Bugs & Drugs - Antibiotic QuickCard

Antibiotic selection has been identified as a potential weak spot for our residents. So, I created the below table to serve as a quick reference while on shift. My hope is to condense it to the size of a badge (front and back) so that it can be worn on one's badge holder.  Please note the disclaimer below.  This has not been peer reviewed yet.  References are listed below.

Source		Bugs	Drugs	Comments
PNA	CAP	S. pneumonia, H. influenza, Moraxella Atypicals - Mycoplasma, Chlamydia, Legionella	OP - azithro x 5d OR doxy 100mg bid x 7d IP - ceftriaxone 1g + azithro 500mg	consider moxifloxacin for comorbidities (i.e COPD, DM, CHF)
	HCAP	PsA, MRSA, E. Coli, Acinetobacter, Serratia	IP - vanc 20mg/kg + pip/tazo 4.5g + azithro 500mg	Pen allergic - substitute aztreonam or cefepime for pip/tazo

Mini Intern Bootcamp

Every July, a countless number of bright-eyed Emergency Medicine interns will exit their 4th year slumber and wake up to a sobering shower of utter confusion. I know this because I remember well the day I forgot 4 years of medical education. It wasn't that long ago for me. Allow me to introduce a project that may ease the interns’ hemorrhage of medical knowledge. You may think of it as tranexamic acid for the traumatized and bleeding intern – it just may reduce your interns’ ED mortality rate.

Small Bowel Obstruction

55M c h/o colon ca p/w abd pain x 3d.  Rebound on exam.  3/6/9 Rule: small bowel dilated if > 3 cm, large bowel if > 6 cm, cecum if > 9 cm.