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Another Study on Peripheral Vasopressors

RebelEM

The 2021 Surviving Sepsis Campaign Guidelines suggest starting vasopressors peripherally rather than delaying infusion until a CVC is placed [2]. Surviving Sepsis Campaign: International Guidelines for Management of Sepsis and Septic Shock 2021. Crit Care Med 2021. of patients not requiring CVC insertion.

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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. Some special patients (burns and trauma) were not described in the study. BMJ Paediatr Open. Whats it about?

Sepsis 59
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emDOCs Podcast – Episode 92: Marine Ingested Poisons and Infections

EMDocs

McGraw Hill; 2021. Accessed August 28, 2022. link] Zafren K, Thurman R, Jones ID. Marine Dermatitis. In: Knoop KJ, Stack LB, Storrow AB, Thurman R. The Atlas of Emergency Medicine, 5e. Accessed August 25, 2022. link] Fil LJ, Tunik MG. Food Poisoning. In: Nelson LS, Howland M, Lewin NA, Smith SW, Goldfrank LR, Hoffman RS.

Poisoning 105
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High sensitivity cardiac troponins for ED chest pain evaluation (2022 ACC pathway)

ALiEM

This is endorsed in the 2022 ACC pathway [1] and the 2021 AHA chest pain guidelines [7]. The discomfort has a burning character, though he has never been diagnosed with reflux before. as seen in heart failure, arrhythmias, or sepsis). 2021 May 14;42(19):1908] [published correction appears in Eur Heart J. 2021 May 13;:].

EKG/ECG 110
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Bullous Skin Lesions, Meet Emergency Medicine

Taming the SRU

Mortality rates related to bullous skin lesions are typically related to disruption of the skin barrier and include subsequent dehydration, electrolyte imbalances, hypothermia, increased metabolic needs, and secondary infection leading to bacteremia and/or sepsis. J Am Acad Dermatol 2021; 84:1782. Nature 2004; 428:486. MRCP (n.d.).

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Diagnostics: Inflammatory Markers

Taming the SRU

However, PCT can be elevated in severe trauma, such as burns or surgery [5,25]. Sepsis PCT may have some utility in guiding posttest probability for sepsis when the diagnosis is unclear. 2021; 93: 4358–4369. High serum procalcitonin concentrations in patients with sepsis and infection. 2021 Jan;25(1):466-479.

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EM@3AM: Erysipelas

EMDocs

She has had pruritus and swelling to the site accompanied by a painful burning sensation and a couple “painful knots” on her right inguinal region. 2021, May 18). She denies any prior history of deep vein thrombosis (DVT, IV drug use, or any history of vascular surgeries to the lower extremities. pneumoniae , S. link] Davis, L.

EMS 92