PulmCCM
DECEMBER 11, 2023
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.
Total Medical ComplianceHIPAA
OCTOBER 9, 2024
For dental facilities only: Dental Unit Waterlines should be shocked then tested before use. If the testing reveals failing water quality, shock and test again. Keep in mind that persons involved in the clean up need to be protected from infectious diseases, chemical exposures, radiation, electrical shock, and potential fire hazards.
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PulmCCM
OCTOBER 16, 2023
There’s no randomized trial data to support this practice, and the Healthcare Infection Control Practices Advisory Committee (HICPAC, whose recommendations CDC generally adopts) has advised against routine replacement of central lines as an infection prevention strategy. At some centers, central lines are regularly replaced (e.g.,
Pediatric EM Morsels
NOVEMBER 3, 2023
Another change is the CDC approved the use of IV artesunate for malaria treatment in the US in May 2022. This allowed US hospitals to stock the drug to ensure quick treatment of suspected severe cases, rather than having to ship it from the CDC under the prior expanded-access protocol (Thomas 2023).
PulmCCM
APRIL 10, 2025
Most Clinicians Ignore New “Steroids-For-All” Septic Shock Guideline In 2024, the major U.S. critical care society recommended steroids be given to virtually all patients with septic shock. Possible adverse events can be reported to state health authorities who will communicate with CDC.
Pediatric EM Morsels
MARCH 17, 2023
In the US, the venomous snakes include rattlesnakes , copperheads, cottonmouths/water moccasins , and coral snakes [ CDC, 2021 ] Rattlesnakes live all across the United State s Copperheads inhabit the eastern U.S. If you are managing a snake bite from a snake that does not typically reside in the U.S.,
PulmCCM
JUNE 5, 2023
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.
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