Episode Archive - Page 7 of 7 - ACEP Now

November 2020: COVID-19 Vaccines

December 7, 2020 - Jeremy Samuel Faust, MD, MS, MA, FACEP - 0 Comment

shut by Landon Jones, MD, and Richard M. Cantor, MD, FAAP, FACEP The best questions often stem from the inquisitive learner. As educators, we love, and are always humbled by, those moments when we get to say, “I don’t know.” For some of these questions, you may already know the answers. For others, you may never have thought to ask the question. For all, questions, comments, concerns, and critiques are encouraged. Welcome to the Kids Korner. Antibiotics for Strep Question 1: In children with group A strep pharyngitis, what benefit(s) does antibiotic treatment offer? While a potentially reasonable argument may be made about deferring antibiotic treatment of GAS-positive pharyngitis, is antibiotic treatment beneficial? To begin, an earlier RCT by Nelson evaluated 35 children ages 5–11 years with GAS confirmed by culture and randomized patients to penicillin (PCN) treatment or placebo.1 Follow-up visits occurred at 48 hours. Patients treated with PCN had a significantly shorter duration of fever at follow-up, with 28 percent of placebo patients having persistent fever >48 hours but no treated patients having persistent fever (P=0.031). At 48-hour follow-up, children receiving PCN also had significantly shortened times until improved (P=0.008) and until well (P=0.022). A similar shortened duration of fever at 48 hours was seen in another RCT by Pichichero et al.2 A Cochrane meta-analysis by Spinks et al evaluated 27 trials with 12,835 total cases.3 This included both adults and children and included patients with the diagnosis of sore throat, not specifically GAS. Regarding antibiotics versus placebo, the risk ratio of the incidence of developing the secondary complication of otitis media within 14 days following GAS pharyngitis antibiotic treatment was 0.30 (95 percent CI, 0.15–0.58; 11 studies), suggesting that antibiotic therapy decreased the incidence of the complication of otitis media. Similarly, the risk ratio of the incidence of developing “quinsy”—meaning peritonsillar abscess or retropharyngeal abscess—within two months following GAS antibiotic treatment was 0.15 (95 percent CI, 0.05–0.47; eight studies). Lastly, the risk ratio of the incidence of developing acute rheumatic fever (ARF) within two months was 0.27 (95 percent CI, 0.1–0.50; 14 studies). While ARF is traditionally rare in Western countries (

In this month’s episode of ACEP Nowcast, Dr. Jeremy Faust discusses COVID-19 vaccines being developed, treating strep throat in children, when to send COVID-19 patients home, and other highlights from ACEP Now’s November issue.

October 2020: Abdominal Compartment Syndrome

November 22, 2020 - Jeremy Samuel Faust, MD, MS, MA, FACEP - 0 Comment

In this month’s episode of ACEP Nowcast, Dr. Jeremy Faust discusses diagnosing abdominal compartment syndrome, management of primary spontaneous pneumothorax, testicular torsion, and other highlights from ACEP Now’s October issue.

September 2020: Physician Suicide

November 2, 2020 - Jeremy Samuel Faust, MD, MS, MA, FACEP - 0 Comment

Dr. Lorna Breen (left) with sister Jennifer.

In this month’s episode of ACEP Nowcast, Dr. Jeremy Faust discusses physician suicide, ACEP’s survey of COVID-19’s effect on emergency medicine careers, one physician’s reaction to the Black Lives Matter movement, and other highlights from ACEP Now’s September issue.

August 2020: COVID-19 Therapeutics

November 2, 2020 - Jeremy Samuel Faust, MD, MS, MA, FACEP - 0 Comment

3D illustration of coronavirus COVID-19 under the microscope.

In this month’s episode of ACEP Nowcast, Dr. Jeremy Faust discusses therapies being investigated to treat COVID-19, selecting a hearing aid to work with your stethescope, doxycycline treatment in kids, and other highlights from ACEP Now’s August issue.

July 2020: Endovascular Therapy and tPA

September 11, 2020 - Jeremy Samuel Faust, MD, MS, MA, FACEP - 0 Comment

In this month’s episode of ACEP Nowcast, Dr. Jeremy Faust discusses using endovascular therapy with or without tPA for acute ischemic stroke, difficult airway tips, transesophageal echocardiography, and other highlights from ACEP Now’s July issue.

June 2020: Ovarian Torsion Myths

August 25, 2020 - Jeremy Samuel Faust, MD, MS, MA, FACEP - 0 Comment

Figure 1 (ABOVE) Ovarian torsion on ultrasound with enlarged ovary and absent vascular flow.

In this month’s episode of ACEP Nowcast, Dr. Jeremy Faust discusses five ovarian torsion myths, heat-related illnesses, COVID-19 updates, and other highlights from ACEP Now’s June issue.

May 2020: COVID-19 Lessons Learned

June 15, 2020 - Jeremy Samuel Faust, MD, MS, MA, FACEP - 0 Comment

COVID-19 Lessons Learned by an Emergency Physician in New York City

In this month’s episode of ACEP Nowcast, Dr. Jeremy Faust discusses tips for managing airways in COVID-19 patients other highlights from ACEP Now’s May issue.

April 2020: COVID-19 Lessons Learned

April 21, 2020 - Jeremy Samuel Faust, MD, MS, MA, FACEP - 0 Comment

In this month’s episode of ACEP Nowcast, Dr. Jeremy Faust discusses COVID-19 lessons learned and other highlights from ACEP Now’s April issue.

March 2020: COVID-19 for the Emergency Provider

March 18, 2020 - Jeremy Samuel Faust, MD, MS, MA, FACEP - 0 Comment

In this month’s episode of ACEP Nowcast, Dr. Jeremy Faust discusses our review of COVID-19 for the emergency provider and other highlights from ACEP Now’s March issue.