Miscellaneous
EMplify - April 2021 Announcements Traumatic Hemorrhage in the ED- with Dr Scott Weingart - April 13th, 8pm EST Free ! Register now: https://www.crowdcast.io/e/traumatic-hemorrhagic/register Pandemic Preparedness publication is coming soon. Mt Sinai COVID-19 Treatment Protocols have been updated and are available for free here: https://www.ebmedicine.net/topics/COVID-19/Protocols The Clinical Decision Making in the Emergency Department conference is June 23-27 live and virtual. More information here: https://clinicaldecisionmaking.com Management of Suspected Rabies Exposure in the Emergency Department - An Interview with Dr. Bess Storch Epidemiology: Fatality rate of over 99% Half of cases occur in children 95% of cases are in resource limited countries, 35% in India 99% caused by infected dogs (worldwide) In the US, cases are predominantly bat variant Why this topic? "In a recent survey of licensed physicians, less than half could identify rabies transmission routes, the correct PEP schedule, and the correct anatomic administration sites." Pathophysiology: What causes it? The RNA virus Lyssavirus How is it transmitted? How does it reach the brain? ED Evaluation: What does it look like clinically? 5 stages- incubation, prodrome, acute neurologic phase, coma death Why doesn’t everyone just get vaccinated? What patient medical history is important ? Steroids, chloroquine What animals are high risk? What about pets and quarantine? What about rodents ? Is there any role for labs or imaging ? What is the treatment regimen for those who are unvaccinated? And vaccinated? What about people who are immunosuppressed? Children? Pregnant? Recently traveled?