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FACP. Colegio de médicos de Tarragona Nº 4305520 / fgcapriles@gmail.com

WORLD EMERGENCY MEDICINE SOCIETIES

Rapid IJ (aka Easy Internal Jugular Cannulation)

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lunes, 3 de octubre de 2016

ESR, CRP, & Procalcitonin

Taming The SRU - October 02, 2016 - by: Josh Gauger
"Working in the ED one day you seem to hit a run of patients in whom consultants have asked you to order an ESR, CRP. First, podiatry asked for them for a patient with 1st metatarsal osteomyelitis. Spine surgery wanted the same for a patient with diskitis. And, ortho wanted them for a possible septic. You think to yourself, “what am I or my consultant going to do with these test results?” “What are these inflammatory markers anyhow?” And, “what patient’s should I be ordering them in.”
CRP, ESR, and procalcitonin each have utility and can be used in conjunction with the overall clinical picture to aid in evaluation and management in specific scenarios. None of these tests are specific to any particular disease process and should not be used in isolation, but there is evidence to suggest that they have value to add to clinical practice. Highlighted below are a few instances in which these tests can be useful."
  • NEONATES
  • NECROTIZING FASCIITIS
  • SPINAL INFECTIONS
  • SEPTIC ARTHRITIS