Episode 27 - Bundles 4.0

In this fourth instalment of Bundles, Dr. Paul Bunce is joined again by Dr. Brooke Fraser to cover a mix of Infectious Diseases insights, useful resources, and ideas from beyond medicine that shape how we think and practice.

In this episode:

🧠 Teaching tools

• The Gorgas Course - Case of the Week - A practical, case-based tropical medicine resource from the Gorgas Course

• A visual, diagnostic reasoning approach with IDImages.org

📚 From the literature

• Updated 2026 Surviving Sepsis Guidelines and the case for prolonged beta-lactam infusion
• A recent JAMA Network Open study applying the AMBITION trial strategy for cryptococcal meningitis in a US setting

🌍 Beyond the PubMeds

• 99% Invisible: “Towers of Silence” - ecology, culture, and unintended consequences

• The Death of Expertise, by Tom Nichols - why mistrust of experts is rising, and where that argument falls short

🛟 Safe space

• Brooke’s segment challenges the idea of ‘infection seasons’, highlighting that ticks are active whenever temperatures are above ~4°C, and that Legionella doesn’t reliably follow the calendar we think it does.

• Severe Pseudomonas aeruginosa sepsis with necrotizing enterocolitis (historically termed “Shanghai fever”). What it is, who gets it, and why it matters.

You can find more episodes and teaching resources at www.FirstCallID.ca

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