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Episode 21- Updates and Controversies in the Early Management of Sepsis and Septic Shock

EB Medicine

This month, we’ll be talking Updates and Controversies in the Early Management of Sepsis and Septic Shock. In 2014, the Society of Critical Care Medicine and the European Society of Intensive Care Medicine started a task force, and by 2016, updated definitions were out again! I’m Jeff Nusbaum, and I’m back with my co-host, Nachi Gupta.

Sepsis 40
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Diagnostics and Therapeutics: Managing Pneumothorax

Taming the SRU

It can be further divided into two types: primary--those that occur in generally healthy individuals without underlying lung disease, and secondary--those that occur in individuals with underlying lung disease such as COPD [1]. Trends in the Incidence and Recurrence of Inpatient-Treated Spontaneous Pneumothorax, 1968-2016.

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Are these Wellens' waves?

Dr. Smith's ECG Blog

This clinical information followed: "The patient had a COPD exacerbation with a prehospital SpO2 of 60%. Tachycardia is unusual in ACS unless there is cardiogenic shock or a second simultaneous pathology. Many patients with acute COPD exacerbations present with a similar heart rate. This is NOT Wellens. Is the patient hypoxic?

EKG/ECG 52
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ABG Versus VBG in the Emergency Department

EMDocs

Louis); Marina Boushra, MD (EM-CCM, Cleveland Clinic Foundation); Brit Long, MD (@long_brit) Case Emergency Medical Services brings in a 62-year-old male with COPD in acute on chronic hypoxemic respiratory failure (usually on 3 L nasal cannula, now on non-rebreather at 15 L/min). Epub 2016 Jun 9. J Intensive Care Med.

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REBEL Core Cast 122.0 – Neutropenic Fever

RebelEM

Epub 2016 Dec 29. Give appropriate fluids, vasopressors, and antibiotics. Default to using whichever score your oncologist is more comfortable with. Application of the MASCC and CISNE Risk-Stratification Scores to Identify Low-Risk Febrile Neutropenic Patients in the Emergency Department. Ann Emerg Med. 2017 Jun;69(6):755-764. 2016.11.007.

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EM@3AM: High Priority Fungal Pathogens and Empiric Treatment in the ED

EMDocs

Four days ago, he presented to the ED for a COPD exacerbation. COPD, cystic fibrosis), HIV/AIDS, cancer, immunosuppressed (i.e. Clinical Practice Guideline for the Management of Candidiasis: 2016 update by the Infectious Diseases Society of America. Vital Signs: HR 105, RR 24, SpO2 93% on 6 LPM NC, BP 143/88, T 101.1F