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Pre-Hospital Antibiotics in Sepsis?

RebelEM

Background: Sepsis remains one of the leading causes of morbidity and mortality. It is well-established that earlier recognition and treatment can lead to better outcome for these patients . Prehospital Administration of Broad-Spectrum Antibiotics for Sepsis Patients: A Systematic Review and Meta-Analysis. Health Sci Rep 2022.

Sepsis 130
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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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emDOCs Podcast – Episode 89: Antibiotics for Uncomplicated Diverticulitis

EMDocs

Antibiotics are recommended for those with complicated diverticulitis, as well as surgical specialist consult if necessary (e.g., Included patients had confirmed uncomplicated diverticulitis but no immunosuppression, peritonitis, sepsis. Patients with sepsis and immunocompromise were not included. perforation).  Br J Surg.

Sepsis 108
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Agitation Treatment in the Emergency Department

ACEP Now

Patients with sepsis get antibiotics. The article also will not address severe agitation, which is already well covered elsewhere and is the topic of an ACEP clinical policy currently in development. This month, we are discussing the medical management of patients with mild to moderate agitation. Patients in DKA get insulin.

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

EB Medicine

Jeff: Well that’s kind worrisome. Which again reiterates why this is such an important topic for us as EM clinicians to be well-versed in. For the sake of completeness, just be aware that there is also the biliopancreatic diversion with or without a duodenal switch, as well as a vertical banded gastroplasty.

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Diagnostics: Blood Transfusion Reactions

Taming the SRU

There are a few other factors as well that may increase risk for a transfusion reaction but are likely not readily available on patient history or are outside the physician’s control. Adverse reactions to transfusion of blood products and Best Practices for Prevention.” Accessed 8 Sept. Frazier, Susan K.,

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ACEP’s Emergency Medicine Data Institute Improves Patient Care

ACEP Now

Conversely, you can get a small bonus if you do well in your reporting. Physicians enrolling in E-QUAL engage in collaborative projects that tackle critical issues like stroke care, sepsis management, and the opioid crisis. This participation ensures that EDs nationwide not only meet benchmarks, but actively refine their practices.