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Adjunctive Methylene Blue in Septic Shock?

RebelEM

septic shock). Limited, small studies on its use in septic shock do not make a clear argument for use. Early Adjunctive Methylene Blue in Patients with Septic Shock: A Randomized Controlled Trial. Background: Sepsis can induce numerous physiologic derangements. Paper: Ibarra-Estrada, M et al. Crit Care 2023. 95% CI 15.4

Shock 145
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Glasgow Coma Scale in Children

Pediatric EM Morsels

2001 Apr;68(4):311-4. Pediatric adjusted reverse shock index multiplied by Glasgow Coma Scale as a prospective predictor for mortality in pediatric trauma. Systematic review showed 85% of studies with substantial reliability with kappa statistic >0.6 Fun fact for animal lovers!- Pediatr Neurol. 2006 May;34(5):379-87. 2005.10.012.

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Clinical Conundrums: Should You Give the First Dose of Antibiotics IV Before Discharging Home on Oral Antibiotics?

RebelEM

Except for patients with poor gut absorption or those with critical infectious processes such as septic shock or necrotizing fasciitis, this belief appears to be unfounded. 2001; 111(5):367-74. The use of oral temafloxacin compared with a parenteral cephalosporin in hospitalized patients with pneumonia. 1991; 28 Suppl C:81-6.

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The Private Equity Wave in Health Care

ACEP Now

Hahnemann University Hospital in Philadelphia closed in 2019, a year and a half after it was acquired along with St. Christopher’s Hospital for Children by private equity (PE) firm Paladin Healthcare Capital for 170 million dollars. 14 Dr. Stinson remembers what it was like to work for a PE-owned hospital early in her career. “I

Hospitals 113
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SGEM#294: Blood Pressure – Do Better, Keep Rising with NorEpi

The Skeptics' Guide to EM

Early Use of Norepinephrine in Septic Shock Resuscitation (CENSER): A Randomized Trial. Early Use of Norepinephrine in Septic Shock Resuscitation (CENSER): A Randomized Trial. One of the goals of the early treatment of septic shock is to restore end-organ perfusion. Date: June 2nd, 2020 Reference: Permpikul et al.

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Episode 21- Updates and Controversies in the Early Management of Sepsis and Septic Shock

EB Medicine

This month, we’ll be talking Updates and Controversies in the Early Management of Sepsis and Septic Shock. For those listening, my hospital probably looks a little bit like yours. Roughly half of in-hospital mortality is associated with septic in some fashion. Then in 2001, sepsis-2 was introduced. We like it that way.

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An Herbal Hope: Is XBJ A Game-Changer in Sepsis Management?

RebelEM

This varies from the 2001 definition, which used SIRS criteria and was thought to overly focus on inflammation. This varies from the 2001 definition, which used SIRS criteria and was thought to overly focus on inflammation. 001) Hospital mortality: Placebo 22.8% 1,817 enrolled and randomized 911 randomized to the XBJ cohort.

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