Podcasts about soft tissue infections

On this episode we discuss both purlent and non-purlent skin and soft tissue infections. We also use this episode to review various antimicrobial agents.  Cole and I are happy to share that our listeners can claim ACPE-accredited continuing education for listening to this podcast episode! We have continued to partner with freeCE.com to provide listeners with the opportunity to claim 1-hour of continuing education credit for select episodes. For existing Unlimited (Gold) freeCE members, this CE option is included in your membership benefits at no additional cost! A password, which will be given at some point during this episode, is required to access the post-activity test. To earn credit for this episode, visit the following link below to go to freeCE's website: https://www.freece.com/ If you're not currently a freeCE member, we definitely suggest you explore all the benefits of their Unlimited Membership on their website and earn CE for listening to this podcast. Thanks for listening! We want to give a big thanks to our sponsor, High-Powered Medicine. HPM is a book/website database of summaries for over 150 landmark clinical trials. You can get a copy of HPM, written by Dr. Alex Poppen, PharmD, at the links below:  Purchase a subscription or PDF copy - https://highpoweredmedicine.com/ Purchase the paperback and hardcover - Barnes and Noble website We want to give a big thanks to our main sponsor Pyrls. Try out their drug information app today. Visit the website below for a free trial: www.pyrls.com/corconsultrx If you want to support the podcast, check out our Patreon account. Subscribers will have access to all previous and new pharmacotherapy lectures as well as downloadable PowerPoint slides for each lecture. You can find our account at the website below:  www.patreon.com/corconsultrx If you have any questions for Cole or me, reach out to us on any of the following: Text - 415-943-6116 Mike - mcorvino@corconsultrx.com Cole - cswanson@corconsultrx.com Instagram and other social media platforms - @corconsultrx  This podcast reviews current evidence-based medicine and pharmacy treatment options. This podcast is intended to be used for educational purposes only and is intended for healthcare professionals and students. This podcast is not for patients and not intended as advice or treatment.

This podcast will give you an approach to skin and soft tissue infections. In this episode, listeners will 1) recognize the clinical manifestations of various skin and soft tissue infections, 2) classify bacterial pathogens based on the clinical presentations of skin and soft tissue infections, 3) identify red flags of skin and soft tissue infections, and 4) discuss the approach to management of skin and soft tissue infections. The podcast was created by Roy Khalaf, a third year medical student at McGill University, in collaboration with Dr. Korah, a Hospitalist Pediatrician at Montreal Children's Hospital at the McGill University Health Center.

Learn from experts in the field as they discuss opportunities and key strategies for developing and conducting a medication use evaluation for the treatment of skin and soft tissue infections (SSTIs) in the emergency department/urgent care setting. They will share how new evidence, new drug approvals, changing resistance patterns, and patient-specific considerations can be integrated into the MUE. You will gain insights into optimizing the patient experience and outcomes by applying MUE findings as part of their outpatient antibiotic stewardship strategy. This podcast is part of a project supported by a grant from Paratek. The information presented during the podcast reflects solely the opinions of the presenter. The information and materials are not, and are not intended as, a comprehensive source of drug information on this topic. The contents of the podcast have not been reviewed by ASHP, and should neither be interpreted as the official policies of ASHP, nor an endorsement of any product(s), nor should they be considered as a substitute for the professional judgment of the pharmacist or physician.

Skin and soft tissue infections are commonly seen and treated in the emergency department. While most practitioners are comfortable with the typical infections it is important to consider unusual exposures and environmental factors that may result in atypical skin and soft tissue infections. This podcast will discuss some of these infections that may be seen due to exposures to water (salt & fresh) and soils and how to identify and manage these situations. The information presented during the podcast reflects solely the opinions of the presenter. The information and materials are not, and are not intended as, a comprehensive source of drug information on this topic. The contents of the podcast have not been reviewed by ASHP, and should neither be interpreted as the official policies of ASHP, nor an endorsement of any product(s), nor should they be considered as a substitute for the professional judgment of the pharmacist or physician.

In this episode, Kyle Molina, PharmD, BCIDP, discusses key considerations for successful implementation of long-acting lipoglycopeptides into clinical practice. Listen as he gives perspectives on:Reasons to consider use of long-acting lipoglycopeptides (eg, poor adherence to oral antibiotics, PICC-related costs and complications)Data supporting and challenging cost effectiveness of long-acting lipoglycopeptides Identifying the target patient populationSelecting the right location to provide long-acting lipoglycopeptides Strategies to maximize institutional impact with key stakeholders (eg, hospital avoidance, reduced ED and hospital length of stay) Key characteristics of available long-acting lipoglycopeptides Addressing logistical challenges, including navigating the reimbursement process Faculty:Kyle Molina, PharmD, BCIDPInfectious Diseases Clinical PharmacistScripps Green HospitalLa Jolla, CaliforniaLink to full program: CCO: https://bit.ly/3J4mg8hProCE: https://bit.ly/3P0vB4E

This episode covers skin and soft tissue infections (cellulitis).Written notes can be found at https://zerotofinals.com/medicine/infectiousdisease/cellulitis/ or in the infectious diseases section of the 2nd edition of the Zero to Finals medicine book.The audio in the episode was expertly edited by Harry Watchman.

In this episode, Kyle Molina, PharmD, BCIDP, provides an overview of treatment of skin and soft tissue infections (SSTIs) and challenges in practice. Listen as he gives perspectives on:Guideline recommendations for treatment of purulent and nonpurulent SSTIsLogistical challenges with IV and oral antibioticsPros and cons of various locations of careData supporting the safety and efficacy of long-acting lipoglycopeptides for treatment of SSTIsUse of long-acting lipoglycopeptides in special populations of interest, including patients with obesity, diabetes, and injection drug useOverall place in therapy of long-acting lipoglycopeptides for SSTIs Faculty:Kyle Molina, PharmD, BCIDPInfectious Diseases Clinical PharmacistScripps Green HospitalLa Jolla, CaliforniaLink to full program: CCO: https://bit.ly/3J4mg8hProCE: https://bit.ly/3P0vB4E

In this episode, Martin Krsak, MD, MSc, FASAM, provides background and context on skin and soft tissue infections. Listen as he gives perspectives on:Epidemiology and clinical outcomesEconomic impactBacterial etiologyImportance of appropriate antimicrobial prescribingClinical presentationSeverity classification and distinction between purulent and nonpurulent infectionsRole of incision and debridement vs antimicrobial managementComplications to be ruled out prior to treatmentFaculty:Martin Krsak, MD, MSc, FASAMAssociate Professor of MedicineDivision of Infectious Diseases University of Colorado School of MedicineDenver, ColoradoLink to full program: CCO: https://bit.ly/3J4mg8hProCE: https://bit.ly/3P0vB4E

Skin infections are a common presenting complaint to the emergency department. This talk provides an overview of animal bites, other infected skin infections, abccesses and necrotising facsciitis.

Host/Editor: Dr. Alla Turshudzhyan, Chief Medical Resident at UCONN. Majority of skin and soft tissue infections are caused by MRSA, MSSA, group A strep or other beta-hemolytic strep. Some of these infections are more likely to present with abscess formation, while others are unlikely to be purulent. Let's talk about typical presentations for skin infections and their management. We hope you enjoy this episode! Thank you for listening.

Join our Emergency General Surgery team as they discuss Necrotizing Soft-Tissue Infections. Hosted by Drs. Jordan Nantais, Ashlie Nadler, Stephanie Mason and Graham Skelhorne-Gross. Necrotizing Soft-Tissue Infections: - Also known as “flesh eating disease”, gas gangrene, necrotizing fasciitis/myositis, Fournier's gangrene.  - Early findings are non-specific - Rapidly fatal - diagnostic delay can lead to tremendous additional morbidity and mortality Classification: - Type 1 - polymicrobial category (most common) found in immunosuppressed or elderly - Type 2 - monomicrobial infection [Group A Streptococcus > Methicillin-resistant Staphylococcus aureus (MRSA)] - Type 3 - monomicrobial infection (Vibrio or Clostridium) - Type 4 - fungal (rare) in immunocompromised or after penetration or trauma from candida or Zygomycetes. Initial Workup - History: (comorbidities, immunosuppression, recent infections or trauma) - Exam: swelling, open lesions, drainage, erythema, crepitus, and pain out of proportion      - Most common: swelling, pain, erythema      - Bullae, skin necrosis, crepitus are less common - Labs: Hb, wbc, Na, Creat, glucose, and CRP - Imaging: CT, MRI *sensitive and specific but may not change management - Cut-down: bedside vs in OR - Gm stain  Management - Initially: two large bore IVs, foley catheter, aggressive fluid resuscitation, broad spectrum antibiotics, vasopressors PRN - Abx choices: carbopenem or piperacllin-tazobactam or cefotaxime plus metronidazole. Clindamycin (antitoxin effect) and vancomycin (MRSA) should be considered. - OR: must debride all dead/infected tissue, involve other surgical specialties as needed      - Mark edge of cellulitis and use as initial debridement      - Healthy dermis – pearly and white      - Healthy fat – pale, yellow, glistening      - Healthy fascia – should bleed, doesn't easily separate from muscle      - Healthy muscle – contract with cautery      - Dressing: betadine-soaked gauze on the wound      - Most patients will need at least 3 ORs (second OR generally 8-12 hours after the first)      - No VAC or stoma at first OR References:  1.    Pelletier J, Gottlieb M, Long B, Perkins JC Jr. Necrotizing Soft Tissue Infections (NSTI): Pearls and Pitfalls for the Emergency Clinician. J Emerg Med. 2022 Apr;62(4):480-491. doi: 10.1016/j.jemermed.2021.12.012. Epub 2022 Jan 31.  2.    Sarani B, Strong M, Pascual J, Schwab CW. Necrotizing fasciitis: current concepts and review of the literature. J Am Coll Surg. 2009 Feb;208(2):279-88.  3.    Edlich RF, Cross CL, Dahlstrom JJ, Long WB 3rd. Modern concepts of the diagnosis and treatment of necrotizing fasciitis. J Emerg Med. 2010 Aug;39(2):261-5 4.    Hoesl V, Kempa S, Prantl L, Ochsenbauer K, Hoesl J, Kehrer A, Bosselmann T. The LRINEC Score-An Indicator for the Course and Prognosis of Necrotizing Fasciitis? J Clin Med. 2022 Jun 22;11(13):3583 5.    Bulger EM, May A, Bernard A, Cohn S, Evans DC, Henry S, Quick J, Kobayashi L, Foster K, Duane TM, Sawyer RG, Kellum JA, Maung A, Maislin G, Smith DD, Segalovich I, Dankner W, Shirvan A. Impact and Progression of Organ Dysfunction in Patients with Necrotizing Soft Tissue Infections: A Multicenter Study. Surg Infect (Larchmt). 2015 Dec;16(6):694-701. 6.    LRINEC Score from: https://www.mdcalc.com/calc/1734/lrinec-score-necrotizing-soft-tissue-infection#:~:text=Patients%20were%20classified%20into%20three,%25%20and%20NPV%20of%2096%25. Retrieved July 2022. If you liked this episode, check out our recent episode titled, "Journal Review in Colorectal Surgery: Timing of Biologics and Surgery in the Setting of Crohn's Disease" which can be found here. Please visit behindtheknife.org to access other high-yield surgical education podcasts, videos and more.  

t's summer, and this is the time that people head out to the shore and take in the Great Outdoors. Millions will do just that, and the vast majority of beach-goers will experience nothing but a great time. On occasion, however, a person may run afoul of a sea creature during their time in the water. It's their home, after all, and some can get pretty aggressive when disturbed or when looking for a meal. In this podcast, we discuss everything from encounters with jellyfish to sharks. Also, we review everything you should know about preventing summer drownings everywhere, including pools, rivers, lakes, and the ocean. Finally, Nurse Amy introduces a new first aid kit meant for minor wound care, and Dr. Alton discusses how to deal with minor soft tissue infections like cellulitis. All this and more in the latest survival medicine podcast with Joe Alton MD and Amy Alton NP!  Wishing you the best of health in good times or bad, Joe and Amy Alton, aka Dr. Bones and Nurse Amy Find out more about animal encounters, survival at sea, and 200 other medical topics off the grid in the Book Excellence Award winner in Medicine, The Survival Medicine Handbook: The Essential Guide For When Help Is NOT On The Way. Plus, check out quality medical kits for beach outing and other scenarios at store.doomandbloom.net.

In this episode, Sam Ashoo, MD interviews Kyle Howarth, MD and Joby Thoppil, MD, PhD - two of the authors of the May, 2022 EMP article on Cellulitis and Skin and Soft Tissue Infections. Listen to the discussion to hear more about the emergency department management of cellulitis and necrotizing skin infections. Episode 69 – Emergency Department Management of Cellulitis and Other Skin and Soft-Tissue Infections (https://www.ebmedicine.net/topics/infectious-disease/emergency-medicine-skin) EMplify – May 2022 Episode Outline: 1. Why cellulitis/skin infections? 2. Terminology Erysipelas vs cellulitis vs fasciitis Purulent cellulitis 3. Most common pathogens 4. Special situations 5. Necrotizing infection classification system – is this helpful in the ED, and if so, why? 6. Differential – unilateral vs bilateral presentation 7. Prehospital care 8. ED evaluation History – what should we be asking? Examination: SSTI vs NSTI 9. Diagnostics POCUS: “cobblestoning” and fluid collection Xray: subcutaneous gas CT: when is this helpful? 10. Labs Blood cultures – if given the option, are they helpful?  Wound cultures – any role for these?   Routine labs (CBC, BMP, etc) – are they helpful?  LRINEC score – what is it and should we be using it?  11. Treatment   NSTI antibiotics   Abscesses  12. Special populations  IV drug users  Diabetic patients  Immunocompromised patients  13. Wound irrigation and loop drainage  14. Disposition 

In this episode, Sam Ashoo, MD interviews Kyle Howarth, MD and Joby Thoppil, MD, PhD - two of the authors of the May, 2022 EMP article on Cellulitis and Skin and Soft Tissue Infections. Listen to the discussion to hear more about the emergency department management of cellulitis and necrotizing skin infections. Episode 69 – Emergency Department Management of Cellulitis and Other Skin and Soft-Tissue Infections (https://www.ebmedicine.net/topics/infectious-disease/emergency-medicine-skin) EMplify – May 2022 Episode Outline: 1. Why cellulitis/skin infections? 2. Terminology Erysipelas vs cellulitis vs fasciitis Purulent cellulitis 3. Most common pathogens 4. Special situations 5. Necrotizing infection classification system – is this helpful in the ED, and if so, why? 6. Differential – unilateral vs bilateral presentation 7. Prehospital care 8. ED evaluation History – what should we be asking? Examination: SSTI vs NSTI 9. Diagnostics POCUS: “cobblestoning” and fluid collection Xray: subcutaneous gas CT: when is this helpful? 10. Labs Blood cultures – if given the option, are they helpful?  Wound cultures – any role for these?   Routine labs (CBC, BMP, etc) – are they helpful?  LRINEC score – what is it and should we be using it?  11. Treatment   NSTI antibiotics   Abscesses  12. Special populations  IV drug users  Diabetic patients  Immunocompromised patients  13. Wound irrigation and loop drainage  14. Disposition 

This is a high yield lecture will cover soft tissue infections with facts taken directly from previous inservice examinations.

Dr. Cazzell is a Podiatrist and Fellowship Trained Diabetic Foot Salvage Surgeon. He is a Global Key Opinion Leader on the Diabetic Lower Limb, Advanced Wound Healing and Tissue Repair. He is the founder of LPP Clinical Research, and a National and Principal Investigator on over 60+ clinical research trials and Post Market Surveillance Studies Dedicated to Diabetic Foot Ulcers (DFUs), Venous Leg Ulcers (VLUs), and Soft Tissue Infections of the Foot. Dr .Cazzell is a published author, International Speaker, served on Medical Advisory Boards, heavily involved in the development of study and protocol design and an advocate for Diabetic Foot Education. He recently completed a multiyear Diabetic Foot Research sabbatical studying current Best Practice Wound and Amputation Prevention Strategies on the At-Risk Diabetic and Advanced Age Foot. In today's episode, Dr. Cazzell teaches all about diabetes- what it is, how/why it happens, and how our diet and lifestyle can help maintain diabetes. He also details his experiences with diabetes-related podiatry issues, and gives insight for diabetics to protect their foot health. Instagram: @shawncazzelldpm Podcast: Diabetic Foot Notes Clinic: http://www.valleydiabeticfootcenter.com/

In this podcast: a life-saving review of soft tissue infections, like the dreaded necrotizing fasciitis, seen by radiologists of all subspecialities. And a discussion of metabolic bone disease, primarily osteoporosis - more common, underdiagnosed, undertreated, and deadly than people think! Soft-Tissue Infections and Their Imaging Mimics: From Cellulitis to Necrotizing Fasciitis. Hayeri et al. RadioGraphics 2016; 36:1888–1910. Imaging Findings of Metabolic Bone Disease. Chang et al. RadioGraphics 2016; 36:1871–1887.

Guest host Dr. Gabi Hester talks with Dr. Courtney Herring, Pediatric Hospitalist, about the diagnosis and management of skin and soft tissue infections.

Rare. Morbid. Lethal. NSTIs area group of infections which result in aggressive tissue destruction, systemic toxicity, and can involve any layer of the soft tissue. The key to successful management (like so many disease processes) is having a high index of suspicion together with administration of early, broad-spectrum antibiotics and surgery.

Welcome To The MedFlashGo Podcast. This Is Your Daily 4 Minutes Or Less Rapid Review for medical students. Topics are based on medical board examinations including USMLE, COMLEX, And Shelf Exams. We release a new episode every weekday! In this question of the day, Sean asks students to identify the correct management of the condition described. These questions are powered by MedFlashGo The First Voice-based interactive medical question bank currently available on Alexa. This tool allows medical students to study medical topics and be interactively tested without the use of a screen. You can study on your couch, in your car, and on the move without the use of a screen. To get access to the free audio-interactive question bank, click here or go to your Alexa application and search medflashgo In the skills section. To learn more details go to medflashgo.com and check out our frequently asked questions section. Please know that these questions were creatively designed by medical students and physicians for the purpose of education and do not replace health information given from your health professionals. We have tried our best to make sure the information is accurate please, so please let us know if you find any errors and we will be sure to correct them. --- Send in a voice message: https://anchor.fm/medflashgo/message

All injuries carry a risk of infection. Various kinds of microbes can invade the body and cause Inflammation in soft tissues, also known as “cellulitis”. These infections develop when bacteria enter through a crack or break in your skin. You can imagine that, off the grid, and especially on the road or in the wilderness, that all sorts of injuries will occur that break the skin and get infected. Think of all the activities you might be doing that you don’t do a lot of now. Making a lot of campfires? Chopping a lot of wood for fuel. Doing stuff you’re not used to can certainly put you at risk. Dr. Joe Alton (aka Dr. Bones) and Amy Alton ARNP (aka Nurse Amy) discusses various soft tissue infections, how to identify and treat them, and how to lance a boil if required. Different antibiotics may help in oral form, several of which you should have in your medical storage for long-term survival scenarios. Wishing you the best of health in good times or bad, Joe and Amy Alton Show your support for our mission to put medical prepared people in every family by checking out Nurse Amy's entire line of quality medical kits, individual supplies, and personal protection gear at store.doomandbloom.net.

All injuries carry a risk of infection. Various kinds of microbes can invade the body and cause Inflammation in soft tissues, also known as “cellulitis”. These infections develop when bacteria enter through a crack or break in your skin. You can imagine that, off the grid, and especially on the road or in the wilderness, that all sorts of injuries will occur that break the skin and get infected. Think of all the activities you might be doing that you don’t do a lot of now. Making a lot of campfires? Chopping a lot of wood for fuel. Doing stuff you’re not used to can certainly put you at risk. Dr. Joe Alton (aka Dr. Bones) and Amy Alton ARNP (aka Nurse Amy) discusses various soft tissue infections, how to identify and treat them, and how to lance a boil if required. Different antibiotics may help in oral form, several of which you should have in your medical storage for long-term survival scenarios. Wishing you the best of health in good times or bad, Joe and Amy Alton Show your support for our mission to put medical prepared people in every family by checking out Nurse Amy's entire line of quality medical kits, individual supplies, and personal protection gear at store.doomandbloom.net.

This episode continues our resident led In-Service Review  series and covers Soft Tissue Infections with a special focus on HAND! ISR14 covers everything you need to know for the in-service exam as we have reviewed the exam from the past 5 years to make this episode. Your Hosts for this episode include Core Host Dr. Sanam Zahedi @dr.s.zahedi  and Co-Founder Dr. Morgan Martin @morganmartinmd. Visual supplement editing: Jesse Emefiele from Morehouse School of MedicineProduction, design, and editing by our Co-Founder Greta Davis @greta_davis Music was produced by Alec Fisher, MD @alechfishermd Check out our YouTube Channel for the visual supplement to this episode!https://linktr.ee/Theloupepodcast

We have another resident-led episode for you this week as Drs Dan Schmitz and Abha Athale discuss skin and soft tissue infections. We explore the presentation, diagnosis and management of cellulitis, abscess, impetigo, erysipelas… and more!

Statin use linked to risk of skin and soft tissue infections Use of statins was associated with increased risk of SSTIs at an average of 91, 182, and 365 days. Rivaroxaban trends toward higher thrombotic risk than vitamin K antagonists in APS Patients who took rivaroxaban experienced almost two times as many thrombotic events as patients who took dose-adjusted vitamin K antagonists. HHS floats Stark/anti-kickback revisions to support value-based care Health law attorneys say reforms should remove some of the risk in value-based care arrangements that exist under current law. * * * Card Talk: Cardiologist brothers Jim and Jerry Dwyer welcome Jennifer N. Avari Silva, MD, and Berk Tas, to talk about an investigational system for electrophysiology procedures that displays holograms of patients’ anatomies in real time. The SentiAR system uses an augmented-reality head-mounted display that allows physicians to manipulate the data and enhance their understanding of the case.  Dr. Avari Silva, MD,  is assistant professor of pediatrics at Washington University in St. Louis and director of pediatric cardiac electrophysiology at St. Louis Children’s Hospital, where she leads the largest pediatric electrophysiology program in the midwest. Dr. Avari Silva has published numerous papers bringing new technologies to pediatric patients. Berk Tas is CEO and president of SentiAR. He has led development of emerging technologies and companies in Fortune 500, private equity, venture capital funded and privately held organizations.   For more MDedge Podcasts, go to mdedge.com/podcasts Email the show: podcasts@mdedge.com Interact with us on Twitter: @MDedgeCardio

"When should I consider using Ultrasound when working up a child with a soft tissue infection?"On the show today, we sit down with Dr. Sam Lam, recent research director for the P2 Network and PI of the multi-center pediatric soft-tissue ultrasound study, published in the Journal of Emergency Medicine. Works cited:Lam SHF, Sivitz A, Alade K, et al. Comparison of Ultrasound Guidance vs. Clinical Assessment Alone for Management of Pediatric Skin and Soft Tissue Infections. The Journal of emergency medicine. 2018; Mower WR et al. Effect of initial bedside ultrasonography on emergency department skin and soft tissue infection management. Ann Emerg Med 2019 Mar 26;Feedback welcome at Tama.The@gmail.com

Join the EMGuideWire crew as they explore the various skin and soft tissue infections that are commonly encountered and considered in the Emergency Department. While some may be minor, like furuncles, others can be life-threatening, like necrotizing fasciitis. 

In this episode I cover skin and soft tissue infections.If you want to follow along with written notes on skin and soft tissue infections go to https://zerotofinals.com/medicine/infectiousdisease/cellulitis/ or find the infectious diseases section in the Zero to Finals medicine book.This episode covers the pathophysiology, presentation, causes and management of skin and soft tissue infections. The audio in the episode was expertly edited by Harry Watchman.

Happy April everyone!   We interrupt our series of Skin and Soft Tissue Infections (right before the pus starts!) to bring you a timely review of neonatal fever. There is some great, exciting new research coming on our evaluation of febrile neonates to help us do the most for these kids with less. This is field that has had multiple breakthroughs in treatment but few changes in the evaluation for almost 25 years!    But before we bring out the new, we need a brief history lesson on why febrile neonates are traditionally so scary. Dr. Chan Lowe, Pediatrics hospitalist extraordinaire, joins us for a discussion of why we do the blood-urine-csf-antibiotics-admit dance for all these febrile neonates when most of them are viruses.    So, grab your hyper-color T-shirt and your Gameboy as we travel back to the 90’s to learn why you should take proceed with caution with febrile neonates.   The AZEMCast Team   Email: aleetch@aemrc.arizona.edu Twitter: @arizonaemcast   https://itunes.apple.com/us/podcast/arizona-emcast/id685439303?mt=2 https://azemcast.podbean.com/feed/

Happy March everyone!   Did you listen to the last episode and say to yourself, “Wow, thanks for the great education on identifying SSTIs but you never told me what to do with them! So now I have an ED full of boarded SSTIs because it’s taken you a month to publish the part two on treatment and management!!!”   Ok, probably not, but it’s still worth a listen to this month’s episode on the treatment of SSTIs. In it, we highlight a great example of when guidelines clash with evidence and we decide to do whatever we want anyway. Are you a cephalexin fan or maybe you’re more a clindamycin aficionado. We pit the therapies against the evidence to help provide you the options you need to care for your patients.   So, empower yourselves with some knowledge and send your patients home with the right antibiotics and, more importantly, the right discharge instructions and return precautions.    The AZEMCast Team   Email: aleetch@aemrc.arizona.edu Twitter: @arizonaemcast   https://itunes.apple.com/us/podcast/arizona-emcast/id685439303?mt=2 https://azemcast.podbean.com/feed/

Unsere dritte Folge mit Themen zu Immobilisation im Rettungsdienst, Katecholamine, Dialyse auf der ITS, der Antiinfektiven Therapie des Monats, Journal Club und vielem mehr. Details in den Shownotes. News und Ergänzungen https://nerdfallmedizin.blog/tag/gerinnung/ Yadav, Krishan, et al. „Predictors of Oral Antibiotic Treatment Failure for Nonpurulent Skin and Soft Tissue Infections in the Emergency Department.“ Academic Emergency Medicine (2019). Iversen, Kasper, et […] Der Beitrag Podcast März – Folge 3 erschien zuerst auf pin-up-docs - don't panic.

Happy February everyone!   First, congrats to the residents who just finished their in-training exam!     Second, the four words every healthcare provider fears: Does this look infected? Is it oozing? Are you gonna send me a picture? Skin and soft tissue infections are a common complaint from patients and co-workers alike (ahem, Ryan) but it never looks like it does in the book. That’s why we have thrown out the book (doesn’t translate well on an audio podcast anyway) and gathered a panel of experts to discuss the diagnosis of the ITIS. With our typical AZEMCast taste and decorum, we discuss the fun part of staring at a stranger’s red skin and making a gues . . . I mean, diagnosis.   The AZEMCast Team   Email: aleetch@aemrc.arizona.edu Twitter: @arizonaemcast   https://itunes.apple.com/us/podcast/arizona-emcast/id685439303?mt=2https://azemcast.podbean.com/feed/  

Author: Erik Verzemnieks, MD Educational Pearls: Recent study provides at least some evidence to help predict antibiotic failure for cellulitis, which is not necessarily straight forward Intuitive risk factors such as recent cellulitis, chronic ulcers, history of MRSA are associated with antibiotic treatment failure Oddly, tachypnea at triage was associated with the highest odds ratio for treatment failure References: Yadav K, Suh KN, Eagles D, MacIsaac J, Ritchie D, Bernick J, Thiruganasambandamoorthy V, Wells G, Stiell IG. Predictors of Oral Antibiotic Treatment Failure for Nonpurulent Skin and Soft Tissue Infections in the Emergency Department. Acad Emerg Med. 2018 Jun 5. doi: 10.1111/acem.13492. Summarized and edited by Erik Verzemnieks, MD    

Author: Peter Bakes, MD Educational Pearls:   Necrotizing fasciitis is an infection of the deep soft tissues with destruction of the muscle fascia and overlying fat Think of it if pain is out of proportion to your exam Polymicrobial and Clostridium species typically cause condition in susceptible individuals (immunocompromised, diabetics, obese, penetrating injury) Group A strep typically is less specific and can cause necrotizing infections in otherwise healthy individuals Treatment is typically rapid surgical debridement in addition to broad spectrum antibiotics in addition to clindamycin   References: Breyre A, Frazee BW. Skin and Soft Tissue Infections in the Emergency Department. Emerg Med Clin North Am. 2018 Nov;36(4):723-750. doi: 10.1016/j.emc.2018.06.005. Review. PubMed PMID: 30297001. Stevens DL, Bryant AE. Necrotizing Soft-Tissue Infections. N Engl J Med. 2017 Dec 7;377(23):2253-2265. doi: 10.1056/NEJMra1600673. Review. PubMed PMID: 29211672.   Summary by Travis Barlock, MS4  | Edited by Erik Verzemnieks, MD

This week we discuss three recent articles looking at esmolol in refractory VF, c-spine clearance and antibiotics after abscess drainage https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_155_0_Final_Cut.m4a Download Leave a Comment Tags: Cardiac Arrest, Cervical Spine, Esmolol, I+D, Infectious Diseases, Journal Club, MRSA, Refractory VF, Trauma Show Notes Read More REBEL EM: Trimethoprim-Sulfamethoxazole for Uncomplicated Skin Abscesses Bryan Hayes at ALiEM: Sulfamethoxazole-Trimethoprim for Skin and Soft Tissue Infections: 1 or 2 Tablets BID? The SGEM: SGEM#164: Cuts Like a Knife Core EM: A...

This week we discuss three recent articles looking at esmolol in refractory VF, c-spine clearance and antibiotics after abscess drainage https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_155_0_Final_Cut.m4a Download Leave a Comment Tags: Cardiac Arrest, Cervical Spine, Esmolol, I+D, Infectious Diseases, Journal Club, MRSA, Refractory VF, Trauma Show Notes Read More REBEL EM: Trimethoprim-Sulfamethoxazole for Uncomplicated Skin Abscesses Bryan Hayes at ALiEM: Sulfamethoxazole-Trimethoprim for Skin and Soft Tissue Infections: 1 or 2 Tablets BID? The SGEM: SGEM#164: Cuts Like a Knife Core EM: Antibiotics in the Treatment of Smaller Abscesse...

How to identify and treat common skin and soft tissue infections from impetigo all the way to necrotizing fasciitis

How do you distinguish cellulitis from the myriad of cellulitis mimics? At what point do we consider treatment failure for cellulitis? What is the best antibiotic choice for patients who are allergic to cephalosporins? Which patients with cellulitis or skin abscess require IV antibiotics? Coverage for MRSA? What is the best and most resource wise method for analgesia before I&D of a skin abscess? What is the best method for drainage of a skin abscess? Which patients with skin abscess require a swab? Irrigation? Packing? Antibiotics? With the goal of sharpening your diagnostic skills when it comes to skin and soft tissue infections – there are lots of cellulitis mimics - and choosing wisely when it comes to treatment, we’ll be discussing best practices for management of cellulitis and skin abscesses, when to cover for MRSA, how to pick up nec fasc before it’s too late and a lot more… The post Ep 109 Skin and Soft Tissue Infections – Cellulitis, Skin Abscesses and Necrotizing Fasciitis appeared first on Emergency Medicine Cases.

In anticipation of EM Cases Episode 109 Recognition and Management of Skin and Soft Tissue Infections with Melanie Baimel and Andrew Morris we have Dr. Morris telling us his Best Case Ever of a nurse that he worked with diagnosed with Necrotizing Fasciitis. We discuss some of the diagnostic pearls for this difficult diagnosis as well as issues around privacy when health care workers become patients at their hospital. The post BCE 69 Necrotizing Fasciitis appeared first on Emergency Medicine Cases.

This episode of CRACKCast covers Rosen’s Chapter 129, Skin Infections. These are common and rarely life threatening, but careful consideration should be given for those who may benefit from admission over outpatient treatment. This is a big episode covering the bugs, presentations, and useful tips when treating these infections in the ED.

This episode of CRACKCast covers Rosen’s Chapter 129, Skin Infections. These are common and rarely life threatening, but careful consideration should be given for those who may benefit from admission over outpatient treatment. This is a big episode covering the bugs, presentations, and useful tips when treating these infections in the ED.

This week we discuss the uncommon but must make diagnosis of flexor tenosynovitis https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_126_0_Final_Cut.m4a Download Leave a Comment Tags: Hand, Kanavel Signs, Orthopedics, Soft Tissue Infections Show Notes Take Home Points Think about flexor tenosynovitis in a patient with atraumatic finger pain.  They may have any combination of these signs: Tenderness along the course of the flexor tendon Symmetrical swelling of the finger – often called the sausage digit Pain on passive extension of the finger and Patient holds the finger in a flex position at rest for increased comfort Give antibiotics to cover staph, strep and possibly gram negatives. Get your surgeon to see the patient, while we can get the antibiotics started, these patients need admission and may require surgical intervention. Infographic

This week we discuss the uncommon but must make diagnosis of flexor tenosynovitis https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_126_0_Final_Cut.m4a Download Leave a Comment Tags: Hand, Kanavel Signs, Orthopedics, Soft Tissue Infections Show Notes Take Home Points Think about flexor tenosynovitis in a patient with atraumatic finger pain.  They may have any combination of these signs: Tenderness along the course of the flexor tendon Symmetrical swelling of the finger – often called the sausage digit Pain on passive extension of the finger and Patient holds the finger in a flex position at rest for increased comfort Give antibiotics to cover staph, strep and possibly gram negatives. Get your surgeon to see the patient, while we can get the antibiotics started, these patients need admission and may require surgical intervention. Read More Mailhot T, Lyn ET: Hand; in Marx JA, Hockberger RS, Walls RM, et al (eds): Rosen’s Emergency Medicine: Concepts and Clinical Practice, ed 8. St. Louis, Mosby, Inc., 2010, (Ch) 50: p 534-571

In this episode, Dr. Paul Schembri, a plastic surgeon from the University of Alberta explains Necrotizing Skin and Soft Tissue Infections. After listening to this episode, learners should be able to: Understand the importance of the topic Discuss the Pathophysiology Recognize the clinical presentation Identify the differential diagnosis Discuss treatment and management options

Join us for an in depth discussion of NSTI with Dr. Eileen Bulger, MD, Professor of Surgery at the University of Washington and Chief of Trauma Surgery for Harborview Medical Center and Dr. Rondi Gelbard, MD, upcoming NSTI PMG Team Leader and Assistant Professor of Surgery at Emory University.   We discuss the timing of debridement, antibiotic management, role for transfer, HBO and so much more!   Moderated by Drs. Carrie Valdez and Dave Morris

Episode 3.0 covers a variety of topics from our ID workshops and Disaster Management Grand Rounds https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_3_0-ID_Workshops_Disaster-Final.mp3 Download Leave a Comment Tags: Blast Injuries, Disaster Management, Infectious Diseases, Pneumonia, Skin and Soft Tissue Infections Show Notes General ID Workshop Take Home Points Know your local antibiogram. This is the best way to tailor your management to your patient. Search for recent old cultures from your patients and order antibiotics based on this information. Skin + Soft Tissue Take Home Points Antibiotics aren't required for most simple abscesses. I+D and if no overlying cellulitis, no antibiotics needed. Not all abscesses need packing. If they're small and on the extremeties, it's reasonable to leave them unpacked. Not all patients need MRSA coverage for cellulitis. Most cellulitis without abscess is strep. Necrotizing Fasciitis can be tough to pick up. The LRINEC scoring system is one method to help. Most patients will be toxic but look for pain that's out of proportion to the examination. Relevant Links AliEM – The Not-So-Sick Health-Care Associated Pneumonia Patient: New Treatment Strategy

Episode 3.0 covers a variety of topics from our ID workshops and Disaster Management Grand Rounds https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_3_0-ID_Workshops_Disaster-Final.mp3 Download Leave a Comment Tags: Blast Injuries, Disaster Management, Infectious Diseases, Pneumonia, Skin and Soft Tissue Infections Show Notes General ID Workshop Take Home Points Know your local antibiogram. This is the best way to tailor your management to your patient. Search for recent old cultures from your patients and order antibiotics based on this information. Skin + Soft Tissue Take Home Points Antibiotics aren't required for most simple abscesses. I+D and if no overlying cellulitis, no antibiotics needed. Not all abscesses need packing. If they're small and on the extremeties, it's reasonable to leave them unpacked. Not all patients need MRSA coverage for cellulitis. Most cellulitis without abscess is strep. Necrotizing Fasciitis can be tough to pick up. The LRINEC scoring system is one method to help. Most patients will be toxic but look for pain that's out of proportion to the examination. Relevant Links AliEM – The Not-So-Sick Health-Care Associated Pneumonia Patient: New Treatment Strategy

Episode 3.0 covers a variety of topics from our ID workshops and Disaster Management Grand Rounds https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_3_0-ID_Workshops_Disaster-Final.mp3 Download Leave a Comment Tags: Blast Injuries, Disaster Management, Infectious Diseases, Pneumonia, Skin and Soft Tissue Infections Show Notes General ID Workshop Take Home Points Know your local antibiogram. This is the best way to tailor your management to your patient. Search for recent old cultures from your patients and order antibiotics based on this information. Skin + Soft Tissue Take Home Points Antibiotics aren’t required for most simple abscesses. I+D and if no overlying cellulitis, no antibiotics needed. Not all abscesses need packing. If they’re small and on the extremeties, it’s reasonable to leave them unpacked. Not all patients need MRSA coverage for cellulitis. Most cellulitis without abscess is strep. Necrotizing Fasciitis can be tough to pick up. The LRINEC scoring system is one method to help. Most patients will be toxic but look for pain that’s out of proportion to the examination. Relevant Links AliEM – The Not-So-Sick Health-Care Associated Pneumonia Patient: New Treatment Strategy

SSTI recommended reading SSTI Guideline Chart – 20140608_195134

Episode 31: DeBlieux: Skin and soft tissue infections

We review the post by Bryan Hayes, PharmD, FAACT on Academic Life in Emergency Medicine,  Sulfamethoxazole-Trimethoprim for Skin and Soft Tissue Infections: 1 or 2 Tablets BID?  Then, we delve into core content pearls on cellulitis and abscesses, necrotizing skin infections, and Erythema Multiforme/Stevens-Johnson Syndrome/Toxic Epidermal Necrolysis using the IDSA guidelines, Tintinalli, and Rosen's as a guide.  As always, visit foamcast.org for show notes and the generously donated Rosh Review questions. Thanks y'all! -Jeremy Faust and Lauren Westafer

The Infectious Diseases Society of America's Guideline Update presents concise summaries of  important IDSA guidelines.  This podcast discusses the IDSA Clinical Practice Guideline for Diagnosis and Management of Skin and Soft Tissue Infections: 2014 .  For details of the guidelines presented, please go to www.idsociety.org . Presented by:  Neil S. Skolnik, M.D., Professor of Family and Community Medicine, Temple University School of Medicine, Associate Director, Family Medicine Residency Program, Abington Memorial Hospital.  Dr. Dennis L. Stevens,  Chief, Infectious Diseases Section,   VA Medical Center,  Boise, ID.    

Interview with Clinton K. Murray, MD, author of Epidemiology of Staphylococcus aureus Blood and Skin and Soft Tissue Infections in the US Military Health System, 2005-2010

Dr. Katie Miner speaks about Skin and Soft Tissue Infections

Dr. Katie Miner speaks about Skin and Soft Tissue Infections