Remove Burns Remove EMS Remove Sepsis
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Another Study on Peripheral Vasopressors

RebelEM

The 2021 Surviving Sepsis Campaign Guidelines suggest starting vasopressors peripherally rather than delaying infusion until a CVC is placed [2]. Surviving Sepsis Campaign: International Guidelines for Management of Sepsis and Septic Shock 2021. REBEL EM: Peripheral Vasopressors – Safe or Dangerous?

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Adjunctive Methylene Blue in Septic Shock?

RebelEM

Background: Sepsis can induce numerous physiologic derangements. The Influence of Methylene Blue infusion on Cytokine Levels During Severe Sepsis. At the most severe end, this includes endothelial dysfunction leading to increased vascular permeability, abnormal nitric oxide metabolism, and vasodilation (i.e. septic shock).

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52 in 52 – #41: The CENSER Trial

EMDocs

The study was performed when Surviving Sepsis Campaign Guidelines were used, so it was more common to see large volume fluid administration in the setting of sepsis. Welcome back to the “52 in 52” series. This collection of posts features recently published must-know articles. Today we look at the CENSER trial. vs 48.4% (OR 3.4,

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emDOCs Revamp: DRESS

EMDocs

Authors: Katey DG Osborne, MD (EM Attending Physician; Tacoma, WA), Rachel Bridwell, MD (EM Attending Physician; Tacoma, WA) // Reviewed by: Alex Koyfman, MD (@EMHighAK, EM Attending Physician, UTSW / Parkland Memorial Hospital) and Brit Long, MD (@long_brit, EM Attending Physician, San Antonio, TX) Welcome to emDOCs revamp!

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Tasty Morsels of Critical Care 009 | The ESPEN 2018 Nutrition Guidelines

Emergency Medicine Ireland

As an EM trainee doing intensive care I will confess that I struggle to work up the enthusiasm to cover a nutrition guideline. As an EM trainee doing intensive care I will confess that I struggle to work up the enthusiasm to cover a nutrition guideline. Welcome back to the tasty morsels of critical care podcast.

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Bubble Wrap PLUS – August 2024

Don't Forget the Bubbles

The Journal of Pediatrics published an article on education interventions to reduce diagnostic errors in burned or bruised patients suspected of abuse. Neonatal bacterial sepsis. Edwards EM, et al. Diagnostic Performance of Machine Learning-based Models in Neonatal Sepsis: A Systematic Review. Beaulieu E, Beno S.

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emDOCs Podcast: Episode 109 – Corneal Abrasion and DRESS

EMDocs

ESR & CRP – nonspecific and typically elevated Blood culture – if presenting with sepsis Imaging: Consider a chest radiograph in patients with pulmonary symptoms to evaluate for associated pneumonitis, pleural effusions, cardiomegaly. DRESS Syndrome has a 10% mortality rate with the primary cause of mortality being hepatic necrosis.

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