article thumbnail

Pre-Hospital Antibiotics in Sepsis?

RebelEM

Background: Sepsis remains one of the leading causes of morbidity and mortality. Prehospital Administration of Broad-Spectrum Antibiotics for Sepsis Patients: A Systematic Review and Meta-Analysis. Until that time, the best evidence indicates that in the sickest patients (i.e. Health Sci Rep 2022. to 0.97; p = 0.02

Sepsis 130
article thumbnail

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.)

Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

emDOCs Podcast – Episode 89: Antibiotics for Uncomplicated Diverticulitis

EMDocs

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 108
article thumbnail

Agitation Treatment in the Emergency Department

ACEP Now

Patients with sepsis get antibiotics. Improving the management of acutely agitated patients in the emergency department through implementation of Project BETA (Best Practices in the Evaluation and Treatment of Agitation). This month, we are discussing the medical management of patients with mild to moderate agitation.

article thumbnail

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

EB Medicine

Leakage from the staple line typically presents within the first week, but can present up to 35 days, usually with fevers, tachycardia, abdominal pain, nausea, vomiting sepsis, or peritonitis. Some may present with isolated tachycardia while others may present with profound sepsis – tachycardia, hypotension, and fever. At 6 to 8 mL/kg.

article thumbnail

First10EM Journal Club: June 2023

Broome Docs

This episode covers herbs that may heal sepsis, drugs that probably don’t help in Covid, we ask: do steroids help in pneumonia? Effect of an Herbal-Based Injection on 28-Day Mortality in Patients With Sepsis: The EXIT-SEP Randomized Clinical Trial. BMJ Best Practice. JAMA Intern Med. 2023 May 1:e230780. Caulfield T.

article thumbnail

Diagnostics: Blood Transfusion Reactions

Taming the SRU

Adverse reactions to transfusion of blood products and Best Practices for Prevention.” Mild Reactions Transfusion Reaction Frequency Timeline Presentation Management Allergic - 1-3% with platelet and plasma components - 0.1-0.3% Accessed 8 Sept. Frazier, Susan K., Critical Care Nursing Clinics of North America , vol.