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Adjunctive Methylene Blue in Septic Shock?

RebelEM

Background: Sepsis can induce numerous physiologic derangements. Most of the research on the use of MB has been in patients with vasoplegia following cardiopulmonary bypass. At the most severe end, this includes endothelial dysfunction leading to increased vascular permeability, abnormal nitric oxide metabolism, and vasodilation (i.e.

Shock 145
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Vasopressor Nonresponse

Northwestern EM Blog

Acidosis Acidosis in shock states can present from multiple different sources, including sepsis, hypoxemia, ingestions, hyperlactatemia from hypoperfusion, amongst others. Those at higher risk of hypocalcemia (vitamin D deficiency, ESRD, hyperparathyroidism, burns, multiple blood transfusions, etc.) Critical Care Research and Practice.

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The Latest in Critical Care, 2/19/24 (Issue #30)

PulmCCM

More health care professionals are burned out or disengaged. In my anecdotal experience, these phrases have an impressively high positive predictive value for badness (early sepsis, often). Nursing shortages mean fewer staffed beds and more patients per nurse. Societal trust has declined. Patient-Centered, or Pandora’s Box?

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Mastering Minor Care: Orbital Infections

Taming the SRU

link] A patient presents with an itchy and burning feeling on their eyelids. In infants, this can represent a medical emergency as it can quickly lead to orbital cellulitis and sepsis. saline eyedrops for “burning” or “gritty” feeling of discomfort. licensed under a Creative Commons Attribution 3.0 Accessed April 15, 2022.

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Bubble Wrap PLUS – August 2024

Don't Forget the Bubbles

We suggest this list can help you discover relevant or interesting articles for your local journal club or allow you to keep a finger on the pulse of paediatric research. The Journal of Pediatrics published an article on education interventions to reduce diagnostic errors in burned or bruised patients suspected of abuse. JAMA Pediatr.

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IV fluids in the ED: When do we really need them?

EMDocs

Sepsis There has been much controversy over the last two decades around the various nuances of volume resuscitation in ED patients with suspected sepsis, much of which goes beyond the scope of this limited review. Surviving sepsis campaign: international guidelines for management of sepsis and septic shock 2021.

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EM@3AM: High Priority Fungal Pathogens and Empiric Treatment in the ED

EMDocs

WHO fungal priority pathogens list to guide research, development and public health action. Core recommendations for Antifungal stewardship: A statement of the Mycoses Study Group Education and Research Consortium. COPD, cystic fibrosis), HIV/AIDS, cancer, immunosuppressed (i.e. mortality: 42-63% 5 Invasive Candida spp. Paesmans, M.,