Emergency Department Management of Adults With Infectious Meningitis and Encephalitis (Infectious Disease CME) | Podcast
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Emergency Department Management of Adults With Infectious Meningitis and Encephalitis (Infectious Disease CME)

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Episode 68

Date: 04/01/2022 | Length: 56:47

 

Show Notes

  • Meningitis vs encephalitis
    • Why this topic?
    • What do the words mean? What's the difference?
  • Bacterial meningitis
    • How common is it in the US? Is it more common in third world countries?
    • Mortality rate in the US
    • Causes – if Neisseria and H influenzae improved post vaccination, why not S pneumoniae disease ? (Table 1)
  • Viral meningitis
    • How common is it in the US?
    • What are the common causes? (Table 2)
  • Viral encephalitis
    • Same prognosis as viral meningitis?
    • Same organisms as viral meningitis? (Table 2)
    • Does COVID-19 cause this illness?
  • Fungal infections
    • Who gets these?
    • 60% die? 1 million cases a year, 600K deaths?
  • Prehospital care:
    • What does EMS need to know?
    • How do they protect themselves from being exposed?
    • How can they help us make the diagnosis?
    • EMS is giving antibiotics in some areas?
    • PEP
  • ED evaluation: History
  • ED evaluation: Physical exam
  • Diagnostics: CSF
    • What's large volume? Is it safe?
    • Cell counts on tubes 1+4, all the time or only if traumatic and obviously bloody?
    • Is opening pressure helpful?
    • CSF lactate level – can this be run in a normal lactic acid analyzer?
    • PCR/NAAT testing
  • Serum labs
    • What is helpful?
    • Serum PCR
    • Serum cryptococcal antigen
  • Imaging
    • Is CT imaging before LP still necessary? Can we be selective?
    • Is MRI helpful in the ED, or is there a role in encephalitis?
  • Treatment
    • Antibiotics
    • Steroids: Who gets them? When? Are there downsides of giving them?
  • Special populations
    • Autoimmune disease
    • Lacking childhood vaccines
    • Healthcare associated infections
  • Cutting edge
  • Disposition
 

Meet the Host

Sam Ashoo, MD, FACEP

Dr. Ashoo is a practicing emergency physician, board-certified in emergency medicine and clinical informatics. Join him as he takes you through the April 2022 issue of Emergency Medicine Practice: Emergency Department Management of Adults With Infectious Meningitis and Encephalitis (Infectious Disease CME)


About The Podcast

Get quick-hit summaries of hot topics in emergency medicine. EMplify summarizes evidence-based reviews in a monthly podcast. Highlights of the latest research published in EB Medicine's peer-reviewed journals educate and arm you for life in the ED.

 

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Publication Information
Authors

Andrew N. Hogan, MD; C. Reece Brockman II, MD, FACEP; Amanda Santa Maria, MD

Peer Reviewed By

Corlin Jewell, MD; Benjamin Schnapp, MD, MEd

Publication Date

April 1, 2022

CME Expiration Date

April 1, 2025

CME Credits

4 AMA PRA Category 1 Credits™, 4 ACEP Category I Credits, 4 AAFP Prescribed Credits, 4 AOA Category 2-A or 2-B Credits.
Specialty CME Credits: Included as part of the 4 credits, this CME activity is eligible for 4 Infectious Disease CME credits

Pub Med ID: 35315604

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CME Information

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