2009, Outcomes and Sepsis - Emergency Care Today

Pre-Hospital Antibiotics in Sepsis?

RebelEM

JANUARY 18, 2024

Background: Sepsis remains one of the leading causes of morbidity and mortality. It is well-established that earlier recognition and treatment can lead to better outcome for these patients . Prehospital Administration of Broad-Spectrum Antibiotics for Sepsis Patients: A Systematic Review and Meta-Analysis. Health Sci Rep 2022.

Sepsis

Sepsis Hospitals Administration Outcomes

The Latest in Critical Care, 10/30/23 (Issue #18)

PulmCCM

OCTOBER 30, 2023

Professional Medical Societies Call for Elimination of SEP-1 The Infectious Diseases Society of America (IDSA), along with societies for emergency medicine physicians and hospitalists, are again speaking up about the ongoing policy experiment known as the Centers for Medicare and Medicaid Severe Sepsis/Septic Shock Management Bundle (SEP-1).

Sepsis

Sepsis Shock Hospitals Outcomes

The CLOVERS Trial

Taming the SRU

MAY 5, 2023

Early Restrictive or Liberal Fluid Management for Sepsis-Induced Hypotension. doi:10.1056/NEJMoa2212663 BACKGROUND Sepsis, including severe sepsis and septic shock, is a frequently encountered condition in the emergency department and carries a high mortality rate. N Engl J Med. 2023;388(6):499-510. 2018, Kuttab, Lykins et al.

Sepsis

Sepsis Shock Administration Resuscitation

Necrotising Enterocolitis

Don't Forget the Bubbles

JUNE 10, 2024

Despite advancements in neonatal care, NEC remains a significant concern due to its association with adverse outcomes, including prolonged hospitalisation, the need for surgical intervention, and increased mortality rates. Differential diagnoses include septic ileus, and infection causes such as sepsis, meningitis and pneumonia.

Pediatrics

Pediatrics Sepsis Fluid Resuscitation Outcomes

SGEM#206: I’m Wheezy Like A Pre-Schooler – Prednisolone for Wheezy Children

The Skeptics' Guide to EM

FEBRUARY 10, 2018

In 2009, a study by Panickar et al found no positive effect in giving steroids to pre-school children with wheeze (2). Outcome: * Primary: Length of stay in the hospital * Secondary: Re-attendance; readmission; salbutamol usage; and residual symptoms after discharge Dr. .

Emergency Department

Emergency Department Pediatrics Sepsis Hospitals

Steroids in preschool wheeze

Don't Forget the Bubbles

JULY 22, 2024

Randomised controlled trials addressing the benefit of steroids in preschool wheeze have compared different cohorts, used different trial designs and measured different outcomes. This is a way to overcome different trial outcomes. This paper’s primary outcome was a change in wheeze severity score (WSS). What does this mean?

Outcomes

Outcomes Research Pediatrics Hospitals

Pediatric Status Epilepticus

Pediatric Emergency Playbook

SEPTEMBER 1, 2015

Pediatric status epilepticus is analogous to the multi-organ dysfunction syndrome in severe sepsis. October 8th, 2009. Incidence, cause, and short-term outcome of convulsive status epilepticus in childhood: prospective population-based study. This is the second reason to act quickly and avoid this kindling effect. Boston, MA.

Pediatrics

Pediatrics Seizures Stroke Radiology

SGEM#356: Drugs are Gonna Knock You Out – Etomidate vs. Ketamine for Emergency Endotracheal Intubation

The Skeptics' Guide to EM

JANUARY 15, 2022

A 2009 randomized control trial conducted in French ICUs supported the use of ketamine in this patient population [5]. Historically there has been concern about adrenal insufficiency caused by etomidate being harmful for patients with sepsis but this has not been shown to cause increased mortality in the literature [6, 7].

Sepsis

Sepsis Shock Emergency Department Outcomes

Big Labs, Little People

Pediatric Emergency Playbook

APRIL 1, 2016

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.

Pediatrics

Pediatrics Sepsis Shock Outcomes

The Pediatric Surgical Abdomen

Pediatric Emergency Playbook

AUGUST 1, 2017

Does Functional Outcome Improve with Time Postsurgery for Hirschsprung Disease? Single-stage versus multi-stage pull-through for Hirschsprung's disease: practice trends and outcomes in infants. 2009; 197:211-215. 2009 Jun;123(6):1548-55 Chinn WM, Zavala DC, Ambre J. J Med Genet 2008; 45:1. Arshad A, Powell C, Tighe MP.

Pediatrics

Pediatrics Ultrasounds Resuscitation Sepsis

Sepsis Updates Relevant to the Emergency Physician

EMDocs

DECEMBER 18, 2023

Introduction Sepsis and septic shock are life-threatening conditions characterized by severe systemic inflammation and organ dysfunction due to a dysregulated host response to infection. 3,4 Prompt recognition and management of sepsis and septic shock are paramount for the ED clinician. vs. 0.91), positive predictive value (0.27

Sepsis

Sepsis Fluid Resuscitation Shock Resuscitation

Impact of Emergency Department Crowding on Lung Protective Ventilation

RebelEM

MARCH 27, 2023

Ventilator-associated lung injury and inflammation can occur even during short-term mismanagement can worsen patient outcomes. 4 Using factors such as shock, pneumonia, and sepsis this score allows an accurate prediction of developing ARDS. This is a critical error that leads to poorer outcomes for patients in need of critical care.

Emergency Department

Emergency Department Operations Documentation/Coding Academics

Etomidate Vs. Ketamine: A Systematic Review and Meta-Analysis

RebelEM

NOVEMBER 3, 2022

Albert 2011, Jabre 2009) However, the existing literature comparing etomidate and ketamine is conflicting. Outcomes: Primary Outcome: Incidence of post-induction hypotension Secondary Outcome : First-pass success rate of endotracheal intubation Primary Results: 84 articles were identified for potential inclusion.

Outcomes

Outcomes Emergency Department Sepsis Hospitals

Hysterectomy Complications

EMDocs

OCTOBER 23, 2023

This may also predispose a patient to sepsis, peritonitis, or bowel infarction, which need to be recognized quickly. Morbidity outcomes of 78,577 hysterectomies for benign reasons over 23 years. 2009 Apr;49(2):198-201. A patient may experience pelvic pressure or a bulge in the vagina if bowel evisceration occurs (1,7).

OB/GYN

OB/GYN Operations EMS Ultrasounds

REBEL Core Cast 122.0 – Neutropenic Fever

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. Changing aetiology, clinical features, antimicrobial resistance, and outcomes of bloodstream infection in neutropenic cancer patients.

Infectious Diseases

Infectious Diseases Administration Sepsis Anaphylaxis

Emergency Care Today

Pre-Hospital Antibiotics in Sepsis?

The Latest in Critical Care, 10/30/23 (Issue #18)

Trending Sources

The CLOVERS Trial

Necrotising Enterocolitis

SGEM#206: I’m Wheezy Like A Pre-Schooler – Prednisolone for Wheezy Children

Steroids in preschool wheeze

Pediatric Status Epilepticus

SGEM#356: Drugs are Gonna Knock You Out – Etomidate vs. Ketamine for Emergency Endotracheal Intubation

Big Labs, Little People

The Pediatric Surgical Abdomen

Sepsis Updates Relevant to the Emergency Physician

Impact of Emergency Department Crowding on Lung Protective Ventilation

Etomidate Vs. Ketamine: A Systematic Review and Meta-Analysis

Hysterectomy Complications

REBEL Core Cast 122.0 – Neutropenic Fever

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