Guideline Update: 2025 IDSA Management of Complicated UTI
This post summarizes the major IDSA guidelines updates on the treatment of complicated UTI.
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FOAMed
EM@3AM: Thyrotoxic Periodic Paralysis
A 28-year-old otherwise healthy male presents for an acute episode of bilateral lower extremity weakness causing him to fall in the bathroom. The episode started approximately 30 minutes prior to arrival. He had a similar episode three months prior which resolved quickly during his ED visit. Neuro exam includes intact sensation in all distributions to light touch. Hip flexion ⅖ bilaterally, knee extension ⅗ bilaterally, plantar and dorsiflexion ⅘. Bilateral upper extremities shoulder flexion, elbow flexion, and extension 5/5. Labs reveal low potassium, phosphate, magnesium, TSH.
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Medical Malpractice Insights: Bad things happen. When is it negligence?
Dr. Pilcher evaluates the case of a patient who aspirates during CT.
Medical Malpractice Insights: Bad things happen. When is it negligence? Read More »
Journal Feed Weekly Wrap-Up
Journal Feed covers CT for pediatric C spine clearance, prehospital adenosine for SVT, and MAP targets in the post ROSC patient.
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ECG Pointers: Sgarbossing it up!
How do you utilize the Sgarbossa criteria for a left bundle branch block?
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emDOCs Podcast – Episode 122: Performing Under Pressure
How do you calm the chaos and perform under pressure?
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Journal Feed Weekly Wrap-Up
Journal Feed covers combination inhalers for mild asthma, treatment of cervical artery dissection, and the shock index in trauma.
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EM@3AM: Bradypnea
A 53-year-old male with hyperlipidemia and cervical stenosis presents with dyspnea, which has been worsening since his cervical spinal fusion 6 days ago. He states he is very fatigued and feels as though he cannot get a deep breath. Vital signs revealed a BP of 136/76, HR of 88, RR of 9, SpO2 of 94% on room air, and a temperature of 97.6 F. On physical exam, the patient is lethargic, has nasal flaring, and is using accessory muscles to breathe. Lung sounds are clear. On cardiac exam, there is normal rate and rhythm without murmur, rubs, or gallops. His capillary refill is 2 seconds. His surgical incision looks clean and without any signs of infection. An ABG is drawn and reveals pH of 7.53, pCO2 of 58, and PO2 of 83. Chest X-ray shows some mild atelectasis but no acute infiltrates. What is the diagnosis?
ECG Pointers: Pain Free but Not Worry Free
What should you be worried about with the patient who is now chest pain free but has biphasic T waves in V2 and V3?
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Journal Feed Weekly Wrap-Up
Journal Feed covers CAP antibiotics, MAP goals in elderly patients with septic shock, and a decision rule for head CT.
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