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Emergency Medicine Cases

Journal Jam 17 – Steroids for CAP and COVID Pneumonia

Emergency Medicine Cases

Dr. Anton Helman

Science, Courses, Medicine, Health & Fitness, Education

4.7602 Ratings

🗓️ 26 January 2021

⏱️ 47 minutes

🧾️ Download transcript

Summary

What are the indications for steroids in patients with pneumonia besides those with concurrent COPD exacerbations, ARDS or adrenal shock? What is the evidence for benefit for steroids in CAP, the flu and COVID pneumonia? And if there is benefit, do those benefits outweigh the potential harms? To help us sort this out, Justin and Anton have the mighty return of a special guest - Dr. Andrew Morris in this Journal Jam podcast...

Transcript

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0:00.0

I'm Anton Hellman.

0:07.3

I'm Justin Morganstern.

0:09.0

And I'm Rory Spiegel.

0:11.2

And this is the journal jam podcast.

0:18.2

EM cases is part of Shremi, the Schwartz-Risman Emergency Medicine Institute. That's the non-profit

0:23.6

organization dedicated to improving EM care through high-quality research and education. The opinions expressed on this podcast are intended for general information and educational purposes only and should not be used to diagnose treat or prevent any medical condition,

0:18.6

nor should they be used as a substitute for medical advice

0:19.9

from a qualified practicing physician.

0:20.9

Unless stated otherwise, the opinions expressed by the hosts or guests

0:22.4

are made in their individual capacity,

0:23.5

not on behalf of the Institute nor medicine cases.

0:26.0

When I asked a dozen or so, substitute for medical advice from qualified practicing position. Unless stated otherwise, the opinions expressed by the hosts or guests are made in their individual capacity, not on behalf of the

0:38.1

institute nor medicine cases. When I asked a dozen or so ED docs, internists, ID specialists, and

0:44.5

intensivists, whether or not they use steroids for community acquired pneumonia or cap, we're going to

0:49.8

call it from now on, I didn't receive one definitive, clear answer. But when I asked them whether

0:56.9

or not they would use steroids for COVID pneumonia, they all clearly and definitively said a

1:02.3

resounding yes. And most of them added that it was the only drug that was effective for COVID

1:07.5

pneumonia. So this got me thinking, what are the indications for steroids

1:12.9

in patients with pneumonia besides those with concurrent COPD exacerbations and adrenal

1:18.9

patients? This is the journal jam. So the other question we're going to ask is what's the

1:25.5

evidence for benefit for steroids in CAP? What's the evidence for benefit for steroids in CAP?

1:29.0

What's the evidence for benefit for steroids in the flu? And what's the evidence for benefit

...

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