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Clinical Conundrum: Should We Always Treat Fever in Patients with Sepsis?

RebelEM

Bottom Line Up Top: There doesnt appear to be a morbidity or mortality benefit to treating fever in sepsis and fever may have a protective effect. A large observational study of > 2000 patients found an association with fever at presentation and ICU survival for patients with severe sepsis or septic shock ( Sunden-Culberg 2017 ).

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A New Tool to Help Screen for Sepsis in Kids?

Taming the SRU

Ann Emerg Med 2024; Big Picture Current screening tools for pediatric septic shock and sepsis are highly specific but lack sensitivity. This study substituted age adjusted vital sign measures and a pediatric shock index into currently existing pediatric sepsis scoring systems to create the qPS4.When

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Episode 7: Sepsis

PHEM Cast

[link] We hope you enjoyed our sepsis podcast. It is obviously a huge topic and there is lots of information to cover; a couple of other recently released podcasts are available which are produced with the Emergency Medicine community in mind, but will no doubt expand your knowledge. St Emlyns Induction podcast on Sepsis.

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Agitation Treatment in the Emergency Department

ACEP Now

Emergency departments (EDs) focus on rapid initiation of medical treatment. Patients with sepsis get antibiotics. References American College of Emergency Physicians Clinical Policies Subcommittee on the Adult Psychiatric P, Nazarian DJ, Broder JS, et al. Ann Emerg Med. West J Emerg Med. Am J Emerg Med.

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SGEM#346: Sepsis – You Were Always on My Mind

The Skeptics' Guide to EM

Most emergency department patients meeting sepsis criteria are not diagnosed with sepsis at discharge. Guest Skeptic: Dr. Jess Monas is a Consultant in the Department of Emergency Medicine at the Mayo Clinic Hospital, Phoenix, Arizona. Background: We have covered sepsis many times on the SGEM since 2012.

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#FOAMed Review 54th Edition

EM Curious

MYTHBUSTING AZITHROMYCIN DOES NOT CAUSE TORSADES OR INCREASE MORTALITY [BLOG]: Since the 2012 NEJM article on azithromycin we have become quite fearful of the potential life threatening cardiac side effects. If you weren't there, you still should listen to this discussion on sepsis 3.0. Read on here.

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EM@3AM: Stercoral Colitis

EMDocs

Clinical exam: 2, 3, 9 Abdominal distension and tenderness Nausea and vomiting Stool present in the rectal vault Peritonitis may be accompanied by hemodynamic instability in the case of sepsis. 2-4, 6 If there is a concern for perforation or sepsis, surgical consultation, blood cultures, empiric antibiotics, and fluids are recommended.

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