Tactical Medicine News Blog
EM Pharmacotherapy Guidelines and Position Statements: Resource for ED Rotations
Posted by Bryan D. Hayes, PharmD, DABAT, FAACT, FASHP on
Several years ago I created a resource for my ED rotation that I share with pharmacy students, pharmacy residents, and EM physician residents. It contains most of the guidelines and position statements on EM drug therapy that I utilize most often and is updated as new iterations are published. We’d like to share this tool with you to be used/modified to meet your rotation needs. Last updated: February 22, 2018
I am Dr. James Adams, Chief Medical Officer: How I Stay Healthy in EM
Posted by Zafrina Poonja, MD on
Dr. James Adams is an emergency physician from Chicago. When he is not busy with his clinical and academic responsibilities, Dr. Adams can be found running along the Chicago lakefront. He uses a positive outlook and good vibes to keep himself and those around him well. Here’s how he stays healthy in EM!
Reflections and Summaries from the 2017 Resident Wellness Consensus Summit
Posted by Nicole Battaglioli, MD on
The first ever Resident Wellness Consensus Summit (RWCS) was held this year as a pre-day to Essentials of EM on May 15, 2017 in Las Vegas. This was an amazing opportunity for residents across North America to come together and discuss the important topic of resident wellness. We even had some participants from Fiji! Many of the attendees participated in pre-work for the RWCS through their involvement in the Wellness Think Tank, which is our virtual community of practice that involves residents from across the U.S. and Canada. In addition to pre-work for the RWCS, the members participated in online discussions on wellness and worked closely with our Wellness Strategists.
Initial Antibiotic Choice in Uncomplicated Cellulitis
Posted by Marco Torres on
Background: Cellulitis is a common emergency department (ED) presentation. Despite the fact that diagnosis remains relatively straight forward, complexity remains in management in terms of the causative agent and appropriate antibiotic regimen. Though beta-hemolytic Streptococci are the most common causative agents there is increasing prevalence of community acquired methicillin-resistant Staphylococcus aureus (MRSA). Cephalexin has long been used to treat uncomplicated cellulitis because of it’s activity against streptococci and methicillin-sensitive S. aureus (MSSA). Despite the current Infectious Disease Society of America (IDSA) recommendations against routine coverage of MRSA, trimethoprim-sulfamethoxazole (TMP-SMX) is often added to cephalexin (Stephens 2014). While there are other single options for coverage, they either have suboptimal MRSA coverage (i.e. clindamycin and doxycycline) or are more expensive (i.e. linezolid). Without reliable ways to determine which patients need MRSA coverage, it is unclear which patients with uncomplicated cellulitis need to be discharged with MRSA coverage and which will do fine with a single agent.
EM Fellowship Match Advice: Pediatric Emergency Medicine Fellowship
Posted by Michelle Lin, MD on
The second season of our EM Fellowship Match Advice Series launches with this insightful discussion with Pediatric Emergency Medicine (PEM) Fellowship Directors from across the United States talking about the nuances of applying into this ACGME fellowship, particularly through the lens of EM-trained residents. Hosted by Dr. Michael Gisondi, watch this video Google Hangout or listen to the edited Soundcloud podcast version for details.