winterallsummer Posted May 2, 2014 Share Posted May 2, 2014 Hello. Does anyone know a good resource for a good "cheat sheet" of empiric abx for various in patient issues? Eg VAP, HAP, aspiration, sepsis, surgical wound, DM, foot, etc... This is something I never got a clear picture in school for beyond the basics, although out pt abx is not so bad. I don't want to become one of those providers who vanc/zosyn's everyone. And I have read the published online ID guidelines for sepsis and PNA but was hoping for more broad list. Thanks for any help. Link to comment Share on other sites More sharing options...
jen0508 Posted May 2, 2014 Share Posted May 2, 2014 i use the EMRA antibiotic guide, the phone app. Pretty easy to use and straight forward for EM, im sure there is a similar easy to use guide/app for inpatient medicine/hospitalists Link to comment Share on other sites More sharing options...
Joelseff Posted May 2, 2014 Share Posted May 2, 2014 Sanford guide is what I use. Sent from my Galaxy S4 Active using Tapatalk. Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted May 2, 2014 Moderator Share Posted May 2, 2014 sanfords is the gold standard. Link to comment Share on other sites More sharing options...
Acebecker Posted May 2, 2014 Share Posted May 2, 2014 Sanford. Learn the general coverage of common antibiotics and have a good idea of what bugs are likely. Match the two up. It takes a lot of study and a lot of practice, but it comes with time. Link to comment Share on other sites More sharing options...
Administrator rev ronin Posted May 2, 2014 Administrator Share Posted May 2, 2014 More to the point, how did your program not already teach you this? We had races with our Sanford guides and prescription forms for a little levity and relaxation. :-) Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted May 2, 2014 Moderator Share Posted May 2, 2014 I had a sanfords before I started pa school.... Link to comment Share on other sites More sharing options...
PAruby Posted May 2, 2014 Share Posted May 2, 2014 i like sanford, and i believe they have a phone app too now but haven't used it.... then I had to learn the local resistance patterns. Turns out Sanford's "gold standard" just doesn't work everywhere for everything... BTW - your program and mine must have had the same abx approach. definitely had to self-study that one A.LOT. on rotations. best of luck :) Link to comment Share on other sites More sharing options...
Moderator LT_Oneal_PAC Posted May 2, 2014 Moderator Share Posted May 2, 2014 I couldn't make it through PA school without my Sanford phone app Link to comment Share on other sites More sharing options...
discogenic Posted May 2, 2014 Share Posted May 2, 2014 EMRA. Link to comment Share on other sites More sharing options...
KMD16 Posted May 2, 2014 Share Posted May 2, 2014 Voted EMRA! Keep it simple. Not enough time flipping through sandford pages in a busy ED/UC. Though I carries copy for backup. Would highly recom sandford if still in training, or an ID/hospitalist PA Link to comment Share on other sites More sharing options...
primadonna22274 Posted May 2, 2014 Share Posted May 2, 2014 Agree that Sanford is the gold standard BUT a little difficult to use quickly. I consider it a reference. I'm also very fond of EMRA and recommend it highly. We should all read and periodically review the IDSA guidelines which has marvelous charts by bug and condition. I also like Hopkins Antibiotic Guide but I've had trouble using it lately. Link to comment Share on other sites More sharing options...
SHU-CH Posted May 2, 2014 Share Posted May 2, 2014 I used - and still use - EMRA for day to day stuff. It is like a Cliff's Notes version of Sanford. Link to comment Share on other sites More sharing options...
Moderator ventana Posted May 2, 2014 Moderator Share Posted May 2, 2014 have used sanford for many many years..... now moved to the full size big type version as the tiny print was hard to read - Link to comment Share on other sites More sharing options...
winterallsummer Posted May 4, 2014 Author Share Posted May 4, 2014 Few questions 1. Does EMRA work as well as Sanford? What about for hospitalists? 2. Book or app? 3. If app, EMRA or Sanford? Link to comment Share on other sites More sharing options...
KMD16 Posted May 4, 2014 Share Posted May 4, 2014 .... for hospitalist, I would recom sandford. Link to comment Share on other sites More sharing options...
Planteater Posted May 5, 2014 Share Posted May 5, 2014 I have the Sanford app (our pharm prof is doing some research and got it free for our class for two years now). I like it a lot. It's intuitive, easy to find empiric therapy, and has a tables/tools section that is quite helpful. The app updates monthly as well so it is up to date. Link to comment Share on other sites More sharing options...
KMD16 Posted May 5, 2014 Share Posted May 5, 2014 ^^ Significant improvement. Link to comment Share on other sites More sharing options...
FSU2010 Posted May 7, 2014 Share Posted May 7, 2014 Personally, I like the Johns Hopkins Abx Guide. Link to comment Share on other sites More sharing options...
BruceBanner Posted May 7, 2014 Share Posted May 7, 2014 I use EMRA. Quick, easy, updated regularly. Link to comment Share on other sites More sharing options...
winterallsummer Posted May 7, 2014 Author Share Posted May 7, 2014 I have heard the Hopkins book is good but only available to employees or residents etc. Also for those using Sanford app does it crash often? I have heard it does. Also it seems expensive and there's two separate apps for abx and other meds from what I read but I could be wrong. Link to comment Share on other sites More sharing options...
Moderator LT_Oneal_PAC Posted May 7, 2014 Moderator Share Posted May 7, 2014 I have heard the Hopkins book is good but only available to employees or residents etc. Also for those using Sanford app does it crash often? I have heard it does. Also it seems expensive and there's two separate apps for abx and other meds from what I read but I could be wrong. My Sanford app has never crashed. Link to comment Share on other sites More sharing options...
Joelseff Posted May 8, 2014 Share Posted May 8, 2014 My Sanford app has never crashed. Neither has my Sanford Guide pocket size book....lol Sent from my Galaxy S4 Active using Tapatalk. Link to comment Share on other sites More sharing options...
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