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Bullous Skin Lesions, Meet Emergency Medicine

Taming the SRU

Mortality rates related to bullous skin lesions are typically related to disruption of the skin barrier and include subsequent dehydration, electrolyte imbalances, hypothermia, increased metabolic needs, and secondary infection leading to bacteremia and/or sepsis. Proc Natl Acad Sci U S A 2005; 102:4134. N Engl J Med 1995; 333:1600.

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Diagnostics: Inflammatory Markers

Taming the SRU

However, PCT can be elevated in severe trauma, such as burns or surgery [5,25]. Sepsis PCT may have some utility in guiding posttest probability for sepsis when the diagnosis is unclear. 2005 Nov;6(11):1045-56. High serum procalcitonin concentrations in patients with sepsis and infection. J Zhejiang Univ Sci B.

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Adventures in RSI

Pediatric Emergency Playbook

Case 1: Sepsis Laura is a 2-month-old baby girl born at 32 weeks gestational age who today has been “breathing fast” per mother. She is in respiratory failure from bronchiolitis and likely viral sepsis. Induction Agent in Sepsis The consensus recommendation for the induction agent of choice for sepsis in children is ketamine.

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IV fluids in the ED: When do we really need them?

EMDocs

Sepsis There has been much controversy over the last two decades around the various nuances of volume resuscitation in ED patients with suspected sepsis, much of which goes beyond the scope of this limited review. 2005 Oct 19;294(15):1944-56. 9 In terms of assessing volume status in general, Joseph et al. Andrews et al.