Welcome to The Pearl Log — where post-shift wisdom surfaces, one shiny clinical take at a time. Some pearls are fresh, some are rough, all are found under pressure.
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Post Cardiac Arrest Management
The AHA has put out a bunch of recent statements and guidelines regarding post cardiac arrest care. Take a look at these to up your game!
Out of Breath? Inpatient-Bound CAP Treatment
Inpatient CAP management hinges on severity. Use validated IDSA/ATS criteria to guide ICU vs ward disposition, but most severe and non-severe cases get similar empiric antibiotics like a beta-lactam plus macrolide or a fluoroquinolone. Reserve MRSA or Pseudomonas coverage for true risk factors, skip routine anaerobic coverage for aspiration unless abscess or empyema is suspected, and remember newer data support steroids and HFNC in severe hypoxic CAP.