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REBEL Core Cast 107.0 – Vertebral Osteomyelitis

REBEL EM

Take Home Points Clinical presentation is very nonspecific; evaluate all patients presenting with back pain for infectious risk factors. MRI is key to diagnosis, obtain this imaging in all patients who raise clinical suspicion Patients with hemodynamic instability and neurologic compromise warrant empiric antibiotics. 7 th ed.

Myelogram 104
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Don’t Forget About the IO in the Critically Ill Patient

REBEL EM

Additional sites such as the sternal, iliac crest, distal femur, and distal tibia have also been utilized, and the use of these alternative sites should be considered based on the clinical presentation. Clinical Management of Intraosseous Access in Adults in Critical Situations for Health Professionals. 2012 PMID: 21893125.

Hospital 105
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7d vs 14d of Antibiotics in Afebrile Men with UTI

REBEL EM

One clinical trial demonstrates that afebrile UTI can be treated successfully with antibiotics for seven days in women, but that seven days is inferior to 14 days during short-term follow-up and non-inferior during long-term follow-up (van Nieuwkoop, 2017). Conducted at 2 US Veterans Affairs medical centers from 2012–2019.

Clinic 52
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Journal Scan – This Month in Other Journals, October 2022

AJNR

Patient demographics, aneurysm characteristics, surgical procedures, and clinical outcomes were analyzed. infield gross target volume [GTV] within the 60-Gy isodose line and infield clinical target volume [CTV] within the 46-Gy isodose line); marginal, within 2 cm of the 46-Gy isodose line; and distant, all outside the 46-Gy isodose line.

MRI 40