Northwestern EM Blog

JANUARY 24, 2022

Acidosis Acidosis in shock states can present from multiple different sources, including sepsis, hypoxemia, ingestions, hyperlactatemia from hypoperfusion, amongst others. Hypothyroidism and Adrenal Insufficiency in Sepsis and Hemorrhagic Shock. 2007; 25: 309-331. Accessed [link] 4) Ho H, Chapital A, and Yu M. Arch Surgery.

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Anaphylaxis Shock Sepsis Resuscitation 52

PulmCCM

FEBRUARY 19, 2024

Over six years of study (2007-2013): There were 83 MET calls activated by parents (~1.2 In my anecdotal experience, these phrases have an impressively high positive predictive value for badness (early sepsis, often). Well … no. per month, about 3% of all MET calls).

Hospitals 52

Hospitals Resuscitation Burns Documentation/Coding 52

Pediatric Emergency Playbook

JUNE 1, 2016

Distributive Shock The most common cause of distributive shock is sepsis, followed by anaphylactic, toxicologic, adrenal, and neurogenic causes. Children with sepsis come in two varieties: warm shock and cold shock. Surviving sepsis campaign: international guidelines for management of severe sepsis and septic shock: 2012.

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Shock Sepsis Pediatrics Ultrasounds 40

Pediatric Emergency Playbook

MAY 1, 2017

Check the bilirubin in any neonate you are working up for sepsis. 2007 Nov;25(4):1117-35, vii. The neonate may be sleepy but hypotonic or have a high-pitched cry; he maybe irritable or inconsolable, jittery or lethergic. The dehydration and neurologic dysfnction from the hyperbilirubinemia may even cause fever. Pediatrics. Pediatrics.

Dehydration 52

Dehydration Pediatrics Wellness Seizures 52

EB Medicine

JUNE 6, 2019

However, it can also be due to hypoxia, sepsis, anemia, PE, or metabolic acidosis, so consider all of those also in your differential. was sensitive for 28-day mortality in sepsis. Jeff: Speaking of HR, tachycardia can be a response to pain, anxiety, fever, blood loss, or sepsis. In one study, a SI > 0.7

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Ultrasounds Radiology Radiology Sepsis 40

Don't Forget the Bubbles

AUGUST 21, 2023

Infection/sepsis? The baby’s parents tell you that the baby hasn’t been feeding well for a few days and today has been very sleepy. What are your differentials? Bad bronchiolitis ? Congenital cardiac disease – maybe a duct-dependent lesion? A metabolic issue? Something intra-abdominal? Inflicted injury? Something else?

Pediatrics 98

Pediatrics Outcomes Research Sepsis 98

EMDocs

OCTOBER 23, 2023

This may also predispose a patient to sepsis, peritonitis, or bowel infarction, which need to be recognized quickly. It may present with vaginal bleeding (the most common presenting symptom) (3), or watery vaginal discharge (2,6). A patient may experience pelvic pressure or a bulge in the vagina if bowel evisceration occurs (1,7).

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OB/GYN Operations EMS Ultrasounds 95

Don't Forget the Bubbles

JULY 17, 2023

Evaluating the Impact of the 2017 Dutch Neonatal Early-Onset Sepsis Guideline. 2023 Jun 14;46:8-23 One-year survival and outcomes of infants born at 22 and 23 weeks of gestation in Sweden 2004-2007, 2014-2016 and 2017-2019. Screen time and preschool children: Promoting health and development in a digital world. Paediatr Child Health.

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Pediatrics Emergency Department Outcomes Fractures 98

Don't Forget the Bubbles

SEPTEMBER 18, 2023

This is true in life-threatening conditions such as sepsis. However, when children do not have features of sepsis, oral antibiotics are equally effective. The take home is that although IV antibiotics are key in sepsis management, oral antibiotics are equally as effective as IV antibiotics for children without critical illness.

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Emergency Department Infectious Diseases Pediatrics Sepsis 143

Broome Docs

JANUARY 27, 2025

Biomarker-Guided Antibiotic Duration for Hospitalized Patients With Suspected Sepsis: The ADAPT-Sepsis Randomized Clinical Trial. ’ Economic Botany, 61(3), 2007, pp. 2024 Dec 9. doi: 10.1001/jama.2024.26458. 2024.26458. If it looks like a brain – your should eat it?

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Sepsis Anaphylaxis Hospitals Ultrasounds 101

EMDocs

JANUARY 20, 2025

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. 2007 Feb;24(2):124125. 9 In terms of assessing volume status in general, Joseph et al. 11 A study by Stephan et al.

Dehydration 75

Dehydration Fluid Resuscitation Sepsis Resuscitation 75

RebelEM

FEBRUARY 7, 2024

Mulik (2007). Sheridan (2003). “Complications of second and third trimester pregnancies.” ” Emerg Med Clin North Am 21 (3): 695-710, vii. PMID: 12962354 Apantaku, O. “Maternal intra-partum fever.” ” J Obstet Gynaecol 27 (1): 12-15. PMID: 17365450 Desai, S. Labor and Delivery and Their Complications.

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Sepsis Shock Hospitals Ultrasounds 102

Don't Forget the Bubbles

SEPTEMBER 23, 2024

Consider sepsis and treat it accordingly. Changes in TAC concentrations related to changes in haematocrit should not lead to a prompt dose adjustment. Urinary tract infection (UTI): more likely in cases of urologic comorbidities and operations (e.g. CAKUT, catheterization requirement). When in doubt, call the team. and Hirsch, H.H.,

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Pediatrics Fractures Dehydration Sepsis 52