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

PulmCCM

Corticosteroids for community-acquired pneumonia have been studied with inconclusive results, and expert guidelines currently advise against their use except in patients with refractory septic shock. Patients with septic shock or influenza were excluded. standards of care. In the U.S.,

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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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How to Test an AED to Make Sure It Works

AED Leader

The device will perform charge and shock tests and prompt the user to press the shock button (on semi-automatic units) when required. Please note that running a manual self-test on this unit depletes the battery capacity by one shock. This can cause incorrect heart rhythm readings as well as deficient shock delivery.

Shock 52
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How to Test an AED to Make Sure It Works

AED Leader

The device will perform charge and shock tests and prompt the user to press the shock button (on semi-automatic units) when required. Please note that running a manual self-test on this unit depletes the battery capacity by one shock. This can cause incorrect heart rhythm readings as well as deficient shock delivery.

Shock 52
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Episode 28 - Depressed and Suicidal Patients in the Emergency Department: An Evidence-Based Approach

EB Medicine

Jeff: And finally, how many of you wish there was a clearly outlined evidence-based approach to managing such patients to improve care and outcomes? Jeff: If those figures seem a bit high, another CDC study found that in a general population survey of a quarter million people between 2006-2008, 9% met the criteria for major depression.

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Is Pip-Tazo Harming Sepsis Patients?

RebelEM

compared cefepime to piperacillin-tazobactam in a cohort of 250 patients with septic shock and found a signal toward higher mortality in those receiving cefepime. In 2021, Buckley et. 3 The same year, Ross et. Comparator: Empiric therapy with piperacillin-tazobactam and vancomycin for treatment of suspected sepsis.

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