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The Latest in Critical Care, 2/5/24 (Issue #28)

PulmCCM

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.)

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Episode 30 - Emergency Department Management of Patients With Complications of Bariatric Surgery

EB Medicine

Nachi: Unfortunately this procedure is associated with a relatively high re-operation rate – one study found 20% of patients required removal or revision. Jeff: Even more shockingly, some series showed a 52% repeat operation rate. These patients often require emergent operative intervention. At 6 to 8 mL/kg.

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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. References: Wilkins T, Embry K, George R.

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

PulmCCM

Ascension is a $27 billion, 140-hospital conglomerate operating in 19 states—the third largest system in the U.S The other new signal is in corporate health care operations: One of the largest U.S. I had never heard of this practice before. (To by some accounts (after HCA and the VA). This is not a hot research area.)

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