The Skeptics' Guide to EM

FEBRUARY 24, 2018

The second, the larger CORTICUS study, published in the NEJM in 2008 found no benefit of the use of corticosteroids compared to placebo. This looked at hydrocortisone to prevent patients with severe sepsis in developing septic shock. Now these contradictory results could have come about for a number of reasons.

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Northwestern EM Blog

FEBRUARY 14, 2022

Interestingly, when vasopressin was studied in 2008, it similarly did not show a mortality benefit when added to norepinephrine infusion in septic shock2. This data shows us that angiotensin II can make the blood pressure better but I would never let it distract you from the things we know matter in sepsis resuscitation.

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Shock Resuscitation Fluid Resuscitation Sepsis 52

PulmCCM

FEBRUARY 12, 2024

SCCM made its statement unilaterally, without the European Society of Intensive Care Medicine (ESICM), its partner on the 2008 and 2017 updates, or the American Thoracic Society (ATS). That could be because CIRCI is ill-defined, almost hypothetical.

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Shock Administration Sepsis Fractures 52

EB Medicine

JULY 8, 2019

From the 80’s to 2008, the worldwide prevalence of obesity nearly doubled! Leakage from the staple line typically presents within the first week, but can present up to 35 days, usually with fevers, tachycardia, abdominal pain, nausea, vomiting sepsis, or peritonitis. Additionally, back in 2010, it was estimated that 6.6%

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Emergency Department Sepsis Operations Dehydration 40

Don't Forget the Bubbles

JUNE 10, 2024

Systemic Infections : Sepsis and other systemic infections can predispose infants to NEC by compromising the gut barrier and promoting inflammation. Differential diagnoses include septic ileus, and infection causes such as sepsis, meningitis and pneumonia. How do we diagnose necrotising enterocolitis? Clark, R., & Swanson, J.

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Pediatrics Sepsis Fluid Resuscitation Outcomes 40

Thinking Critical Care

MAY 18, 2023

To everybody outside Glasgow glucocorticoids seemed to be the answer and Chicago surgeon William Schumer was their chief flag waver, claiming in 1976 that steroid therapy reduced the mortality of saline-treated sepsis in his service from 33% to around 10%. [5] An Inspector called from time to time to ensure our work was humane. [11]

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RebelEM

MAY 15, 2024

Antibiotics are effectively the only thing standing between these patients and overwhelming sepsis. Improving the immediate management of neutropenic sepsis in the UK: Lessons from a national audit. 2008 Sep;1138:329-50. Neutropenic Fever: Fever (one reading of 38.3C Support Care Cancer. 2018 May;26(5):1465-1470. Clarke, R.

Infectious Diseases 101

Infectious Diseases Administration Sepsis Anaphylaxis 101

Don't Forget the Bubbles

AUGUST 21, 2023

Infection/sepsis? Over a 10-year period from 2008 to 2018, 334 heart transplants were performed on children in the UK. 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 ? A metabolic issue? Something intra-abdominal?

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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. BJOG 2008; 115:1473. It may present with vaginal bleeding (the most common presenting symptom) (3), or watery vaginal discharge (2,6). 2020 Sep;127(10):1269-1279. Spilsbury K, Hammond I, Bulsara M, Semmens JB.

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OB/GYN Operations EMS Ultrasounds 95

Taming the SRU

JULY 21, 2023

In infants, this can represent a medical emergency as it can quickly lead to orbital cellulitis and sepsis. HOW DOES TREATMENT BETWEEN INFANTS (< 1 year old) AND ADULTS DIFFER? Hospitalization and emergent ophthalmology consultation are warranted, in addition to IV broad spectrum antibiotics. Accessed April 15, 2022.

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Emergency Department EMS Burns Wellness 88

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

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. 2008 Sep;1(3):170-7. 9 In terms of assessing volume status in general, Joseph et al. 11 A study by Stephan et al.

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Dehydration Fluid Resuscitation Sepsis Resuscitation 75

RebelEM

FEBRUARY 7, 2024

Chorioamnionitis is a bacterial infection of fetal amnion and chorion membranes. Labor and Delivery and Their Complications. In: Marx, J et al, ed. Rosen’s Emergency Medicine. Philadelphia, PA: Elsevier Saunders; 2014:2331-2350. Gorgas, D. “Infections related to pregnancy.” ” Emerg Med Clin North Am 26 (2): 345-366, viii.

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Advanced Emergency Nursing from AENJ

FEBRUARY 27, 2015

died of sepsis from an infected blister on his foot resulting from a tennis game at the White House. " EyeWitness to History, www.eyewitnesstohistory.com (2008). Calvin Coolidge Often remembered for being taciturn, he had an effective career before as Massachusetts Governor. He finished that term, and ran for a second term.

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Stroke COPD Emergency Nursing Sepsis 40