EXPLODING BACTERIAMed Decision Speed Tools

Fever & Infection

9 tools · free, no login

COPD Exacerbation: Does the Patient Need ABX?Decides whether an acute COPD exacerbation needs antibiotics — and whether they must cover Pseudomonas — using severity and the Anthonisen criteria.CURB-65Estimates the mortality of community-acquired pneumonia (CAP) and suggests inpatient vs. outpatient treatment. PSI is favored over CURB-65 by ATS/IDSA, but PSI is cumbersome to use — so many prefer CURB-65.DRIP — Drug Resistance in PneumoniaAttempts to predict the risk of drug-resistant organisms (DRPs) in community-acquired pneumonia (CAP).IDSA/ATS ICU Criteria for CAPHelps determine the need for the ICU in patients with community-acquired pneumonia (CAP), as outlined by the American Thoracic Society (ATS) / IDSA. Meeting ≥3 minor criteria suggests ICU-level care.LP Safety: CT Before Lumbar Puncture?Decides whether it's safe to perform a lumbar puncture now — screening for absolute contraindications, herniation risk that mandates CT first, and correctable bleeding risks.MASCC Score for Febrile NeutropeniaIdentifies low-risk febrile neutropenia patients who may be safely managed with oral antibiotics as outpatients — unusually, a higher score is better (low-risk ≥21).Modified Centor Score for Strep PharyngitisEstimates the probability of Group A Strep in acute pharyngitis (McIsaac age-adjusted) — guiding who to test and who to leave alone.Orbital vs Periorbital CellulitisDifferentiates sight-threatening orbital (postseptal) cellulitis from periorbital (preseptal) cellulitis — using hard signs to decide who needs CT orbits and admission.Pneumonia Severity Index (PSI)Helps determine risk of mortality from Community-Acquired Pneumonia (CAP) and guides home vs. admit; PSI is favored over CURB-65 by ATS/IDSA but is cumbersome to use, resulting in many preferring CURB-65.

Other complaints

Chest Pain Shortness of Breath Abdominal Pain Headache Altered Mental Status Sepsis Head Injury Neck & Back Injury Extremity Injury Stroke & Neuro Deficit Leg Swelling Sore Throat GI Bleed Exposure & Prophylaxis Anticoagulation