Thanks!
Sorry, I should have known.

This is great!
Is this based on literature? Do you have the paper handy?
Or your review of many patients?

Procal where I work anecdotally leads to more inappropriate abx use. Never used correctly. I pretty much never find it helpful myself.
If you like it, convince me otherwise

I often hear they failed because of apnea (they set the apnea alarm off). Unless they have a neuro problem this is (almost) never a cause for failure in my book. Often the abg shows they are alkalotic as RT was maybe focused on normalizing the bicarb

Interesting… Can you link the evidence?

It’s a day when parents or friends of the school come in and teach kids about what they do for work and expose them to future career possibilities. I hear good to have a little fun activity

Should have doge look into this. Doesn’t seem
“Efficient”

I try it periodically and makes numbers better sometimes.
CCB OD it can be magic and save lives.
But, why calcium gluconate not CaCl?
I’d talk to pharmacy but I feel like we use CaCl more.
I’ve used on more normal iCal and felt I’ve seen results too. Anything magic about 0..8?
Thanks

Hmm I’m surprised how long they get antibiotics for in this study. I wonder if the drain is all they needed for both groups and maybe no culture is best. We know with good source control 24 hrs or at most 4 days abx is all that’s needed most of the time. What am I missing about these patients?

Our hospital recently went to antigen tests for flu rsv and covid. It’s annoying…as I don’t have a good idea of the performance of these tests..anyone else hospital doing this? Any thoughts?

Who recommends this?
In what situation?
Antigen tests and Ct values I find very helpful in deciding if someone is likely infectious and even if an antiviral is likely to be helpful. Though I wish there was better data to support this…

I’ve used OpenEvidence and ChatGPT. The Jama paper they used chat gpt a year ago. It’s better now. But of course verify everything and open evidence nice as easier to find source.
I’m trying to figure out what is best too.

jamanetwork.com/journals/jam...

Flip a coin?
I’d probably just keep ceftriaxone going. If someone had already switched to pcn, I’d continue that. I haven’t done a recent deep dive into the literature though…I’m open to other thoughts. If volume is an issue, especially with fluid shortage issues ceftriaxone maybe better?

I don’t do this much as I’m not outpatient anymore but I had a woman last week I thought would benefit and so I went to UTD and the authors don’t recommend it.
What are people doing for recurrent UTI’s? Does anyone have a reference you like on this topic you could share? Or an approach? Thanks

I agree it is complicated and requires a lot of nuance can’t capture in a tweet. Often we get called to run codes on patients and families we have never met, or the patient has a history with the healthcare system or religious beliefs…

I see. But guidelines post valve replacement are 4-6 weeks when cultures are positive, so what is wrong with those recommendations? Do you do something different? Seems reasonable to me. I wonder if can go shorter even, but would want a good trial of course

Agree. What’s the thinking behind 12 weeks? @cortes-penfield.bsky.social

I would do 6 weeks. I think with surgery should have excellent source control. Does the datipo trial suggest longer for you? Or would you do something different?
Does vre matter for you? For me it doesn’t…but I’m open