.
- Swab results often don't correlate with the actual infection.
Antibiotic Timing
- Consider holding empiric antibiotics in stable diabetic foot infection patients.
- If debridement with cultures is planned, delaying antibiotics can be reasonable.