PulmCCM

APRIL 14, 2025

SEP-1, the Centers for Medicare & Medicaid Services (CMS)’s much-maligned sepsis “quality” measure, was the brainchild of a small group of insiders conceived in the early- to mid-2000s. SEP-1 was pushed through without waiting for the outcomes of three ongoing multicenter trials testing goal-directed therapy for sepsis.

Sepsis 52

Sepsis Infectious Diseases Administration Shock 52

PulmCCM

APRIL 29, 2024

The Infectious Diseases Society of America (IDSA), along with societies for emergency medicine physicians and hospitalists, are again speaking up about the ongoing policy experiment known as the Centers for Medicare and Medicaid Severe Sepsis/Septic Shock Management Bundle (SEP-1). The stakes are going up. That was the pregame.

Infectious Diseases 52

Infectious Diseases Sepsis Administration Shock 52

PulmCCM

FEBRUARY 5, 2024

Fever in the ICU: Guideline Update The Society of Critical Care Medicine (SCCM) and the Infectious Diseases Society of America (IDSA) issued an interim update to their 2008 recommendations for the management of fever in the ICU. to enforce compliance with an administrative policy). PulmCCM is not affiliated with SCCM or IDSA.

Best Practices 111

Best Practices Ultrasounds Infectious Diseases Sepsis 111

ACEP Now

MAY 10, 2024

Patients with flank pain (which would suggest pyelonephritis) as well as patients meeting two or more SIRS criteria (which would suggest sepsis) comprise a higher risk group. Clinical Infectious Diseases. For simplicity, we will focus only on the patients with suspected lower urinary tract infection (UTI). 2012;55(6):771-777.

Infectious Diseases 98

Infectious Diseases Sepsis Emergency Department Administration 98

EMDocs

JULY 1, 2023

High-dose methylprednisolone (B) is not currently recommended, as steroids for Kawasaki disease are controversial. Low-dose aspirin (D) would not fully treat Kawasaki disease as high-dose aspirin is required. Kawasaki disease: two case reports from the Aga Khan Hospital, Dar es Salaam-Tanzania. C) for the past week. Lakhani, N.

EMS 93

EMS Infectious Diseases Pediatrics Research 93

EMDocs

DECEMBER 18, 2023

Introduction Sepsis and septic shock are life-threatening conditions characterized by severe systemic inflammation and organ dysfunction due to a dysregulated host response to infection. 3,4 Prompt recognition and management of sepsis and septic shock are paramount for the ED clinician. vs. 0.91), positive predictive value (0.27

Sepsis 93

Sepsis Fluid Resuscitation Resuscitation Shock 93

RebelEM

MAY 15, 2024

Early administration of antibiotics is the only factor known to reduce this mortality. Antibiotics are effectively the only thing standing between these patients and overwhelming sepsis. Early administration of antibiotics is the only factor known to reduce this mortality. Isolate, but do not wait to initiate treatment.

Infectious Diseases 101

Infectious Diseases Administration Sepsis Anaphylaxis 101