Management of Suspected Rabies Exposure in the Emergency Department (Infectious Disease CME) | Podcast
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Management of Suspected Rabies Exposure in the Emergency Department (Infectious Disease CME)

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Episode 56

Date: 04/01/2021 | Length: 32:56

Show Notes

Management of Suspected Rabies Exposure in the Emergency Department: An Interview With Dr. Bess Storch

Announcements

  1. Pandemic Preparedness publication available now.
  2. Mt Sinai COVID-19 Treatment Protocols have been updated and are available for free.
  3. The Clinical Decision Making in the Emergency Department conference is June 23-27, both live and virtual.

Episode

Epidemiology:

  • Fatality rate of over 99%
  • Half of cases occur in children
  • 95% of cases are in resource limited countries, 35% in India
  • 99% caused by infected dogs (worldwide)
  • In the US, cases are predominantly bat variant

Why this topic?

  • "In a recent survey of licensed physicians, less than half could identify rabies transmission routes, the correct PEP schedule, and the correct anatomic administration sites."

Pathophysiology:

  • What causes it? The RNA virus Lyssavirus
  • How is it transmitted?
  • How does it reach the brain?

ED Evaluation:

  • What does it look like clinically?
  • 5 stages- incubation, prodrome, acute neurologic phase, coma death
  • Why doesn’t everyone just get vaccinated?
  • What patient medical history is important ? Steroids, chloroquine
  • What animals are high risk?
  • What about pets and quarantine?
  • What about rodents ?
  • Is there any role for labs or imaging ?
  • What is the treatment regimen for those who are unvaccinated? And vaccinated?
  • What about people who are immunosuppressed?
  • Children?
  • Pregnant women?
  • Recent travelers?

Have questions or comments on the podcast? Write us at emplify@ebmedicine.net

 

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 2021 issue of Emergency Medicine Practice: Management of Suspected Rabies Exposure in the Emergency Department (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

Bess Storch, MD

Peer Reviewed By

Jason Chu, MD; Edward Otten, MD, FACMT, FAWM

Publication Date

April 1, 2021

CME Expiration Date

May 1, 2024

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: 33779128

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CME Information

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