Hey, folks, Scott Wyngard here, and this is the MCRID podcast.

Today on the podcast, let's talk about some choices for empiric antibiotics in really sick patients.

This show has been just sitting in the back burner for quite some time.

And then I got a contact from David Tallinn.

And if you don't know David Tallinn, he is an EM doc, but also a trained ID doc. He's done

amazing work on things like community acquired. Mercer, COVID, vaccines, all sorts of great

stuff, numerous publications, super brilliant guy. And he's like, Scott, I don't think people

in EM are aware enough about the fact that the cephalosporans may not be enough to treat bad

Eurosepsis. And we should be talking about that. And I'm like, Dave, why don't we get you on the show

and we'll talk about that and basically all the other empiric antibiotic choices for 2026.

So that's exactly what we did. And that's what you will hear shortly. Now, real quick, before we get into that, I just want to mention we have spots opening up in our resus leadership academy. That is the project I do with Haney Malamit. And it is basically a resus fellowship that you could do without having to give up a year of your life, without having to

give up your earnings, without having to change jobs. So you do it virtually. There's an entire

curriculum. You meet with professors monthly to talk about your cases. You meet with me monthly

to talk about all sorts of things in ED critical care. It's pretty fantastic. It's one of the

most enjoyable things that I do. And now we have spots open again. Every person who has graduated has come out and they are now like the leaders in resuscitation in their department. That's why we call it that. That's why it's the resusleadership Academy. So if that sounds intriguing, if that sounds interesting, if you always want to pursue a resuscitation fellowship or a critical care fellowship, but you're just too far in life. You have kids. You can't go back to shock trauma like I did. Then this is something to consider. So if that sounds interesting, then come to resus leadership academy, all one word, resusleadershipacademy.com and check it out. You could ask for more information. We'll send it to you and you could evaluate

whether this is the life change you'd like, whether you'd like to really be the master of all

things resuscitation in your department. And we bring in emergency physicians, but we also

bring in hospitalists because there's a lot of hospitals that are doing critical care.

I would like additional training to be able to take care of their super sick patients because they're covering the ICUs, even though they've never had an ICU fellowship. So that's another group that I think has really loved it. We've had paramedics, we've had NPs and PAs, but our bread and butter is emergency medicine who wants to just up their game in resuscitation. So resusleadershipacademy.com. All right. So back to the show. Before we get to David, let me

contextualize this. So we are going to be talking about impurecantibiotic choices in patients from

the community, not hospital acquired bugs. We're going to be talking from the community.

And we're going to be talking about sick patients. So either sepsis or septic shock, not your regular pneumonia that's being seen in the main department.

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