Episode 176.0 – Pneumonia Updates

Episode 176.0 – Pneumonia Updates

Author: Core EM January 27, 2020 Duration: 10:03

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

Hosts:
Brian Gilberti, MD
Audrey Tse, MD

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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


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There’s a particular kind of pressure that comes with working in an emergency department, where decisions need to be both swift and sound. Core EM-Emergency Medicine Podcast exists in that space, offering a direct line to the essential knowledge and clinical reasoning that emergency medicine demands. Created by the team at Core EM, each episode feels less like a formal lecture and more like a focused conversation with a trusted colleague. You’ll hear discussions that break down critical topics, from managing common presentations to unraveling complex, high-acuity cases, all grounded in current evidence and practical reality. This podcast serves as a reliable resource for physicians, residents, and advanced practice providers looking to solidify their foundation or stay sharp on the latest evidence. It’s about cutting through the noise to deliver core content that’s immediately applicable at the bedside. Tune in for a clear, concise, and always relevant dive into the principles that define emergency care, designed to fit into a busy clinician’s life between shifts or during a commute.
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