Remove 2020 Remove Documentation/Coding Remove Sepsis
article thumbnail

Sepsis Screening Decreases Mortality. Well, not really.

Sensible Medicine

This comment might be one of the reasons I’ve been skeptical of sepsis screening. Sepsis screening, for me, comes in many different flavors -- from EMR alerts based on lab and vital sign data to anyone being able to draw a lactate or call an RRT. .” So said my program director during my internship. 0.93; P < 001.

Sepsis 73
article thumbnail

Congestive Heart Failure and Sepsis: A Closer Look at Fluid Management

RebelEM

For those with sepsis, the administration of intravenous fluids (IVF) at the volumes recommended in the Surviving Sepsis Campaign (SSC) requires careful consideration of an individual’s chronic medical conditions and subsequent sensitivity to IVF. Article: Vaeli Zadeh A, Wong A, Crawford AC, Collado E, Larned JM. Am J Emerg Med.

Sepsis 118
Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

ECG Blog #366 — Diltiazem didn't work.

Ken Grauer, MD

Figure-2: I've color-coded P waves from Figure-1 according to P wave morphology ( See text ). NOTE: For clarity — I've color-coded P waves in the long lead II rhythm strip according to morphology. These cases provide insight to assessment for MAT: The January 5, 2020 post in Dr. Smith’s ECG Blog — for an example of MAT.

EKG/ECG 195
article thumbnail

Proning for ARDS

Northwestern EM Blog

There are several etiologies including viral pneumonia, bacterial pneumonia, sepsis, trauma, and pancreatitis. This leads to hyperinflation of anterior alveoli and increased atelectasis in the posterior alveoli (Maley, 2020; Malhotra, 2022). Proning results in an increase in arterial oxygenation in as soon as 120 minutes (Pappert et.

article thumbnail

The DIMPLES study

Don't Forget the Bubbles

We have a ringside view in the Children’s Emergency Department – the unique opportunity to see different types of acute presentations, whether DKA, sepsis or asthma, amongst a host of febrile children. Mintegi, S., & Country Leads (2020). Bressan, S., Buonsenso, D., Farrugia, R., Oostenbrink, R., Titomanlio, L., Nijman, R.

article thumbnail

EQUAL: a Straightforward Approach To Caring for Disabled Patients

ACEP Now

This makes documentation and communication of the utmost importance for these patients for their health and safety. Oftentimes, it can be an indication of pain, infection, distress, anxiety, dehydration, or the first sign of sepsis. Published September 16, 2020. This leads into the next part of the model—Assessment.

article thumbnail

What are treatment options for this rhythm, when all else fails?

Dr. Smith's ECG Blog

The stay in the cardiac intensive care unit (CICU) was further complicated by sepsis, delirium, GI bleeding, and anuric renal failure with need for renal replacement therapy. In both tracings — an exceedingly fast PMVT is documented. That said — there is no evidence on ECG of re-occlusion of the infarct artery.

EKG/ECG 132