Grand Rounds Recap 8.16.23
Taming the SRU
SEPTEMBER 1, 2023
to divert the plane).
EMDocs
OCTOBER 10, 2024
She is concerned about food poisoning and says the groin/thigh pain feels like a prior episode of sciatica. Sepsis is diagnosed and antibiotics started for the first time. High level amputation is considered, but she dies of sepsis and multiorgan failure on hospital day 7. Delay in administration of antibiotics.
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The Skeptics' Guide to EM
FEBRUARY 2, 2019
Their workup reveals a multifocal pneumonia with signs of sepsis. The SGEM Bottom Line was that the routine administration of supplemental oxygen in patients with suspected or confirmed acute myocardial infarction who are not hypoxic does not appear to provide a patient-oriented benefit. Reference: Chu DK et al.
ACEP Now
JULY 8, 2023
To better address this question, we begin with a prospective observational cohort study of 239 children that evaluated the diagnostic ability of clinical recognition signs (CRS) to identify sepsis. The authors mention that “CRS were not associated with intravenous antibiotics administration, SBI [ serious bacterial illness ], or admission.”
ACEP Now
MARCH 6, 2024
The PATCH-Trauma trial took a critical look at TXA in major trauma in the advanced trauma systems of Australia and found a mixed result: a slightly greater number of patients were still alive six months following TXA administration, but there was no difference in survival with a good functional outcome. percent to 38.3 N Engl J Med.
EB Medicine
SEPTEMBER 1, 2018
Nachi: And don’t forget our peer reviewers this month, Dr. Daniel Sessions, a medical toxicologist working at the South Texas Poison Center, and our very own editor-in-chief, Dr. Andy Jagoda, who is also Chair of the Department of Emergency Medicine at Mount Sinai in New York City. Jeff: What a team! But, let’s get back to the snakes.
Thinking Critical Care
MAY 18, 2023
To everybody outside Glasgow glucocorticoids seemed to be the answer and Chicago surgeon William Schumer was their chief flag waver, claiming in 1976 that steroid therapy reduced the mortality of saline-treated sepsis in his service from 33% to around 10%. [5] There are post scriptums to this story.
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