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good antibiotic guide?
Started by MLB2000
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deleted87716
MLB2000 said:
if you have a palm, just download JHU antibiotic guide. it's great cuz it will designate by pathogen, body system, etc...plus it's free
http://hopkins-abxguide.org/
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deleted87716
MLB2000 said:
also the specific hospital that you work at will have their personal abx guide that you can use that has sensitivities for your area, common pathogens, etc..this allows you to curtail your treatments based on local responsiveness of the pathogens. your hospital will like you too because you are not prescribing drugs that are certain to not work.
One book I CANNOT recommend is the EMRA guide - you're better off avoiding it, unless you want everything except whatever you need at that moment.
Sanford IS the way to go.
Sanford IS the way to go.
I keep arguing that we should be able to write antibiotics per Sanford as a legitimate order. I keep getting shot down.
How has your institution responded to the "Resuscitate per ACLS" orders?
About the same as they did with my blanket ED "Orders per Rosen's" idea. 😉WilcoWorld said:
Seriously though, most hospitals, including mine, do just that (resus per ACLS). The nurses follow the ACLS algorithim until the ER doc shows up who then... follows the ACLS algorithim.
another thumbs down for the EMRA guide. I was so excited about it, too.
kungfufishing said:
Can you guys be more specific about what you do not like. The reason I ask is that our program is editing next year's edition, and constructive criticism would help. Thanks, Turtle 😀
turtle said:
😕 😕 😕
I'm curious as well.. I use the EMRA antibiotic guide all the time, and find it to be easy, quick and concise. It's the first book I grab when it's 4am and i'm on autopilot.
Sanford is great when it's a complicated or unusual case, but for quick no-brainer infections (ie: CAP, kids dosing for OM, etc), Sanford is too much information to sift through. Quick and dirty is key at 4am 😴
Big Z said:
Are there any simple infections anymore? Your approach worked for me back in the 80s. Now I look it up every time. Too many antibiotics, too much resistance, too many people with allegies and/or immunodepressed. Finally you 've got to look at you local antibiotigrams. We haven't been able to use Sulfa-TMP in UTIs for 25 years. Cystitis treated with nitrofurantoin (96-98% sensitive). Complicated UTIs used to be fluoroquinolones but we ran through them in less than 10 years. now it's 3rd gen cephs.
I don't think books, even updated yearly can keep up with latest MRSA, latest magic bullet, etc.
For the record, I was using the hopkins guide (big surprise) and liked it when I was using a Palm Phone. I had to switch to a PC PDA (works much better, thank you). Hopkins doesn't support it so I bought the online sanford. Haven't used it enough to have an opinion.
p.s. Recommend against Treo either 650 or 700 if you're gonna run Epocrates or other large programs.
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deleted87716
BKN said:
Epocrates Essentials fits, but you'll need to run most of your other large programs from the memory card. Fortunately, this usually isn't a problem.
KentW said:
I did that for six months with a treo 650. More and more crashes, resets, attempts at updating the operating system etc, until finally, after loading the latest version of the OS it just stopped working as a palm or a phone all together. got a new phone from sprint, it wouldn't sync and after two days wouldn't even recognize sprint, kept roaming to a mexican network. I repeat, recommend against the TREOs.
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deleted87716
BKN said:
I have Verizon; no problems like that at all.
As comforting as a merit badge such as ACLS is, it's no substitute for in-depth training and experience. When I was a resident, you'd always walk in on floor codes with a bunch of "certified" practitioners bagging the pants off some guy to no avail because they never stopped to properly position, form a good mask seal, put it an oral airway, etc. Or they'll be cranking the milliamps up in frustration trying to pace an asystolic patient who "isn't getting pulses back", never mind the visible lividity. ACLS is a good start, but rescuscitation isn't taught in 10 or 12 hours.
docB said:
