October 2022

October Introduction


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J. B. L. -

will this be available via MP3 ? I do not have a smart phone

Mike W. -

Hi J.B.L. and appreciate you listening! Check out the comments from Tasha and simply listen from a laptop or desktop!

Tasha B. -

Hello! Thank you for checking out our latest podcast, UC Max. We do not have plans at this time to create mp3 files of the audio for this new podcast. We hope you will be able to access them easily through the website. Please let us know if we can assist you further. Thanks!

Dennis C. -

When will UC Maximus be listed in the EMRap App?

Mel H. -

Dennis C it is now - make sure you have the latest version of the app on Ios or Android.

ios: https://apps.apple.com/us/app/emrap-for-emergency-medicine/id804248260
Android: https://play.google.com/store/apps/details?id=com.hippoed.rap.em.app&hl=en_US&gl=US

Dennis C. -

Thanks. By the way, any good EMRap content for new research teaching faculty?

Robert M. H. -

Cefuroxime forCAP and UTIs?
ISDA recommends amoxicillin for CAP in otherwise healthy adults
Wouldn't nitrofurantoin be first line for most UTIs?

Mike W. -

Thx Robert. Second qu first... I do use nitrofurantoin a lot, but, as it is more of a urinary antiseptic (and doesn't penetrate the renal parenchyma) if there is concern for an upper tract process, I prefer cefuroxime over cephalexin. Yes the IDSA recommends amoxicillin, but the point was more that if the patient would be sent home instead of admitted (where many EPs would start ceftriaxone + azithromycin for patients being admitted for CAP), we can mimic that treatment in the UC and hopefully avoid an ED referral and admission. Thx so much for the thoughts and taking the time!!

Bryan H. -

Hi Robert. Great question. Agree with Mike about the intent of the comment. The 2019 CAP guidelines recommend Amoxicillin alone only in outpatients with no comorbidities. Anyone with a comorbidity can receive a cephalosporin or augmentin with azithromycin or doxycycline. And yes, for simple cystitis, nitrofurantoin is first line. Cefuroxime can be used 2nd line or if there is resistance. It is also ok to use if a patient was started on IV ceftriaxone in the ED but then goes home. Remember nitrofurantoin does not reach adequate levels in the prostate and should only be used in male patients if the patient is otherwise healthy (ie, true uncomplicated cystitis).

Robert M. H. -

IDSA sorry

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