RebelEM

MARCH 9, 2023

Pain / Additional Complaints : Alcohol can weaken the immune system with only moderate use, predisposing individuals to pneumonia, soft tissue infections, and sepsis. Epub 2015 Sep 14. Osteopathic Family Physician. 2014 Mar;6(2). Barr T, Helms C, Grant K, Messaoudi I. Opposing effects of alcohol on the immune system. Alcohol Res.

Psychiatric 52

Psychiatric Emergency Department Fractures Documentation/Coding 52

EB Medicine

JULY 8, 2019

Jeff: And while it’s not exactly core EM, we’re going to briefly discuss indications for bariatric surgery, as this is something we don’t often review even in academic training programs. Which again reiterates why this is such an important topic for us as EM clinicians to be well-versed in. At 6 to 8 mL/kg.

Emergency Department 40

Emergency Department Sepsis Operations Dehydration 40

Dr. Smith's ECG Blog

NOVEMBER 19, 2016

It was edited by Smith CASE : A 52-year-old male with a past medical history of hypertension and COPD summoned EMS with complaints of chest pain, weakness and nausea. En route, EMS administered aspirin 325mg by mouth, but withheld nitroglycerin due to initial hypotension. 2015 Oct; 66(4):355-362. Answer below in the still shot.

EKG/ECG 40

EKG/ECG Shock Fluid Resuscitation Documentation/Coding 40

EMDocs

DECEMBER 18, 2024

Upon EMS arrival the male is noted to be anxious and tremulous with a GCS of 14. 2015; 17(6): 1-19. A 36-year-old male presents to the emergency department after being found down at home by his spouse. Per the mans wife, the patient is a heavy drinker often consuming two to three pints of vodka daily. Br J Addict. Emerg Med Pract.

Seizures 106

Seizures Hyperthermia / Hypothermia Emergency Department EMS 106

EMDocs

JUNE 22, 2024

We’ll keep it short, while you keep that EM brain sharp. According to EMS, she was in labor at home and delivered the newborn shortly after they had loaded her into the ambulance. .” 2015 May;28(7):793-8. “Markers of Inflammation and Infection in Sepsis and Disseminated Intravascular Coagulation.”

EMS 111

EMS Resuscitation Blood Transfusions Seizures 111

EMDocs

JULY 15, 2023

We’ll keep it short, while you keep that EM brain sharp. 2015, July 31). link] The post EM@3AM: Erysipelas appeared first on emDOCs.net - Emergency Medicine Education. aureus (including MRSA), Klebsiella pneumoniae , influenzae , E. pneumoniae , S. 2023, February 14). Erysipelas – Dermatologic Disorders. Erysipelas.

EMS 93

EMS Infectious Diseases Shock Ultrasounds 93

EMDocs

FEBRUARY 17, 2024

We’ll keep it short, while you keep that EM brain sharp. 12 Differential Diagnosis: Bacteremia Cellulitis/Abscess Endocarditis Epidural abscess HIV Meningitis Opioid withdrawal Osteomyelitis Pneumonia Sepsis Viral syndrome Management : Serious bacterial infection should be excluded before diagnosing cotton fever. Wolters Kluwer; 2015.

EMS 98

EMS Sepsis Hospitals Wellness 98

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. Epub 2011 Apr 22 Coyne CJ, Le V, Brennan JJ, Castillo EM, Shatsky RA, Ferran K, Brodine S, Vilke GM. Warnick, J., Stretton, K.,

Infectious Diseases 100

Infectious Diseases Administration Sepsis Anaphylaxis 100

Don't Forget the Bubbles

JUNE 30, 2023

Importantly, there were no differences between the groups regarding complications, including acute respiratory distress syndrome, multiple organ failure, venous thromboembolism, sepsis, and transfusion-related complications. 2015 Jul;115(1):76-83. Epub 2015 May 19. 2014 Sep;45(9):1287-95. Trauma Surg Acute Care Open.

Resuscitation 139

Resuscitation Operations Sepsis Pediatrics 139

RebelEM

JANUARY 29, 2024

JACCC Cardiovasc Interv 2015. appeared first on REBEL EM - Emergency Medicine Blog. A prospective, Single-Arm Multicenter Trial of Ultrasound-Facilitated, Catheter-Directed, Low-Dose Fibrinolysis for Acute Massive and Submassive Pulmonary Embolism: The SEATTLE II Study. PMID: 26315743 Tapson VF et al.

Stroke 136

Stroke Outcomes Hospitals Administration 136

Northwestern EM Blog

JANUARY 24, 2022

And for most forms, EM physicians are not typically shocked by shock. 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. 3) Farkas J.

Anaphylaxis 52

Anaphylaxis Shock Sepsis Resuscitation 52

RebelEM

OCTOBER 31, 2022

Vitamin C can function as an antioxidant and may mitigate endothelial oxidative stress in sepsis. Amrein 2018) A small, single-center, before-and-after study utilized a sepsis cocktail consisting of IV thiamine, hydrocortisone, and vitamin C and discovered a significant decrease in mortality compared to the control group.

Sepsis 52

Sepsis Outcomes Research Shock 52

EMDocs

OCTOBER 23, 2023

Author: Kristine Jeffers, MD ( EM Physician , San Antonio Uniformed Services Health Education Consortium) // Reviewed by: Jessica Pelletier, DO (EM Education Fellow, Washington University in St. This may also predispose a patient to sepsis, peritonitis, or bowel infarction, which need to be recognized quickly.

OB/GYN 94

OB/GYN Operations EMS Ultrasounds 94

EB Medicine

NOVEMBER 1, 2018

Jeff: And unlike past issues covering more common pathologies, like, say, sepsis, this month’s team reviewed much more literature than just the past 10 years. Thankfully, fatalities are declining, with just 565 in 2015. Thankfully, fatalities are declining, with just 565 in 2015.

Emergency Department 40

Emergency Department Burns EKG/ECG Shock 40

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

Ultrasounds 40

Ultrasounds Radiology Radiology Sepsis 40

EB Medicine

SEPTEMBER 1, 2018

As some background, from 2006-2015 there were almost 66,000 reported snake exposures and 31 deaths from snake envenomation in the US. If EMS has placed bandages, leave them in place until antivenom and resuscitative equipment is ready. Jeff: What a team! But, let’s get back to the snakes. Lavonas EJ, Ruha AM, Banner W, et al.

Emergency Department 40

Emergency Department Poisoning Anaphylaxis Allergic Reactions 40

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.

Emergency Department 143

Emergency Department Infectious Diseases Pediatrics Sepsis 143

RebelEM

DECEMBER 17, 2024

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. One side argues that fever places additional physiological stress on patients, who are already ill ( Young 2015 ). Read More REBEL EM: The HEAT Trial: Acetaminophen for Fever?

Sepsis 75

Sepsis Shock EMS Emergency Department 75

Pediatric EM Morsels

FEBRUARY 2, 2024

Hospitalization for travel-related illness are around 10% for both VFR and tourists (Leuthard 2015) Multiple studies have reported the most common travel infections in various countries. In the 1950’s travel accounted for 25 million international tourists. A study of swiss tourists found they compromised 53.4%

Infectious Diseases 164

Infectious Diseases Pediatrics Sepsis Documentation/Coding 164

EMDocs

JANUARY 16, 2025

Authors: Kyle Smiley (EM Resident, BAMC, San Antonio, TX) // Reviewed by: Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) Welcome to Critical Kids, an emDOCs series focused on pediatric emergency medicine. Today we cover the Phoenix Sepsis Criteria. Today we cover the Phoenix Sepsis Criteria. but PPV ranges from 25.1-39.5%

Sepsis 96

Sepsis Pediatrics Shock Hospitals 96

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. 9 In terms of assessing volume status in general, Joseph et al. 11 A study by Stephan et al. Andrews et al. Tarplin et al.

Dehydration 75

Dehydration Fluid Resuscitation Sepsis Resuscitation 75

EMDocs

JUNE 27, 2024

Sundd P, Gladwin MT, Novelli EM. 2015 May;169(4):492-505. Epub 2015 Mar 30. smoke, high ozone levels, smog) Asthma/reactive airway disease (RAD) Diagnostic criteria 7,8 Respiratory symptoms +/- fever (at least 38.0 C or 100.4 mg/kg, max 4 mg per dose q20-30min) or hydromorphone (0.01-0.02 mg/kg, max 0.4 2020 Feb 12;10(1):2470.

Pediatrics 98

Pediatrics Dehydration EMS Hospitals 98

EMDocs

MARCH 24, 2025

2 The development of antiretroviral treatment (ART) in the 1990s, coupled with the adoption of the treat-all strategy by WHO in 2015, has been fundamental in bringing HIV transmission and mortality rates down. Those with sepsis should receive broad-spectrum antibiotics based on local hospital antibiograms. 2009;9(2):125-128.

CDC 92

CDC Blood Transfusions Infectious Diseases Sexual Assault 92