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Episode 7: Sepsis

PHEM Cast

[link] We hope you enjoyed our sepsis podcast. St Emlyns Induction podcast on Sepsis. A great summary of what to do when a patient with suspected sepsis first arrives in the ED. A great summary of what to do when a patient with suspected sepsis first arrives in the ED. March 2016.

Sepsis 52
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Episode 35: The collapsed infant

PHEM Cast

Sepsis Click for UK Sepsis Trust guidance for different clinical settings. Parenteral penicillin for children with meningococcal disease before hospital admission: case-control study. Parenteral penicillin for children with meningococcal disease before hospital admission: case-control study. 2006 Jun 3;332(7553):1295–8.

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Ultrasound of the Month: Gallbladder Perforation

Taming the SRU

He was transitioned to cefdinir and fluconazole for a full 7-day course of antibiotics and discharged from the hospital on day three, with instructions to follow up with general surgery for an outpatient cholecystectomy. In those with concern for sepsis, blood cultures, broad spectrum IV antibiotics and fluids should be given as needed.

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Big Labs, Little People

Pediatric Emergency Playbook

Lactate A sick child with sepsis syndrome? In the adult literature, we know that a lactate level above 4 mmol/L in patients with severe sepsis was associated with the need for critical care. The acute recognition and treatment of sepsis is first and foremost, clinical. The short answer – yes.

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The Pediatric Surgical Abdomen

Pediatric Emergency Playbook

2006; 26:1485-1500. 2006; 22:1021-1024. Management of the child after enema-reduced intussusception: hospital or home? Acute Intestinal Obstruction in children: Experience in a Tertiary Care Hospital. Pediatr Rev. 1988; 9(7):219-226. Malrotation with Midgut Volvulus Applegate KE. Radiographics. Kapfer SA, Rappold JF.

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Neonatal Jaundice

Pediatric Emergency Playbook

Check the bilirubin in any neonate you are working up for sepsis. Hospital Stay for Healthy Term Newborn Infants. 2006 Jun;11(3):214-24. The neonate may be sleepy but hypotonic or have a high-pitched cry; he maybe irritable or inconsolable, jittery or lethergic. References Benitz WE. Pediatrics. 2015; 135(5):948-53. Pediatrics.

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REBEL Core Cast 122.0 – Neutropenic Fever

RebelEM

Antibiotics are effectively the only thing standing between these patients and overwhelming sepsis. Follow your hospital’s protocol (if available). High Risk Patients will need hospitalization and IV antibiotics. Improving the immediate management of neutropenic sepsis in the UK: Lessons from a national audit. Clarke, R.