Dr. Farkas Chapter is really a great minicourse on pneumonia and other pulmonary diseases in the differential. And as such, the chapter is relevant to all primary care clinicians as well as to critical care and emergency specialists.
Listen/re-listen to the podcast if you have time and then read/reread the Chapter [the Chapter is full of critically relevant information]. Here are direct links to the chapter and contents:
- triage: who needs ICU?
- treatment failure
- duration of treatment
- checklists & algorithms
- questions & discussion
[Note to myself: It is critical to read or watch all the resources in Going further below.]
- PNA general
- Community Acquired Pneumonia – (LITFL CCC, Chris Nickson)
- Evidence-based treatment for severe community-acquired pneumonia (PulmCrit)
- Radiologic – Ultrasonic – Pathologic correlation for pneumonia (PulmCrit)
- Which patients with pneumonia need MRSA coverage? (PulmCrit)
- Update in community acquired pneumonia: Macrolide resistance (Anand Swaminathan, Rebel EM)
- Six reasons to avoid fluoroquinolones in the critically ill (PulmCrit)
- Modes of noninvasive support
- Metabolic therapies
- Steroid for community-acquired pneumonia (PulmCCM, Jon-Emile Kenny)
- Corticosteroids for pneumonia: Ready for primetime? (emDocs, Brit Long)
- Metabolic resuscitation for severe pneumonia? (PulmCrit)
- POCUS for pneumonia
- This is super important, I didn’t emphasize it in the chapter because there’s already a lot of great info out there about it:
- Pneumonia: Five minute sono (Jacob Avila)
- Pneumonia US library (LITFL, James Rippey)
- Dynamic Air Bronchograms (Ultrasound of the Week, Ben Smith)
- Ultrasound for PNA & thoracentesis (Ultrasound Podcast)
- Pneumonia ultrasound case (Radiopaedia, David Carroll)
- Consolidation: Atelectasis vs Pneumonia? (Western Sono, Yves Landry)
[Note to myself] Be sure and review the 23 references with links to PubMed that Dr. Farkas includes in the chapter.
(2) Infectious Diseases Society of America/American Thoracic Society Consensus Guidelines on the Management of Community-Acquired Pneumonia in Adults [Full Text PDF] 2007
The above guidelines are currently undergoing revision and the revised guidelines are expected to be available in the fall of 2019. Therefore, I have not reviewed these guidelines.