Episode 176.0 – Pneumonia Updates - a podcast by Core EM

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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