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CDC gives a nudge to hospitals on sepsis care

PulmCCM

The Centers for Disease Control and Prevention formally called on hospitals to develop robust sepsis care programs to systematically identify and treat sepsis, track outcomes, and improve care delivery. Hospital Sepsis Program Core Elements (CDC) Hospital Sepsis Program Assessment Tool (CDC)

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Post #2 Back-to-Sleep Series

Sensible Medicine

And while PP is mostly aesthetic, severe cases are usually prescribed physical therapy and sometimes orthosis (helmets), although Collett et al shows that the outcome is the same with or without physical therapy, and with or without orthotic treatment. Let’s look at 1967 vs. 2022 for the DDST and the CDC: Table 2.

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Nirsevimab (Beyfortus): is universal prophylaxis for RSV warranted?

Sensible Medicine

It is now recommended by the CDC and by European countries for all babies < 8 months from Oct-Mar (RSV season) with some caveats such as maternal RSV vaccination status. The FDA briefing document includes a figure with relative risk reductions plotted for term infants, with wide confidence intervals for RSV hospitalizations.

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Issue #3: The Latest in Critical Care, 6/5/23

PulmCCM

There was no significant difference in survival with a favorable neurologic outcome at 30 days (20% vs 16% nominally favoring the ECMO group, P=0.52) or at 6 months. Check out the preliminary program , and use code PULMCCM15 to get 15% off the attendance fees. In the U.S., Patients with secondary pneumothoraces (e.g.,

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Brain Trauma Guidelines for Emergency Medicine

ACEP Now

This document is an update of guidelines first published in 2000, and then updated in 2007. These guidelines present the best available evidence to support clinical decision making in the prehospital setting when TBI care may have the most significant impact on outcomes; they also establish a research agenda for future investigations.

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The Latest in Critical Care, 9/11/23 (Issue #14)

PulmCCM

Can early mobility in the ICU improve cognitive outcomes? Although intensive early mobility didn’t improve physical outcomes, a small study suggests that frequent physical therapy initiated by default early in an ICU stay might improve cognitive outcomes. According to CDC: Paxlovid works against BA.2.86.

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The Latest in Critical Care, 10/30/23 (Issue #18)

PulmCCM

IDSA cites multiple large observational studies showing no improvement in sepsis outcomes at many centers after SEP-1 implementation. And maybe, noticing all the fuss, some clinicians might have started coding for VAP slightly less often in equivocal cases. Do nebulized antibiotics result in lower use of systemic antibiotics?

Sepsis 52