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SGEM#346: Sepsis – You Were Always on My Mind

The Skeptics' Guide to EM

Most emergency department patients meeting sepsis criteria are not diagnosed with sepsis at discharge. Guest Skeptic: Dr. Jess Monas is a Consultant in the Department of Emergency Medicine at the Mayo Clinic Hospital, Phoenix, Arizona. Background: We have covered sepsis many times on the SGEM since 2012.

Sepsis 40
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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. Paxlovid was associated with about a 1.5-2.5%

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REBEL Core Cast 122.0 – Neutropenic Fever

RebelEM

Antibiotics are effectively the only thing standing between these patients and overwhelming sepsis. Comparison of the MASCC and CISNE scores for identifying low-risk neutropenic fever patients: analysis of data from three emergency departments of cancer centers in three continents. Ann Emerg Med. Support Care Cancer.

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EM@3AM: High Priority Fungal Pathogens and Empiric Treatment in the ED

EMDocs

Four days ago, he presented to the ED for a COPD exacerbation. COPD, cystic fibrosis), HIV/AIDS, cancer, immunosuppressed (i.e. A 28-year-old woman who is 32 weeks pregnant is seen in an emergency department in Phoenix for fever and cough. He reported having a COVID-19 infection 3 weeks ago but felt better 1-2 weeks ago.