Taming the SRU

AUGUST 30, 2023

However, PCT can be elevated in severe trauma, such as burns or surgery [5,25]. Sepsis PCT may have some utility in guiding posttest probability for sepsis when the diagnosis is unclear. High serum procalcitonin concentrations in patients with sepsis and infection. days (secondary endpoint) [51]. Cleland DA, Eranki AP.

Infectious Diseases 89

Infectious Diseases Sepsis Emergency Department Point-of-Care Testing 89

Emergency Medicine Ireland

DECEMBER 3, 2020

ESPEN immediately embarks on a new cold war with their American colleagues by rejecting something like the NUTRIC score as definition of critical illness malnutrition stating nothing has been particularly well validated as yet. The acute phase has an early period of instability and pressor use.

Burns 52

Burns Sepsis EMS Wellness 52

PulmCCM

FEBRUARY 19, 2024

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.

Hospitals 52

Hospitals Resuscitation Burns Documentation/Coding 52

Taming the SRU

AUGUST 11, 2024

ABEM updates - R4 Capstone - Sepsis Operations update - R3 taming the sru - traveler’s diarrhea abem updates WITH dr. melissa platt, abem board of directors Beginning 2026, ABEM will be requiring a new certifying exam to replace the previous oral boards.

Sepsis 89

Sepsis Burns Shock Operations 89

RebelEM

MAY 29, 2023

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).

Shock 145

Shock Fluid Resuscitation Sepsis Resuscitation 145

Northwestern EM Blog

JULY 15, 2024

Indeed, there are many inciting sources that can be divided into direct—pneumonia, aspiration, intrathoracic procedures—and indirect—non-pulmonary sepsis, pancreatitis, trauma/burns, blood product transfusion (“TRALI”)—lung injury. Contrary to the recency bias of many, ARDS is not just a phenomenon associated with COVID-19.

Resuscitation 98

Resuscitation Burns Emergency Department Sepsis 98

Don't Forget the Bubbles

MARCH 31, 2025

Reviewed by Dr Faye Leggott Article 2: Does fluid overload increase mortality in children with sepsis? Association between fluid overload and mortality in children with sepsis: a systematic review and meta-analysis. Some special patients (burns and trauma) were not described in the study. BMJ Paediatr Open. Whats it about?

Sepsis 59

Sepsis Fluid Resuscitation Shock Resuscitation 59

Taming the SRU

AUGUST 27, 2024

Mortality rates related to bullous skin lesions are typically related to disruption of the skin barrier and include subsequent dehydration, electrolyte imbalances, hypothermia, increased metabolic needs, and secondary infection leading to bacteremia and/or sepsis. The first step is to determine what disease you are dealing with.

Emergency Department 83

Emergency Department Dehydration Burns Sepsis 83

EMDocs

NOVEMBER 27, 2023

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. 2 DRESS Syndrome has a 10% mortality rate with the primary cause of mortality being hepatic necrosis.

EMS 96

EMS Sepsis Burns EKG/ECG 96

EMDocs

OCTOBER 25, 2024

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.

Sepsis 98

Sepsis Burns EKG/ECG EMS 98

EB Medicine

NOVEMBER 1, 2018

Jeff: And unlike past issues covering more common pathologies, like, say, sepsis, this month’s team reviewed much more literature than just the past 10 years. Nachi: Each year, in the US, approximately 10,000 patients present with electrical burns or shocks. Most electrical injuries present with burns to the skin.

Emergency Department 40

Emergency Department Burns EKG/ECG Shock 40

ALiEM

FEBRUARY 9, 2024

The discomfort has a burning character, though he has never been diagnosed with reflux before. as seen in heart failure, arrhythmias, or sepsis). Case #2 A 66-year-old man with hypertension, hyperlipidemia, diabetes mellitus, and chronic renal failure presents with poorly localized central chest discomfort while trying to sleep.

EKG/ECG 110

EKG/ECG Emergency Department Burns Wellness 110

EMDocs

JULY 15, 2023

She has had pruritus and swelling to the site accompanied by a painful burning sensation and a couple “painful knots” on her right inguinal region. She denies any prior history of deep vein thrombosis (DVT, IV drug use, or any history of vascular surgeries to the lower extremities. pneumoniae , S.

EMS 91

EMS Infectious Diseases Shock Ultrasounds 91

Northwestern EM Blog

JANUARY 24, 2022

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.) Curr Opin Crit Care. 3) Farkas J.

Anaphylaxis 52

Anaphylaxis Shock Sepsis Resuscitation 52

Pediatric Emergency Playbook

NOVEMBER 1, 2015

Case 1: Sepsis Laura is a 2-month-old baby girl born at 32 weeks gestational age who today has been “breathing fast” per mother. She is in respiratory failure from bronchiolitis and likely viral sepsis. Induction Agent in Sepsis The consensus recommendation for the induction agent of choice for sepsis in children is ketamine.

Shock 40

Shock Sepsis Airway Management Pediatrics 40

Taming the SRU

JULY 21, 2023

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. Accessed April 15, 2022. WHAT IS THE APPROPRIATE TREATMENT?

Emergency Department 88

Emergency Department EMS Burns Wellness 88

Don't Forget the Bubbles

AUGUST 4, 2024

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. Diagnostic Performance of Machine Learning-based Models in Neonatal Sepsis: A Systematic Review. Beaulieu E, Beno S. Paediatr Child Health.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Pediatrics Burns Sepsis 52

EMDocs

JANUARY 20, 2025

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.

Dehydration 75

Dehydration Fluid Resuscitation Sepsis Resuscitation 75

EMDocs

FEBRUARY 8, 2025

COPD, cystic fibrosis), HIV/AIDS, cancer, immunosuppressed (i.e. organ transplants), liver or kidney disease, broad-spectrum antibiotics use, and critically ill patients in the hospital/ICU Epidemiology: Superficial fungal infections affects 2 billion individuals worldwide 2 Invasive Fungal Infections (IFIs) – 1.9

Infectious Diseases 71

Infectious Diseases EMS COPD Research 71

Taming the SRU

JUNE 6, 2023

Disposition Indications for admission GCS<15, focal neurological deficits, seizures Intractable vomiting Significant Abnormal CT results Discharge criteria Normal GCS, exam Caregiver at home Certain abnormal CT Isolated & non-depressed calvarial skull fractures <1cm diameter of solitary cerebral contusions <1cm width of epidural or (..)

Documentation/Coding 64

Documentation/Coding Seizures Psychiatric Wellness 64

Sensible Medicine

DECEMBER 31, 2024

He developed sepsis very similar to puerperal fever and died. Given the similarities between the way his friend died and death from puerperal fever, Semmelweis thought that there must be some pathogen transmitted by dead tissue causing sepsis. This time, it was the GBD authors who were the witches burned at the stake.

Sepsis 145

Sepsis CDC Burns Academics 145