Core EM - Emergency Medicine Podcast

Episode 176.0 – Pneumonia Updates

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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
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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


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