http://www.ebmedicine.net/EMPGU EM Practice Guidelines Update en-us Copyright ©2013 EB Practice, LLC d.b.a. EB Medicine DW@EBMEDICINE.NET (DW) si@ebmedicine.net (Stephanie Ivy) http://www.ebmedicine.net/publicationImages/EM_Practice_Guidelines_Update_evidence_based_CME.gif http://www.ebmedicine.net/EMPGU 54 16 This 2011 guideline from the Pediatric Infectious Diseases Society and the Infectious Diseases Society of America presents recommendations for the clinical management of community-acquired pneumonia (CAP) in otherwise-healthy infants and children aged > 3 months and presents practical information on the inpatient and outpatient diagnosis and management of CAP in these children to decrease morbidity and mortality rates. http://www.ebmedicine.net/showTopic_366 http://www.ebmedicine.net/showTopic_366 Fri, 03 May 2013 00:00:00 -0400 This issue of EM Practice Guidelines Update reviews the 2012 International Surviving Sepsis Campaign guidelines on the management of severe sepsis and septic shock. Sepsis is a systemic, deleterious inflammatory host response to infection that can lead to severe sepsis (acute organ dysfunction secondary to documented or suspected infection) and septic shock (severe sepsis plus hypotension not reversed with fluid resuscitation). The mortality of severe sepsis and septic shock is high, as much as 51%. The incidence of severe sepsis and septic shock is increasing, with approximately 660,000 cases diagnosed in the United States in 2000. The Surviving Sepsis Campaign guidelines were created to provide clinicians in the intensive care unit (ICU) or non-ICU setting with an evidence-based approach to managing this syndrome. A key portion of this guideline focuses on initial resuscitation, so it is important for emergency clinicians to be familiar with these recommendations. http://www.ebmedicine.net/showTopic_363 http://www.ebmedicine.net/showTopic_363 Wed, 03 Apr 2013 00:00:00 -0400 In this issue of EM Practice Guidelines Update, clinical guidelines addressing the management of Bell palsy and herpes zoster will be reviewed. Both of these disease processes can be frustrating for patients, occasionally leading to long-term sequelae. In treating these entities, emergency clinicians have employed steroids and antivirals, sometimes with considerable variability in outcomes. Recent revision of these 2 guidelines can help guide effective emergency department treatment. http://www.ebmedicine.net/showTopic_358 http://www.ebmedicine.net/showTopic_358 Sun, 03 Mar 2013 00:00:00 -0500 In this issue of EM Practice Guidelines Update, 2 practice guidelines addressing the management of community-acquired pneumonia (CAP) are reviewed. With increasing attention to core measure performance, appropriate and timely management of CAP has become a significant area of concern for ED providers. http://www.ebmedicine.net/showTopic_356 http://www.ebmedicine.net/showTopic_356 Sun, 03 Feb 2013 00:00:00 -0500 In this issue of EM Practice Guidelines Update, the 2011 American Academy of Pediatrics (AAP) update regarding neurodiagnostic evaluation of pediatric simple febrile seizures is reviewed. http://www.ebmedicine.net/showTopic_352 http://www.ebmedicine.net/showTopic_352 Thu, 03 Jan 2013 00:00:00 -0500 Abdominal pain and/or vaginal bleeding are common presenting complaints among patients in the first trimester of pregnancy. In evaluation of this group, the primary concern is to identify ectopic pregnancy. http://www.ebmedicine.net/showTopic_349 http://www.ebmedicine.net/showTopic_349 Mon, 03 Dec 2012 00:00:00 -0500 In this issue of EM Practice Guidelines Update, we review the current American College of Cardiology Foundation/American Heart Association/Society for Cardiovascular Angiography and Interventions (ACCF/AHA/SCAI) guidelines for percutaneous coronary intervention (PCI), focusing on the recommendations for revascularization of coronary artery disease (CAD) to improve survival when compared with medical therapy. http://www.ebmedicine.net/showTopic_345 http://www.ebmedicine.net/showTopic_345 Sat, 03 Nov 2012 00:00:00 -0400 This edition of EM Practice Guidelines Update focuses on 2 parts of the 2010 American Heart Association (AHA) Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care (commonly referred to as the Advanced Cardiovascular Life Support [ACLS] Guidelines) that receive little attention but contain many recommendations directly applicable emergency clinicians: (1) Part 12: Cardiac Arrest in Special Situations and (2) Part 17: First Aid. http://www.ebmedicine.net/showTopic_340 http://www.ebmedicine.net/showTopic_340 Wed, 03 Oct 2012 00:00:00 -0400 In this issue of EM Practice Guidelines Update, 3 practice guidelines that address 3 medical emergencies commonly encountered in wilderness settings are reviewed. http://www.ebmedicine.net/showTopic_335 http://www.ebmedicine.net/showTopic_335 Mon, 03 Sep 2012 00:00:00 -0400 In this issue of EM Practice Guidelines Update, we review 3 guidelines addressing emergency department (ED) treatment of uncomplicated cystitis and pyelonephritis, as well as recommendations relating to the management of pregnant and catheterized patients with possible urinary tract infection (UTI). http://www.ebmedicine.net/showTopic_330 http://www.ebmedicine.net/showTopic_330 Fri, 03 Aug 2012 00:00:00 -0400 Pneumothorax is a common condition managed in the emergency department (ED), with etiologies that include traumatic, primary spontaneous, secondary to underlying lung disease, and iatrogenic causes. http://www.ebmedicine.net/showTopic_324 http://www.ebmedicine.net/showTopic_324 Tue, 03 Jul 2012 00:00:00 -0400 In this issue EM Practice Guidelines Update, 2 practice guidelines that address the management of hypertension in the emergency department (ED) are reviewed. http://www.ebmedicine.net/showTopic_319 http://www.ebmedicine.net/showTopic_319 Sun, 03 Jun 2012 00:00:00 -0400 This issue of EM Practice Guidelines Update reviews 2 guidelines that focus on the management of atrial fibrillation (AF) in the emergency department (ED). http://www.ebmedicine.net/showTopic_311 http://www.ebmedicine.net/showTopic_311 Thu, 03 May 2012 00:00:00 -0400 In this issue of EM Practice Guidelines Update, 2 guidelines that address the management of unstable angina (UA) and non-ST-elevation myocardial infarction (NSTEMI) are reviewed. Chest pain is the chief complaint in approximately 5% of emergency department (ED) visits, and in 2006, there were 4,378,000 visits to EDs with a primary diagnosis of cardiovascular disease. Most patients who present with chest pain are concerned that they might be having a heart attack, and the diagnosis and management of acute coronary syndromes (ACS) is the focus of ED management of this complaint. The guidelines discussed here represent a distillation of the current evidence and opinion of thought leaders and are, therefore, highly relevant to the emergency clinician. http://www.ebmedicine.net/showTopic_304 http://www.ebmedicine.net/showTopic_304 Tue, 03 Apr 2012 00:00:00 -0400 In this issue of EM Practice Guidelines Update, 2 guidelines that address the management of neck trauma are reviewed. http://www.ebmedicine.net/showTopic_298 http://www.ebmedicine.net/showTopic_298 Sat, 03 Mar 2012 00:00:00 -0500