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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. ” What is that, a sepsis Stasi? Unlike strokes and STEMIs, sepsis has no gold standard for diagnosis.

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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, 8/21/23 (Issue #11)

PulmCCM

A larger trial of 2500 patients published in NEJM in 2022 showed no difference in outcomes among patients ventilated with high vs. low oxygenation strategies. A meta-analysis also found no clear difference in outcomes between liberal and conservative oxygenation strategies, with low certainty in the results.

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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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The Latest in Critical Care, 10/23/23 (Issue #17)

PulmCCM

Cefepime crosses the blood-brain barrier, and dozens of case reports have associated the drug with seizures, encephalopathy, delirium, and coma, with a possibly increased incidence of neurologic adverse effects among patients with renal failure or sepsis. Read in JAMA Does Paxlovid Improve Covid-19 Outcomes in the Omicron Era?

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Is Pip-Tazo Harming Sepsis Patients?

RebelEM

Background: Patients with sepsis are routinely treated with empiric broad-spectrum antibiotics while awaiting source identification, as recommended by the surviving sepsis campaign.2 Mortality of Patients With Sepsis Administered Piperacillin-Tazobactam vs Cefepime. address in the article discussed below. JAMA Intern Med.

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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. 43 As shown in Table 1, the CDC recommends acetaminophen or NSAIDs for general pain relief, with gabapentin or opioids reserved for more severe cases. In: CDC Yellowbook. 43 Table 3.

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