MSF Blog Surprise trauma Trauma basics Trauma skills Blunt trauma Penetrating trauma Evidence reviews Compendium Cardiology Infectious disease Paediatrics Neurology Pharmacology Toxicology/electrolytes Respiratory Best of FOAM Websites Journals Podcasts Ultrasound Anaesthetics French About A review of some of the latest low-resourcs emergency medicine evidence Implementing WHO guidelines for unwell newborns. Management of possible serious bacterial infection in young infants where referral is not possible in the context of existing health system structure in Ibadan, South-west Nigeria Ayede A et al. Aim To test the feasibility of implementing an outpatient protocol for suspected neonatal sepsis when referral isn’t possible. Rationale The WHO has developed guidelines that recommend a simplified outpatient antibiotic…
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Can we use non-sterile gloves for suturing?
MSF Blog Surprise trauma Trauma basics Trauma skills Blunt trauma Penetrating trauma Evidence reviews Compendium Cardiology Infectious disease Paediatrics Neurology Pharmacology Toxicology/electrolytes Respiratory Best of FOAM Websites Journals Podcasts Ultrasound Anaesthetics French About A review of some of the latest low-resourcs emergency medicine evidence Use of non-sterile gloves for suturing Non-sterile gloves and dressing versus sterile gloves, dressings and drapes for suturing of traumatic wounds in the emergency department: a non-inferiority multicentre randomised controlled trial Juliette J M Zwaans ,Wouter Raven , Arthur V Rosendaal, Esther M M Van Lieshout, Geesje Van Woerden ,Peter Patka ,Juanita A Haagsma , Pleunie P M Rood Aim To assess if the use of…
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TWIL 1
This week I learnt . . . Antibiotics are no longer indicated for simple diverticulitis (NICE guidelienes from 2019), This is based on a bang up to date RCT from 2012. In major trauma, a high glucose(>11) is associated with mortality. (But not as much as age and hyperthermia). Emergency doctors and patients disagree about the presenting complaint about a third of the time. It probably makes not difference if you use Normal saline or hartmann’s/plasmaltye.
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Is shorter, lower dose amoxicillin safe in kids discharged with pneumonia in a UK setting?
MSF Blog Surprise trauma Trauma basics Trauma skills Blunt trauma Penetrating trauma Evidence reviews Compendium Cardiology Infectious disease Paediatrics Neurology Pharmacology Toxicology/electrolytes Respiratory Best of FOAM Websites Journals Podcasts Ultrasound Anaesthetics French About A review of some of the latest low-resources emergency medicine evidence Is shorter, lower dose amoxicillin safe in kids discharged with pneumonia in a UK setting? Effect of Amoxicillin Dose and Treatment Duration on the Need for Antibiotic Re-treatment in Children With Community-Acquired Pneumonia The CAP-IT Randomized Clinical Trial Julia A. Bielicki, PhD1; Wolfgang Stöhr, PhD2; Sam Barratt, MPH2; et al Aim To see if a shorter duration or lower dose of amoxicillin is non-inferior to a full 7 day course Rationale It is unclear which…
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Duration of antibiotics in Kids with community pneumonia
MSF Blog Surprise trauma Trauma basics Trauma skills Blunt trauma Penetrating trauma Evidence reviews Compendium Cardiology Infectious disease Paediatrics Neurology Pharmacology Toxicology/electrolytes Respiratory Best of FOAM Websites Journals Podcasts Ultrasound Anaesthetics French About A review of some of the latest low-resources emergency medicine evidence Antibiotic duration for presumed pneumonia in children Amoxicillin for 3 or 5 Days for Chest-Indrawing Pneumonia in Malawian Children Amy-Sarah Ginsburg, M.D., M.P.H., Tisungane Mvalo, M.M.E.D., Evangelyn Nkwopara, M.S., Eric D. McCollum, M.D., Melda Phiri, M.B., B.S., Robert Schmicker, M.S., Jun Hwang, M.S., Chifundo B. Ndamala, Dip., Ajib Phiri, M.D., Norman Lufesi, M.Phil., and Susanne May, Ph.D. Aim To see if 3 day course of amoxicillin is non-inferior to a 5 day course of amoxicillin for…