Episode 176.0 – Pneumonia Updates

Core EM - Emergency Medicine Podcast

English - January 27, 2020 12:11 - 10 minutes - 13.9 MB - ★★★★★ - 128 ratings
Medicine Health & Fitness Homepage Download Apple Podcasts Google Podcasts Overcast Castro Pocket Casts RSS feed

Previous Episode: Episode 175.0 – Posterior Circulation Stroke

Next Episode: Episode 177.0 – Hemoptysis

We go over the recent updates in the workup and management of pneumonia.

Hosts:

Brian Gilberti, MD

Audrey Tse, MD

https://media.blubrry.com/coreem/content.blubrry.com/coreem/Pneumonia_Updates.mp3

Download

Leave a Comment

Tags: Infectious Diseases, Pulmonary

Show Notes

2007 Infectious Diseases Society of America/American Thoracic Society Criteria for Defining Severe Community-acquired Pneumonia

Validated definition includes either one major criterion or three or more minor criteria

Minor criteria

Respiratory rate > 30 breaths/min PaO2/FIO2 ratio<250

Multilobar infiltrates Confusion/disorientation
Uremia (blood urea nitrogen level > 20 mg/dl)
Leukopenia* (white blood cell count , 4,000 cells/ml)
Thrombocytopenia (platelet count , 100,000/ml)
Hypothermia (core temperature , 368 C) Hypotension requiring aggressive fluid
resuscitation

Major criteria

Septic shock with need for vasopressors
Respiratory failure requiring mechanical ventilation

A special thanks to our Infectious Diseases Editor:

Angelica Cifuentes Kottkamp, MD

Infectious Diseases & Immunology

NYU School of Medicine