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Sepsis alerts work! Just not in the patients who fire the alerts

PulmCCM

In the past decade, so-called “sepsis alerts” came out of nowhere to become a ubiquitous and resource-intensive component of inpatient medical care. “Sepsis alerts” are automated notifications that flag patients who meet certain criteria compatible with severe infection discernible from the electronic medical record.

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Cuffed Endotracheal Tubes for Children: ReBaked Morsel

Pediatric EM Morsels

2019 Sep;74(9):1186-1190. Epub 2019 Jul 16. 0.41), p < 0.001. Intubation practice and outcomes among pediatric emergency departments: A report from National Emergency Airway Registry for Children (NEAR4KIDS). Acad Emerg Med. 2022 Apr;29(4):406-414. doi: 10.1111/acem.14431. West J Emerg Med. 2023 Apr 28;24(3):579-587. Anaesthesia.

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Prehospital early warning scores for adults with suspected sepsis: retrospective diagnostic cohort study

Emergency Medicine Journal

Background Ambulance services need to identify and prioritise patients with sepsis for early hospital assessment. We aimed to determine the accuracy of early warning scores alongside paramedic diagnostic impression to identify sepsis that required urgent treatment. No other score provided clearly superior accuracy to NEWS2.

Sepsis 52
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2109 Prehospital early warning scores for adults with suspected sepsis: retrospective diagnostic cohort study

Emergency Medicine Journal

Aims and Objectives Ambulance services need to identify and prioritise patients with sepsis for early hospital assessment. We aimed to determine the accuracy of early warning scores alongside paramedic diagnostic impression to identify sepsis requiring urgent treatment. No other score provided clearly superior accuracy to NEWS2.

Sepsis 40
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Diagnostics: Inflammatory Markers

Taming the SRU

The 2019 Journal of Arthroplasty practice guidelines to screen for periprosthetic joint infections recommend using ESR at 30mm/hr and CRP at 10mg/L, citing pooled sensitivities and specificities ranging from 75%-86% and 70-72.3%, respectively, for ESR and 88% and 73-74%, respectively, for CRP [32]. days (secondary endpoint) [51].

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A long way from the mothership

Intensive Blog

multi organ dysfunction, severe sepsis, age, frailty, co-morbidities) What investigations and treatment has the patient had to date? They are staffed by Ambulance attendants to help operate specialized bariatric equipment. What information are you going to relay? Are there any contraindications?

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Impact of Emergency Department Crowding on Lung Protective Ventilation

RebelEM

2019 Aug; PMID: 30954692 Clinical Question: What is the impact of system factors in the implementation of standard-of-care LPV in critically ill ED patients admitted to the ICU? 4 Using factors such as shock, pneumonia, and sepsis this score allows an accurate prediction of developing ARDS. Paper: Owyang CG, et al. J Crit Care.