A Week in Review: Sep 25 - 30th

Monday: Back to Basics - Omphalitis

Typically superficial cellulitis, however can travel via ophalomesenteric duct and lead to systemic infection

IV antibiotics: Vancomycin or Gent PLUS Clinda or metronidazole

Surgicial consultation for possible debridgement

Tuesday: Advanced Practice - Refractory VT

Treatment Escalation Pathway:

Amiodarone -> Beta Blockade (nonselective may be better the cardioselective)

Propofol (also for sedation for cardioversion but can terminate electrical storm) -> Consult Electrophysiology (Cardiology)

Wednesday: What's the Diagnosis?

Thursday: #emconf - Syncope

Irregular tachycardia with varible QRS morphology?

Could it be Afib in a patient with RVR?

What medication should you use? Procainamide. If that fails, then what?

Saturday: Board Review - Meningitis

What is the difference for CSF results between viral and bacterial meningitis