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EM@3AM: Stercoral Colitis

EMDocs

Clinical exam: 2, 3, 9 Abdominal distension and tenderness Nausea and vomiting Stool present in the rectal vault Peritonitis may be accompanied by hemodynamic instability in the case of sepsis. 2-4, 6 If there is a concern for perforation or sepsis, surgical consultation, blood cultures, empiric antibiotics, and fluids are recommended.

EMS 98
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Adjunctive Methylene Blue in Septic Shock?

RebelEM

Background: Sepsis can induce numerous physiologic derangements. The Influence of Methylene Blue infusion on Cytokine Levels During Severe Sepsis. Anaesth Intensive Care 2002. septic shock). NaCl over 6hrs once daily x3 doses Placebo: 500mL of 0.9% 95% CI 15.4 NaCl over 6hrs once daily x3 doses Placebo: 500mL of 0.9%

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Proning for ARDS

Northwestern EM Blog

There are several etiologies including viral pneumonia, bacterial pneumonia, sepsis, trauma, and pancreatitis. 2002 for ED setting) When possible, explain the indications and process of the maneuver to the patient and/or family. Prone positioning has also been shown to be beneficial in pregnant patients (Samanta et. Malhotra, A.

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Diagnostics: Inflammatory Markers

Taming the SRU

Sepsis PCT may have some utility in guiding posttest probability for sepsis when the diagnosis is unclear. A 2013 meta-analysis of 30 studies including 3,244 patients published in The Lancet found PCT to have a pooled sensitivity of 77% and specificity of 79% for sepsis in critically ill patients [52]. Cleland DA, Eranki AP.

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PEMPix 2023 Online Case 3: The Only Thing We Have to Fear

PEMBlog

rectally, prompting a sepsis workup given his age. Initially in the emergency department he was generally well-appearing with normal vital signs. His rash is pictured here: He subsequently developed a fever to 38.2C Labs were notable for: WBC 9.1 x 10E+09/L with ANC 4.46 Microbiology and immunology, 57(11), 737–745. link] Nakano, M.,

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SGEM#208: It Makes No Difference – Glucocorticoids for the Treatment of Septic Shock

The Skeptics' Guide to EM

The first, the Annane et al trial published in JAMA in 2002, suggested a mortality benefit in favor of the corticosteroid group in the subset of patients who were found to have relative adrenal insufficiency. This looked at hydrocortisone to prevent patients with severe sepsis in developing septic shock.

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Brazilian Butt Lift Procedure Can Result in Emergency Department Visits

ACEP Now

The procedure has soared in popularity as beauty standards have shifted and cosmetic surgery has become increasingly transparent on social media platforms, with reported cases in the United States increasing from 614 in 2002 to 61,387 by 2021, a nearly 10,000 percent increase. Cosmetic Surgery National Data Bank: 2002 Statistics.