Management Community Acquired Pneumonia

Community-acquired pneumonia (CAP) remains the leading cause of infectious disease death in developed countries. Described by Sir William Osler as “captain of the men of death,” it dates back to antiquity. However, we are only beginning to understand the best ways to treat it - Josh Farkas

Management Community Acquired Pneumonia
Management Community Acquired Pneumonia

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Ep 130 Community Acquired Pneumonia: Emergency Management

While community acquired pneumonia (CAP) is ‘bread and butter’ emergency medicine, and the diagnosis is often a ‘slam dunk’, it turns out that up one third of the time, we are wrong about the diagnosis; that x-rays are not perfect; that blood work is seldom helpful; that not all antibiotics are created equal and that deciding who can go home and who needs to go to the ICU isn’t always so clear cut

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 Ep 130 Community Acquired Pneumonia: Emergency Management

To aid diagnostic accuracy and avoid over prescribing antibiotics, force yourself to consider the diagnosic criteria for CAP: fever, respiratory symptoms and imaging evidence of an infiltrate. Pay close attention to respiratory rate and oxygen saturation – the vast majority of patients with CAP will have an elevated respiratory rate.


Inpatient, non-ICU Treatment - Respiratory fluoroquinolone OR Anti-pneumococcal beta-lactam PLUS a macrolide.

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