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Sepsis Screening Decreases Mortality. Well, not really.

Sensible Medicine

I’ve also been attracted to the research because too often I see systems interventions adopted without data. Instead of just instituting the screening, the researchers did a cluster randomization wherein the alert was sequentially adopted. Maybe because of my skepticism, I’ve found studies of sepsis screening interesting.

Sepsis 98
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Cerebral Edema and Diabetic Ketoacidosis: Rebaked

Pediatric EM Morsels

Kendra Jackson and Rebecca Raffler While we’ve gotten to snack on a Morsel on this subject before , new guidelines and research surrounding DKA and cerebral edema have come to light since the first go ‘round! The Pediatric Emergency Medicine Collaborative Research Commitee. Authors: Drs. Lesson = treat early! 2002 Dec;141(6):793-7.

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Congestive Heart Failure and Sepsis: A Closer Look at Fluid Management

RebelEM

This systematic review and meta-analysis attempts to elucidate whether a more conservative fluid resuscitation approach is warranted in volume sensitive sepsis patients, such as those with congestive heart failure (CHF). What They Did: Researchers performed a systematic review and meta-analysis. Am J Emerg Med. 2023;73:34-39.

Sepsis 122
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Brain Trauma Guidelines for Emergency Medicine

ACEP Now

This document is an update of guidelines first published in 2000, and then updated in 2007. These guidelines present the best available evidence to support clinical decision making in the prehospital setting when TBI care may have the most significant impact on outcomes; they also establish a research agenda for future investigations.

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Grand Rounds 5.8.24

Taming the SRU

r1 clinical knowledge - r4 capstone - research grand rounds - the art of em - Community corner - PEM Lecture r1 Clinical knowledge: transplant complications WITH dr. gabor Time-sensitive peri-transplant emergencies: Bleeding fistula- stop the bleed. Flood syndrome- start fluids, give antibiotics, consult surgery. Ways to get involved?

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Paediatric IV Fluid Prescribing

Mind The Bleep

There could be any number of reasons for this but some examples are: they have severe D&V and aren’t keeping fluids down, or because they are pre or post-op, or have presented very unwell and need fluid resuscitation. Which type of fluid to use? saline), however more research is needed in this area. [4]

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Necrotising Enterocolitis

Don't Forget the Bubbles

The history of necrotising enterocolitis The earliest documented cases resembling Necrotising enterocolitis (NEC) date back to the late 19th and early 20th centuries. Pediatric Research, 63(2), 117-123. In male infants, it is always important to consider testicular torsion when presenting with abdominal concerns. Hunter, C.J.,