Remove CDC Remove Resuscitation Remove Shock
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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.

Sepsis 94
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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. makes me long for an adequately powered randomized trial.

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Podcast: Cervical Spine Injuries & Imaging in Children

PEMBlog

Sasser SM, Hunt RC, Faul M, Sugerman D, Pearson WS, Dulski T, Wald MM, Jurkovich GJ, Newgard CD, Lerner EB; Centers for Disease Control and Prevention (CDC). You should also consider the possibility of quote unquote spinal shock. than it is spinal shock. Resuscitate with volume and blood. MMWR Recomm Rep. PMID: 22237112.

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Cholera: ED presentation, evaluation, and management

EMDocs

The clinical picture of this patient was consistent with hypovolemic shock secondary to acute cholera infection. Rehydration therapy for patients with cholera should include volume resuscitation and electrolyte repletion. Laboratory testing was not immediately available. How is this condition diagnosed and treated in the ED?

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ED care of refugee populations from sub-Saharan Africa

EMDocs

Based on available hospital resources, the patient is treated for septic shock secondary to pneumonia and an infected wound using broad-spectrum antibiotics and IV crystalloid fluids. She is sent to the medical ward after three days in the ED with the diagnoses of resolving septic shock, severe malaria, and AKI.