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Clinical Conundrums: Should You Give the First Dose of Antibiotics IV Before Discharging Home on Oral Antibiotics?

REBEL EM

Clinical Scenario: A 45-year-old woman with hypertension presents with a productive cough and fever. Additionally, multiple studies demonstrate increased harm with IV antibiotics such as increased rate of diarrhea ( Haran 2014 ), complications from IV placement ( Li 2015 ), and increased length of stay or cost ( Lorgelly 2010 ).

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CT shows effects of sarcopenia on liver cancer survival

AuntMinnie

and 83.6%, respectively, a team led by Thanatchawan Polvieng, MD, of Phramongkutklao Hospital in Bangkok, Thailand, reported. The condition was significantly correlated with lower skeletal muscle index, lower serum albumin levels, higher intraoperative blood loss, higher postoperative complications, and longer hospital stay.

Hospital 116
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Tributes pour in for CT pioneer Willi Kalender

AuntMinnie

He is the father of contemporary CT imaging -- and thus of clinical radiology as we know it today," Christiane Kuhl, MD, PhD, told AuntMinnie.com on November 4. Willi was the one to invent helical CT, the type of CT which is used today for all whole-body applications of clinical radiology," she said. Willi Kalender, PhD.

Clinic 126
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AI improves x-ray reads for rads with varying experience

AuntMinnie

Gleamer) increased sensitivity for detecting all abnormalities on x-rays for all readers (thoracic radiologists, general radiologists, and radiology residents), according to a group of Gleamer consultants and clinicians at Cochin Hospital in Paris. In a retrospective study, a commercially available algorithm (ChestView, v.

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Trauma Resuscitation Updates

REBEL EM

Clinical Take Home Point: In patients with TBI and hypovolemic shock, target a SBP or MAP ≥90mmHg, but know this is based on limited evidence. mental status, urine output, capillary refill) is more important than an actual goal PERMISSIVE HYPOTENSTION IN PTS WITH TBI Brotfain E et al. NEJM 1994. [2]

Hospital 145
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Meet the Minnies 2024 semifinal candidates

AuntMinnie

tesla MRI AI body composition analysis Cardiac PET Cryo/thermoablation CT colonography Genicular artery embolization Hyperpolarized xenon-129 MRI PET/MRI Photon-counting CT Radiomics Theranostics Whole-body MRI screening Image of the Year 3D PET/MR image.

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REBEL Core Cast 123.0 – Posterior Epistaxis

REBEL EM

If you treat a posterior bleed at a hospital without ENT, I would transfer as surgical intervention is pretty common REBEL EM: Do Patients with Epistaxis Managed by Nasal Packing Require Prophylactic Antibiotics? Laryngoscope 2010; 120: 2325-2330. Epistaxis, medical history and the nasopulmonary reflex: what is clinically relevant.

Clinic 105