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Episode 7: Sepsis

PHEM Cast

The control group received many similar treatments as the ‘intervention’ group (just not full protocolised EGDT) highlighting that with good sepsis care (fluid resuscitation, close monitoring, early appropriate antibiotic administration), mortality can be reduced. Severe Sepsis in Pre-Hospital Emergency Care. 2009;13(5):R167.

Sepsis 52
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Electrical injuries

Don't Forget the Bubbles

Judicious fluid resuscitation is critical; patients may become volume-deplete due to fluid loss/oedema secondary to burns. Deep tissue injuries may not be visible, and as muscle breaks down, it leads to myoglobinuria, rhabdomyolysis and renal failure. Electrical Injuries. Chen P, Bukhman AK. Electrical and lightning injuries.

Burns 80
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Episode 21- Updates and Controversies in the Early Management of Sepsis and Septic Shock

EB Medicine

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. clearly this is an important topic if it warrants it’s own chair at a major hospital in NYC. At our hospital in southern Manhattan, patients tend to breathe around 16.

Sepsis 40
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EM@3AM: Takotsubo Cardiomyopathy

EMDocs

Patients should be admitted to the hospital for rhythm monitoring and serial cardiac enzymes , but the long-term prognosis of takotsubo syndrome is generally good. Additional fluids will not improve her condition and may worsen it. 2006 Jul;27(13):1523-9. Therefore, phenylephrine is the vasopressor of choice. Eur Heart J.

EMS 101
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emDOCs Revamp – Acute Chest Syndrome

EMDocs

768: Epidemiology of Hospital Based ED Visits due to Sickle Cell Crisis and Acute Chest Syndrome in Kids. Risk factors for acute chest syndrome among children with sickle cell anemia hospitalized for vaso-occlusive crises. This series provides evidence-based updates to previous posts so you can stay current with what you need to know.

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

EMDocs

2024, 33 use of ultrasound may lead to a reduction in mortality, less volume of fluids given, and decreased hospital stay. 47 from 1983 looking at 60 participants who either received IV fluids over 6 hours or received no fluids. 48 in 2006 enrolled 58 patients divided into two groups. Tullo et al. Choudhari et al.