Remove 2021 Remove Best Practices Remove Sepsis
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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. Until that time, the best evidence indicates that in the sickest patients (i.e. Health Sci Rep 2022. to 0.97; p = 0.02

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The 90th Bubble wrap DFTB X The Bridge

Don't Forget the Bubbles

Reviewed by Dr Faye Leggott Article 2: Does fluid overload increase mortality in children with sepsis? Association between fluid overload and mortality in children with sepsis: a systematic review and meta-analysis. Sepsis is a significant cause of mortality in children, and fluid resuscitation is a key treatment strategy.

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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. 2021 Nov 1;274(5):e435-e442. No evidence of sepsis. Randomized clinical trial of antibiotics in acute uncomplicated diverticulitis. Br  Br J Surg.

Sepsis 113
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Diagnostics: Blood Transfusion Reactions

Taming the SRU

Adverse reactions to transfusion of blood products and Best Practices for Prevention.” 11, 2 June 2021, p. 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., 271–290, [link] Garraud, O., 3, 30 Sept.

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emDOCs Podcast – Episode 88: ED Evaluation of Diverticulitis

EMDocs

American Gastroenterological Association (2021) Best Practice Advice 1: Computed tomography should be considered to confirm the diagnosis of diverticulitis in patients without a prior imaging-confirmed diagnosis and to evaluate for potential complications in patients with severe presentations. 2021 Mar 24;372:n72.

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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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The Latest in Critical Care, 3/11/24 (Issue #33)

PulmCCM

About 544,000 99292 codes were billed to CMS in 2021, according to ACCP , reportedly stable at about 10% of the total bills. I had never heard of this practice before. (To To be extra clear, these are not “best practice” alerts or prompts to suggest using an order set.

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