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SGEM Xtra: COVID19 Treatments – Be Skeptical

The Skeptics' Guide to EM

In co-operation with other specialties and committees, CAEP also plays a vital role in the development of national standards and clinical guidelines. Copies of our slides can be downloaded at this link. Steroids * Surviving Sepsis Campaign : guidelines on the management of critically ill adults with Coronavirus Disease 2019 (COVID-19).

Sepsis 40
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Balanced Fluid Resuscitation for the Critically-Ill: the PLUS study mirrors the BaSICS

PulmCCM

45% of patients were admitted to the ICU directly from operating or recovery rooms, 79% were mechanically-ventilated and 42% had sepsis. Download his free textbook here. In the 24 hours prior to randomization, 55.5%

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REBEL Core Cast 94.0 – SBO

RebelEM

Late findings Fever Abdominal distension (+) LR: 5.64 – 16.8 (-) LR: 0.34 – 0.43 Absent bowel sounds Peritoneal signs (i.e. rebound and guarding) Diagnostics Laboratory Tests Commonly ordered lab tests (i.e. Late findings Fever Abdominal distension (+) LR: 5.64 – 16.8 (-) LR: 0.34 – 0.43

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What Minimal Volume of Intravenous Fluid Challenges the Heart?

PulmCCM

.’ What they found 45 critically-ill patients were included with a 28-day mortality rate of 29%; distributive shock was the most common cause of circulatory failure with sepsis being the most common cause of distributive physiology. Download his free textbook here.

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Sickle Cell Disease Module

Don't Forget the Bubbles

Afro-Caribbean patients should be screened for sickle cell before anaesthesia for possible pre-operative transfusion. Vaccination: PCV13 (pneumococcal vaccination), meningococcal vaccines, and Hib conjugated vaccines are important to prevent life-threatening sepsis. Pneumococcal sepsis B. Pneumococcal sepsis.