This article discusses why diagnosing simple vs. complicated pyelonephritis matters. The management of complicated pyelonephritis and the mimics of pyelonephritis will also be discussed.
Check out our latest in our D-List Superbugs series of rare cases caused by rare bugs. EM docs need to have these in their differential as it can cause national morbidity/mortality!
There have been a number of new publications reviewing our approach to managing sepsis. Both the ProCESS Trial and ARISE trial published in 2014 editions of the New England Journal question whether invasive procedures and rigid protocols are required to have positive patient outcomes. Other studies included in this power review examine the importance of early antibiotic therapy, effects of different mean arterial pressure parameters, and impact of chloride heavy versus chloride restricted solutions.
"Some have questioned exactly which parts of the bundle are beneficial, which parts are not, and which parts may be causing harm"Steven Whelpley, DO reviews the recent literature on sepsis recognition and treatment in the ED.
"Hundreds of thousands of cases of hemorrhagic fever yearly"
