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2023 Critical Care Year in Review (Part 1)

PulmCCM

Sepsis, infectious disease Managing septic shock with a restrictive-fluids approach (preferentially using vasopressors after a single liter crystalloid bolus) led to similar outcomes as the usual practice of bolusing large volumes of fluids first. Either approach in severe sepsis with shock seems reasonable.

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

PulmCCM

Professional Medical Societies Call for Elimination of SEP-1 The Infectious Diseases Society of America (IDSA), along with societies for emergency medicine physicians and hospitalists, are again speaking up about the ongoing policy experiment known as the Centers for Medicare and Medicaid Severe Sepsis/Septic Shock Management Bundle (SEP-1).

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Travel-Related Illnesses in Children

Pediatric EM Morsels

A “Syndromic” Approach for Diagnosing and Managing Travel-Related Infectious Diseases in Children. Infectious Disease Acquisition in Pediatric International Travelers: A 10-Year Review at a Canadian Tertiary Care Hospital. Glob Pediatr Health. 2021 May; 8:1-16. PMID: 34423077 Flores MS, Hickey PW, Fields JH, Ottolini MG.

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Mpox in adult patients: updates on diagnosis and clinical management in the ED

EMDocs

The outbreak spread to four additional African countries, leading the Africa CDC to declare it a Public Health Emergency of Continental Security. as these animals can contribute to the spread of disease. Adapted from CDC: Centers for Disease Control and Prevention (U.S.). In: CDC Yellowbook. 43 Table 3.

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