RebelEM

JANUARY 18, 2024

Background: Sepsis remains one of the leading causes of morbidity and mortality. Time to antibiotic therapy (from triage, not from onset of infection) has become a quality metric to improve the time to administration of these medications. Until that time, the best evidence indicates that in the sickest patients (i.e.

Sepsis 129

Sepsis Hospitals Administration Outcomes 129

PulmCCM

FEBRUARY 5, 2024

In 18 severe sepsis patients in 3 years at one center who underwent PET scanning (apparently done ad hoc), 14 of the 18 had positive tests, and 11 were true positives, leading to surgery in 2 and pacemaker removal in 2 (and longer / new antibiotics in 2). CRP performed adequately, but less accurately than PCT.)

Best Practices 111

Best Practices Ultrasounds Infectious Diseases Sepsis 111

EMDocs

NOVEMBER 7, 2023

Included patients had confirmed uncomplicated diverticulitis but no immunosuppression, peritonitis, sepsis. Patients with sepsis and immunocompromise were not included. Open-label, non-inferiority RCT including patients with uncomplicated diverticulitis, no significant comorbidities, no immunosuppression, and no signs of sepsis.

Sepsis 87

Sepsis Best Practices Hospitals Outcomes 87

PulmCCM

MARCH 11, 2024

Ascension and UPenn test automatic palliative care consults Palliative care programs are sometimes pitched to administrators on the basis of their potential to reduce costs, by shortening length-of-stay or intensity of expensive and unhelpful therapies at the end of life. I had never heard of this practice before. (To

Hospice 52

Hospice Documentation/Coding Administration Hospitals 52

ACEP Now

JULY 7, 2023

Patients with sepsis get antibiotics. First, oral administration is preferred, as this route can often be as effective as intramuscular administration. This month, we are discussing the medical management of patients with mild to moderate agitation. Emergency departments (EDs) focus on rapid initiation of medical treatment.

Emergency Department 52

Emergency Department Psychiatric Administration Best Practices 52

EMDocs

JANUARY 20, 2025

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. It may be reasonable to consider IV fluid administration in patients with moderate dehydration or prolonged vomiting.

Dehydration 59

Dehydration Fluid Resuscitation Sepsis Resuscitation 59