Core EM - Emergency Medicine Podcast

Episode 125.0 – Morning Report Pearls I

8 snips
Dec 11, 2017
Discover invaluable insights from a morning report conference focused on emergency medicine. Key discussions include critical case management strategies, the intricacies of medication absorption, and treatment protocols for febrile asplenic patients. The experts dive into the complexities of antibiotic use for community-acquired pneumonia, sharing valuable pearls that enhance patient care. This engaging exchange of knowledge empowers emergency professionals with practical advice to tackle real-world challenges.
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ADVICE

Beta Blocker Eye Drop Tip

  • Tell patients using beta blocker eye drops to press the medial eye corner while administering drops.
  • This reduces systemic absorption and lowers the risk of toxicity like hypotension and bradycardia.
ADVICE

Aggressive Treatment for Asplenic Fever

  • Asplenic patients with fever should always be cultured, treated with broad-spectrum antibiotics, and admitted.
  • Fever can be the first sign of serious infection due to susceptibility to encapsulated organisms.
ADVICE

Reconsider Azithromycin for Pneumonia

  • Avoid using azithromycin alone for community-acquired pneumonia due to rising strep pneumo resistance.
  • Use doxycycline alone or combine amoxicillin with azithromycin for adequate coverage.
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