C. Diff-(iccile): Should the treatment B. Diff-(erent)? A 2018 Update

Table 1. Adult Treatment Strategies 1: Severity Severity Definition Treatment First time, non-severe WBC ≤15000 cells/mL and Cr <1.5 mg/dL • vancomycin PO 125 mg QID x 10 days, OR • fidoxamycin 200 mg BID x 10 days • Alternate: flagyl, 500 mg PO TIDx10 d First time, severe WBC ≥15000 cells/mL or Cr >1.5 […]

QUICK HIT ARTICLE #1 : Should you be “PRO” PROcalcitonin? PRObably not.

Source: Huang DT et al. Procalcitonin-Guided Use of Antibiotics for Lower Respiratory Tract Infection. N Engl J Med. 2018 May 20. Sepsis (well more correctly severe sepsis/shock) is as dangerous as fake news but so is ordering cr(a)p that wont help you in the management of your patients. The current darling of the useless […]

Pediatric Hemodynamic monitoring

Source: American College of Critical Care Medicine Clinical Practice Parameters for Hemodynamic Support of Pediatric and Neonatal Septic Shock. Crit Care Med 2017; 45:1061–1093 Monitoring Goals: Capillary refill <2 or equal to 2 seconds Normal pulses with no differential between the peripheral and central pulses, Warm extremities, Urine output greater than 1mL/kg/hr, Normal mental status, Normal […]