EMDocs

OCTOBER 8, 2024

The full differential diagnosis of sinus tachycardia in isolation is extensive ranging from benign etiologies such as anxiety to severely life threatening etiologies such as sepsis. Discharging a patient with abnormal vital signs has been linked to unanticipated death (1-4). Axilla, Sacral, GU Overall Volume Status? Do they have edema?

Shock 105

Shock Emergency Department Pediatrics EKG/ECG 105

Northwestern EM Blog

MAY 16, 2022

What is your initial imaging test of choice, ultrasound (US) or non-contrast CT, and why? Would you be confident in a point-of-care-ultrasound evaluation or a formal ultrasound? Many patients in the ultrasound groups did get additional imaging, but this was not the majority. How do you proceed? In this study, 40.7%

Ultrasounds 52

Ultrasounds Radiology Radiology Outcomes 52

The Skeptics' Guide to EM

JANUARY 25, 2020

NEJM February 2019 Guest Skeptic: Andrew Merelman is a critical care paramedic and second year medical student at Rocky Vista University in Colorado. His primary interests are resuscitation, critical care, airway management, and point-of-care ultrasound. Bag-Mask Ventilation during Tracheal Intubation of Critically Ill Adults.

EMS 40

EMS Airway Management Administration Resuscitation 40

Broome Docs

APRIL 6, 2023

Early Restrictive or Liberal Fluid Management for Sepsis-Induced Hypotension. Clinical risk factors for testicular torsion and a warning against falsely reassuring ultrasound scans: a 10-year single-centre experience. 2019 Nov 1;179(11):1528-1536. N Engl J Med. 2023 Jan 21. doi: 10.1056/NEJMoa2212663. Epub ahead of print.

Sepsis 52

Sepsis Ultrasounds Hospitals Fractures 52

PulmCCM

JULY 10, 2023

Continuous meropenem infusion for critically ill patients with sepsis Antibiotics have a time-dependent effect on bacteria; maintaining bacteriocidal concentrations of antibiotics should help subdue infections better than intermittent dosing. Mortality was about 30% in each group, and most patients had hospital-acquired sepsis.

Stroke 52

Stroke Sepsis Infectious Diseases Outcomes 52

ACEP Now

MAY 9, 2024

Unfortunately, at least 13 deaths were subsequently reported in Miami-Dade County from 2019–2022, the three years immediately following the implementation of the subcutaneous injection regulation. 6 Theoretically, ultrasound guidance should decrease this risk, which formed the basis for the 2022 Florida Medical Board regulation.

Emergency Department 52

Emergency Department Operations Ultrasounds Shock 52

Dr. Smith's ECG Blog

NOVEMBER 4, 2022

Am J Med 2019, 132(5):622-630. Now there is a paper published in 2019 that proves the point beyond doubt, though makes it clear that this pattern is associated with very high mortality. American Journal of Medicine 132(5):622-630; May 2019. J Electrocardiol 2013;46:240-8 2. Harhash AA, Huang JJ, Reddy S, et al.

EKG/ECG 52

EKG/ECG Shock Sepsis Emergency Department 52

EB Medicine

JULY 8, 2019

I’m Jeff Nusbaum and I’m back with Nachi Gupta for the 30 th episode of EMplify and the first Post-Ponte Vedra Episode of 2019. Leakage from the staple line typically presents within the first week, but can present up to 35 days, usually with fevers, tachycardia, abdominal pain, nausea, vomiting sepsis, or peritonitis.

Emergency Department 40

Emergency Department Sepsis Operations Dehydration 40

EMDocs

JULY 15, 2023

A lower extremity radiograph does not reveal any gas formation and an ultrasound of the lower extremity is negative for DVT or cobblestoning, WBC is within normal limits and there are mild elevations in ESR and CRP. No fungal infections are identified on the feet. Given the patient’s comorbidities laboratory and imaging studies are ordered.

EMS 92

EMS Infectious Diseases Shock Ultrasounds 92

Don't Forget the Bubbles

NOVEMBER 1, 2023

The study included all patients (aged 0-17 years) admitted to Copenhagen University Hospital’s PED between 1st Jan 2019 and 1 Jan 2021. No CT or ultrasound evidence of complications (including appendicolith, perforation, abscess or peritonitis). Patients were included if they had lactate measured as part of their acute PED evaluation.

Emergency Department 140

Emergency Department Hospitals Resuscitation Administration 140

Don't Forget the Bubbles

JULY 17, 2023

Reviews and opinion articles Point-of-care ultrasound in pediatric nephrology. Evaluating the Impact of the 2017 Dutch Neonatal Early-Onset Sepsis Guideline. 2023 Jun 14;46:8-23 One-year survival and outcomes of infants born at 22 and 23 weeks of gestation in Sweden 2004-2007, 2014-2016 and 2017-2019. Sethi SK, et al.

Pediatrics 98

Pediatrics Emergency Department Outcomes Fractures 98

Don't Forget the Bubbles

JULY 5, 2023

Vaccination: PCV13 (pneumococcal vaccination), meningococcal vaccines, and Hib conjugated vaccines are important to prevent life-threatening sepsis. Sickle cell patients also qualify to receive the annual influenza vaccine, since influenza virus infection predisposes to bacterial pneumonia and sepsis caused by S. Pneumococcal sepsis B.

Blood Transfusions 126

Blood Transfusions Stroke Dehydration Sepsis 126

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. For links to FOAM-ED ultrasound content, see the section after take-home points.) 11 A study by Stephan et al.

Dehydration 75

Dehydration Fluid Resuscitation Sepsis Resuscitation 75

Broome Docs

JANUARY 27, 2025

Diagnosis of acute aortic syndromes with ultrasound and D-dimer: the PROFUNDUS study. 2019 Jan;36(1):2-3. Biomarker-Guided Antibiotic Duration for Hospitalized Patients With Suspected Sepsis: The ADAPT-Sepsis Randomized Clinical Trial. 100% seems too good to be true Morello et al., Emerg Med J. Epub 2018 Oct 25.

Sepsis 101

Sepsis Anaphylaxis Hospitals Ultrasounds 101

Mind The Bleep

JANUARY 24, 2025

Blood cultures in cases of suspected sepsis. Ultrasound : To assess underlying abscesses or fluid collections if present. Serum albumin and prealbumin levels to evaluate nutritional status. Imaging Studies : X-rays : May indicate osteomyelitis in deep or chronic ulcers. Rehabilitation Nursing , 12(1), 8-12. Clinical guideline CG179.

Sepsis 52

Sepsis Documentation/Coding Outcomes Ultrasounds 52

Don't Forget the Bubbles

SEPTEMBER 23, 2024

Consider sepsis and treat it accordingly. An ultrasound scan of the graft is usually sufficient to rule out these complications. Changes in TAC concentrations related to changes in haematocrit should not lead to a prompt dose adjustment. Creatinine is the primary biochemical marker for assessing renal function. Peruzzi, L., Prytuła, A.

Pediatrics 52

Pediatrics Fractures Dehydration Sepsis 52