2012, Resuscitation and Sepsis - Emergency Care Today

Episode 7: Sepsis

PHEM Cast

APRIL 10, 2016

[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

Sepsis Fluid Resuscitation Resuscitation Emergency Department

52 in 52 – #41: The CENSER Trial

EMDocs

AUGUST 17, 2023

Additionally, 80% of patients in the control group required open label NE use indicating that NE was going to be needed in most of these patients regardless of initial resuscitation method. vs 48.4% (OR 3.4, 5.53) Takeaways: Positive trial => there was a statistically significant rate of shock control attained with the treatment arm.

Sepsis

Sepsis Shock Resuscitation Fluid Resuscitation

Diastolic Shock Index: A clinically relevant predictor of poor outcome in septic shock?

Taming the SRU

MARCH 30, 2023

Background Early recognition and resuscitation of patients in septic shock are critical skills for an emergency medicine physician. The pathologic vasodilation observed in sepsis is thought to result from failure of the vascular smooth muscle to constrict appropriately, leading to hypotension as well as tissue hypoperfusion (2).

Shock

Shock Outcomes Sepsis Resuscitation

EM@3AM: Stercoral Colitis

EMDocs

JANUARY 11, 2025

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.

EMS

EMS Sepsis Shock Fluid Resuscitation

REBEL Core Cast 94.0 – SBO

RebelEM

JANUARY 25, 2023

J Trauma Acute Care Surg 2012; 73(5): S362-9. Late findings Fever Abdominal distension (+) LR: 5.64 – 16.8 (-) LR: 0.34 – 0.43 Absent bowel sounds Peritoneal signs (i.e. rebound and guarding) Diagnostics Laboratory Tests Commonly ordered lab tests (i.e. 3.6 – 55.6) (-) LR: 0.13 (0.08 – 0.20) ED US (+) LR: 9.5 (2.1

Operations

Operations Sepsis Resuscitation Ultrasounds

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 Latest in Critical Care, 2/19/24 (Issue #30)

PulmCCM

FEBRUARY 19, 2024

Panelists called this “low certainty evidence from five before-after studies that this intervention may be associated with lower mortality and fewer unsuccessful resuscitation events.” In my anecdotal experience, these phrases have an impressively high positive predictive value for badness (early sepsis, often).

Hospitals

Hospitals Resuscitation Burns Documentation/Coding

Approach to Shock

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.

Shock

Shock Sepsis Pediatrics Ultrasounds

Etomidate: a perspective on a current controversy.

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] I do not recall one experiment getting as far as the resuscitation stage.

Shock

Shock Research Sepsis Resuscitation

EM@3AM: Endometritis

EMDocs

JULY 13, 2024

2012 May;27(5):1368-74. Epub 2012 Mar 14. Incidence, treatment and outcome of peripartum sepsis. Evaluate for retained products of conception as etiology Diagnosis Diagnosis of endometritis with at least two of the following: 8 Fever >100.4F Hum Reprod. doi: 10.1093/humrep/des076. PMID: 22419745. Morens, David.

OB/GYN

OB/GYN EMS Sepsis Fluid Resuscitation

The Pediatric Surgical Abdomen

Pediatric Emergency Playbook

AUGUST 1, 2017

2012; 43(1):49-51. BMJ 2012; 345:e5521. 2012; 3:247-250. Intestinal Malrotation – Not Just the Pediatric Surgeon’s Problem. J Am Coll Surg. 2004; 199(4):628-635. Lee HC et al. Intestinal Malrotation and Catastrophic Volvulus in Infancy. J Emerg Med. Martin V, Shaw-Smith C. Review of genetic factors in intestinal malrotation.

Pediatrics

Pediatrics Ultrasounds Resuscitation Sepsis

EM@3AM: ESBL-Producing Organisms and Their Management

EMDocs

OCTOBER 5, 2024

4 The incidence of ESBL-E identified in bacterial cultures in the United States increased by 53% from 2012 to 2017. 8 Workup and Diagnosis Evaluation should be tailored to the patient presentation, but may include studies such as: CBC, CMP, UA, lactate (if concern for sepsis), Cultures (blood, urine, etc.)

EMS

EMS Infectious Diseases Sepsis Hospitals

Acute Hyperthermia in the Emergency Department

Taming the SRU

APRIL 26, 2023

Resuscitation 2020. Classification of sepsis, severe sepsis and septic shock: the impact of minor variations in data capture and definition of SIRS criteria. Intensive Care Med 2012. J Intensive Care Med 2015. Douma MJ, Aves T, Allan KS, et al. Druyan A, Janovich R, Heled Y. Mil Med 2011. Epstein Y, Yanovich R.

Hyperthermia / Hypothermia

Hyperthermia / Hypothermia Emergency Department Stroke Sepsis

IV fluids in the ED: When do we really need them?

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. In lower-resource settings, the evidence is stronger against a liberal approach to volume resuscitation.

Dehydration

Dehydration Fluid Resuscitation Sepsis Resuscitation

Venous Congestion in Pediatric Critical Care

Don't Forget the Bubbles

FEBRUARY 17, 2025

He has received 20ml/kg in 5 to 10ml/kg aliquots in the ED, as his blood pressure keeps dropping, and the ED team is concerned about possible sepsis. He has had some additional episodes of hypotension post-intubation, which is treated with further volume resuscitation. Pediatr Crit Care Med, 2012. pulmonary hypertension, pARDS).

Pediatrics

Pediatrics Ultrasounds Shock Resuscitation

Emergency Care Today

Episode 7: Sepsis

52 in 52 – #41: The CENSER Trial

Trending Sources

Diastolic Shock Index: A clinically relevant predictor of poor outcome in septic shock?

EM@3AM: Stercoral Colitis

REBEL Core Cast 94.0 – SBO

Big Labs, Little People

The Latest in Critical Care, 2/19/24 (Issue #30)

Approach to Shock

Etomidate: a perspective on a current controversy.

EM@3AM: Endometritis

The Pediatric Surgical Abdomen

EM@3AM: ESBL-Producing Organisms and Their Management

Acute Hyperthermia in the Emergency Department

IV fluids in the ED: When do we really need them?

Venous Congestion in Pediatric Critical Care

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