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Pre-Hospital Antibiotics in Sepsis?

RebelEM

Background: Sepsis remains one of the leading causes of morbidity and mortality. Prehospital Administration of Broad-Spectrum Antibiotics for Sepsis Patients: A Systematic Review and Meta-Analysis. It is well-established that earlier recognition and treatment can lead to better outcome for these patients . Health Sci Rep 2022.

Sepsis 131
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emDOCs Podcast – Episode 89: Antibiotics for Uncomplicated Diverticulitis

EMDocs

Included patients had confirmed uncomplicated diverticulitis but no immunosuppression, peritonitis, sepsis. Patients with sepsis and immunocompromise were not included. 2020 Mar 30:S1542-3565(20)30426-2. Randomized clinical trial of antibiotics in acute uncomplicated diverticulitis. Br  Br J Surg. 2012 Apr;99(4):532-9.

Sepsis 88
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Agitation Treatment in the Emergency Department

ACEP Now

Patients with sepsis get antibiotics. Improving the management of acutely agitated patients in the emergency department through implementation of Project BETA (Best Practices in the Evaluation and Treatment of Agitation). 2020 Jul 3;1(5):898-907. Emergency departments (EDs) focus on rapid initiation of medical treatment.

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Antibiotics in the paediatric emergency department

Don't Forget the Bubbles

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.

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Diagnostics: Blood Transfusion Reactions

Taming the SRU

Adverse reactions to transfusion of blood products and Best Practices for Prevention.” Mild Reactions Transfusion Reaction Frequency Timeline Presentation Management Allergic - 1-3% with platelet and plasma components - 0.1-0.3% Accessed 8 Sept. Frazier, Susan K., Critical Care Nursing Clinics of North America , vol. 3, 30 Sept.

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emDOCs Podcast – Episode 88: ED Evaluation of Diverticulitis

EMDocs

World Society of Emergency Surgery guidelines (2020) “What is the best way to make a diagnosis of ALCD? 2020 update of the WSES guidelines for the management of acute colonic diverticulitis in the emergency setting. 2020 May 7;15(1):32. 2020 Jun;63(6):728-747. Ferzoco LB, Raptopoulos V, Silen W. N Engl J Med.

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

EMDocs

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.