Remove 2002 Remove Sepsis Remove Wellness
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EM@3AM: Stercoral Colitis

EMDocs

Well keep it short, while you keep that EM brain sharp. 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. May still be passing small amounts of stool and flatus.

EMS 98
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Proning for ARDS

Northwestern EM Blog

There are several etiologies including viral pneumonia, bacterial pneumonia, sepsis, trauma, and pancreatitis. In this study, they found that prone positioning resulted in significant improvement in oxygenation, as well as a 50% decrease in mortality at 28 days (Guerin et.

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

PEMBlog

The night prior to presentation, mom noticed he was not feeding as well and seemed fussy. Initially in the emergency department he was generally well-appearing with normal vital signs. rectally, prompting a sepsis workup given his age. This patient was hospitalized for 4 days where he remained well-appearing. Miyazawa, H.,

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Diagnostics: Inflammatory Markers

Taming the SRU

As the name would suggest, inflammatory markers are biological markers of, well, inflammation. Sepsis PCT may have some utility in guiding posttest probability for sepsis when the diagnosis is unclear. High serum procalcitonin concentrations in patients with sepsis and infection. days (secondary endpoint) [51].

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

The Skeptics' Guide to EM

There is a certain subset of patients in septic shock whose adrenal axis functions well enough to support them in a state of health but are unable to support them in a state of unwell. This looked at hydrocortisone to prevent patients with severe sepsis in developing septic shock.

Shock 40
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The Undifferentiated Sick Infant

Pediatric Emergency Playbook

Check a glucose ad drug screen Sepsis - Saved for last - You'll almost always treat the sick neonate empirically for sepsis - think of congenital and acquired etiologies. Before you decide on sepsis, ask yourself, could this be a cardiac problem?* 2002; 3:3-13. Is there some home remedy or medication used on the baby?

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Vomiting in the Young Child: Nothing or Nightmare

Pediatric Emergency Playbook

Think meningitis, UTI, or sepsis. Effortless tachypnea may be a sign of acidosis or sepsis. Consider surgical causes of forceful vomiting, especially if the child does not look anything other than well. 2002; 141(6):793-7. In the stable patient, get an upper GI contrast study. Premature, unwell, and vomiting? J Emerg Med.