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2023 Critical Care Year in Review (Part 1)

PulmCCM

Sepsis, infectious disease Managing septic shock with a restrictive-fluids approach (preferentially using vasopressors after a single liter crystalloid bolus) led to similar outcomes as the usual practice of bolusing large volumes of fluids first. I hope you continue to find it valuable. Wishing you all a safe and happy holiday season!

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The PROPHY-VAP Trial: Ceftriaxone to Prevent VAP in Patients with Acute Brain Injury

RebelEM

3, 6 Among patients with stroke or traumatic brain injury (TBI), the risk may be as high as 28%-76% and 23%-60%, respectively. Neurocrit Care 2020 , 32 (1), 272-285. Chest 2020 , 158 (6), 2292-2303. Post-stroke infection: a systematic review and meta-analysis. 4, 8 Paper: Dahyot-Fizelier, C., Banzato, E.; Wiegers, E.

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Diagnostics: Inflammatory Markers

Taming the SRU

Spinal Infection: According to the Infectious Disease Society of America’s (IDSA) 2015 guidelines for native vertebral osteomyelitis, CRP and ESR in the setting of protracted back pain have sensitivities ranging from 94 to 100% for ruling out infection and malignancy in these patients. 2020 Nov 20;99(47):e23315. J Med Virol.

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The Latest in Critical Care, 7/10/23 (Issue #8)

PulmCCM

Read in JAMA When to start anticoagulation after ischemic stroke from atrial fibrillation It’s been unclear when to start anticoagulation after an ischemic stroke presumed due to thromboembolism from atrial fibrillation. Read in Read in Clinical Infectious Diseases baumannii ).

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Symptomatic Bradycardia: Considering the Differential Diagnosis

Northwestern EM Blog

The most common symptoms include: Lightheadedness Syncope Chest pain Exercise intolerance Fatigue **Important note: The heart rate at which patients experience symptoms may vary based on their ability to increase stroke volume. Bradyarrhythmias in Acute Myocardial Infarction. Circulation , 45 (3), 703–722. link] Tisdale, J. Campbell, K.

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Docusate for Cerumen Impaction? I Sh*t You Not

Critical Care Now

Interests include trauma, toxicology, and infectious diseases. The Pre-brief When we think of lysing things in the emergency department (ED), we think of alteplase busting up a blood clot in either ischemic stroke or in patients experiencing a massive pulmonary embolism. 2020; 11: 1 – 5. 2020; 11: 1 – 5.

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EM@3AM: Neurosyphilis

EMDocs

cognitive and behavioral impairment) – 33% Ataxia – 28% Stroke – 23% Ophthalmic symptoms (e.g., Consultation with an infectious disease and neurology specialist can be considered to guide treatment and proper disposition. The New England journal of medicine 382,9 (2020): 845-854. Sexually transmitted diseases, 4th ed.

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