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

WORLD EMERGENCY MEDICINE SOCIETIES & RELATED

EMERGENCY MEDICINE DAY: May 27

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lunes, 27 de agosto de 2018

Use of Blood Cultures

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emDocs - august 27, 2018 - Authors: Delbar K., Cirone M
Edited by Koyfman A and Long B
"Pearls Before Swine
  • Recognize that overall clinical impression trumps guidelines. Don’t let a suspicion of low-risk primary infection like cellulitis prevent you from ordering blood cultures in a frankly septic patient.
  • Remember, when assessing a patient for bacteremia, one of the strongest physical exam predictors is rigors.
  • If suspicion of bacteremia is low to moderate, evidence-based decision rules and algorithms (from Pawlowicz, Shapiro, etc) can be employed to help determine the need for cultures.10,12,13
  • In addition to early antibiotics, the EP is responsible for performing source control or arranging for appropriate consultant intervention."