46 results
Community Acquired Pneumonia - Severity and Prognosis
Criteria for Severe CAP - Severe CAP present in 1
Community Acquired ... CAP present in 1 ... criteria: Septic shock ... #Acquired #Pneumonia ... #severe #psi #diagnosis
Community Acquired Pneumonia (CAP) - Microbiology
 • Typicals: Strep pneumoniae, H influenzae, Moraxella catarrhalis, Staph aureus,
Community Acquired ... MERS-COV, SARS-COV-1, ... StanfordChiefs #Community ... #Acquired #Pneumonia ... #differential #diagnosis
Community Acquired Pneumonia - Presenting Features
 • History in favor of CAP: Dyspnea, Cough, particularly if
Community Acquired ... CAP present in 1 ... criteria: Septic shock ... #Acquired #Pneumonia ... #diagnosis #signs
CAP, HCAP, HAP and VAP - Diagnosis and Treatment

HCAP & CAP – those presenting to the
HAP and VAP - Diagnosis ... and Treatment ... VAP #Pneumonia #Acquired ... #Community #Diagnosis ... #Management #Treatment
Antibiotic treatment durations for first line antibiotics recommended by Public Health England (PHE) guidance
 • Acute
Antibiotic treatment ... acquired pneumonia ... CRB65=0 7 days • Community ... acquired pneumonia ... and CRB65=1 7-10
Antibiotics for severe community-onset pneumonia 

Atypical coverage always 

- Usually azithromycin 500 mg daily 

- Doxycycline
Antibiotics for severe community-onset ... piperacillin-tazobactam Septic Shock ... Hospitalization for > 1 ... - Linezolid 1 ... #Acquired #Pneumonia
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Diagnosis Framework ... Treatment Goals ... : 1) MAP > 60-65 ... #criticalcare # ... algorithm #treatment
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... SOFA and SIRS 1) ... #Diagnosis #Management ... #Summary #criticalcare ... #treatment #workup
C.diff - Clostridioides Difficile Infection (CDI) - Diagnosis and Management - GrepMed Handbook

Clinical Presentation + Progression:
Toxic Megacolon, Shock ... Epidemiology: • #1 ... post-ABx, but can be community-acquired ... Ileus, Megacolon, Shock ... 10 mg/kg IV x 1
Hypotension - Rapid Response Management

1) Ask for vitals en route
2) Immediate Assessment
3) Examine for a cause:
Management 1) ... Obstructive 4) Diagnosis ... Hypotension #Management #criticalcare ... #Shock