RebelEM

DECEMBER 17, 2024

Bottom Line Up Top: There doesnt appear to be a morbidity or mortality benefit to treating fever in sepsis and fever may have a protective effect. What The Evidence Says: Antipyretics are commonly given to patients with fever suspected to be caused by an infection in both at home and in the hospital setting. Sat 93% on RA.

Sepsis 72

Sepsis Shock EMS Emergency Department 72

The Skeptics' Guide to EM

JULY 27, 2024

Early Physician Gestalt Versus Usual Screening Tools for the Prediction of Sepsis in Critically Ill Emergency Patients. Background: Sepsis is a life-threatening organ dysfunction caused by a dysregulated host response to infection. Thus, early identification of sepsis might not be as important as sometimes stated in guidelines.

Sepsis 74

Sepsis Outcomes Documentation/Coding Hospitals 74

Pediatric EM Morsels

MARCH 29, 2024

Then please put IEM on your differential for critically ill newborns and infants Kids should be Sweet!

Dehydration 294

Dehydration Pediatrics Sepsis EMS 294

Taming the SRU

OCTOBER 31, 2024

Ann Emerg Med 2024; Big Picture Current screening tools for pediatric septic shock and sepsis are highly specific but lack sensitivity. This study substituted age adjusted vital sign measures and a pediatric shock index into currently existing pediatric sepsis scoring systems to create the qPS4.When

Sepsis 71

Sepsis Shock Pediatrics Administration 71

PulmCCM

JANUARY 6, 2025

In the past decade, so-called “sepsis alerts” came out of nowhere to become a ubiquitous and resource-intensive component of inpatient medical care. “Sepsis alerts” are automated notifications that flag patients who meet certain criteria compatible with severe infection discernible from the electronic medical record.

Sepsis 45

Sepsis Documentation/Coding Hospitals Outcomes 45

PulmCCM

JUNE 3, 2024

Acetaminophen (paracetamol): Wikipedia Over the past 30 years, dozens of chemical compounds have been tested as therapies for sepsis. What if all the while, an effective sepsis treatment was hiding in plain sight right there on the PRN medication list?

Sepsis 52

Sepsis Outcomes Academics Hospitals 52

PHEM Cast

APRIL 10, 2016

[link] We hope you enjoyed our sepsis podcast. St Emlyns Induction podcast on Sepsis. A great summary of what to do when a patient with suspected sepsis first arrives in the ED. A great summary of what to do when a patient with suspected sepsis first arrives in the ED. March 2016.

Sepsis 52

Sepsis Fluid Resuscitation Resuscitation Emergency Department 52

RebelEM

MAY 29, 2023

Background: Sepsis can induce numerous physiologic derangements. It also reduced length of stay in ICU and hospital without adverse effects. At the most severe end, this includes endothelial dysfunction leading to increased vascular permeability, abnormal nitric oxide metabolism, and vasodilation (i.e. septic shock). 95% CI 15.4

Shock 145

Shock Fluid Resuscitation Sepsis Resuscitation 145

PulmCCM

MAY 16, 2024

The FDA approved the first-ever AI-powered electronic medical record-based prediction model for sepsis: The Sepsis Immunoscore, by Prenosis. If you look under the hood, it suffers from the same fundamental limitation as all the rest: the lack of a reference standard (gold standard) for diagnosing sepsis.

Sepsis 52

Sepsis Operations Hospitals 52

Board Bombs

SEPTEMBER 10, 2023

Hospital administrators take note. We're covering what's important in sepsis care. Sepsis: burn the stopwatches. Hospital administrators take note. We're covering what's important in sepsis care. Sepsis: burn the stopwatches. We promise this isn't clickbait. Take a guess what we won't be covering.

Burns 52

Burns Sepsis Administration Hospitals 52

University of Maryland CC Project

JANUARY 31, 2024

Her current research focuses on improving the quality and timeliness of early sepsis care. She is interested in the organization of healthcare delivery and in optimizing the delivery of evidence-based interventions for critically ill patients.

Sepsis 45

Sepsis Hospitals Research Resuscitation 45

Pediatric EM Morsels

FEBRUARY 2, 2024

Hospitalization for travel-related illness are around 10% for both VFR and tourists (Leuthard 2015) Multiple studies have reported the most common travel infections in various countries. Infectious Disease Acquisition in Pediatric International Travelers: A 10-Year Review at a Canadian Tertiary Care Hospital. Pediatr Emerg Care.

Infectious Diseases 161

Infectious Diseases Pediatrics Sepsis Documentation/Coding 161

University of Maryland CC Project

MAY 25, 2023

Stephanie Taylor, MD, Associate Professor of Internal Medicine at Carolinas Medical Center presents at Critical Care Grand Rounds, a lecture entitled, "Clinical Subtypes of Sepsis Survivors Predicts Readmission and Mortality After Hospital Discharge.”

Sepsis 40

Sepsis Hospitals Resuscitation 40

Broome Docs

SEPTEMBER 3, 2024

In a surprise to no one who reads First10EM, clinical judgment is better than all decision tools for sepsis Knack SKS, Scott N, Driver BE, Prekker ME, Black LP, Hopson C, Maruggi E, Kaus O, Tordsen W, Puskarich MA. Early Physician Gestalt Versus Usual Screening Tools for the Prediction of Sepsis in Critically Ill Emergency Patients.

Sepsis 109

Sepsis Emergency Department Outcomes Hospitals 109

Taming the SRU

JUNE 11, 2023

End-tidal carbon dioxide measured at emergency department triage outperforms standard triage vital signs in predicting in-hospital mortality and intensive care unit admission. The primary outcome was in-hospital mortality. Patients discharged home, including from the ED, were regarded as having survived to hospital discharge.

Hospitals 86

Hospitals Emergency Department EMS Outcomes 86

Intensive Care Network

FEBRUARY 19, 2020

Hallie Prescott tells us about why the back-end of sepsis matters and is a neglected aspect of our management. The post Back-end sepsis: de-escalating & de-resuscitating appeared first on Intensive Care Network.

Sepsis 52

Sepsis Resuscitation Hospitals 52

The Skeptics' Guide to EM

FEBRUARY 17, 2018

Prehospital antibiotics in the ambulance for sepsis: a multicentre, open label, randomised trial. Case: EMS is dispatched to a retirement […] The post SGEM#207: Ahh (Don’t) Push It – Pre-Hospital IV Antibiotics for Sepsis. Prehospital antibiotics in the ambulance for sepsis: a multicentre, open label, randomised trial.

Sepsis 40

Sepsis Hospitals Fluid Resuscitation Administration 40

ACEP Now

JANUARY 5, 2025

Sepsis Robots or Sepsis Humans The proliferation of sepsis alerts in the ED has reached levels best described as obscene. The common refrain from trained clinicians: We are smarter than any computer or simple scoring system, and we can rapidly and accurately identify sepsis by ourselves, thank you very much. N Engl J Med.

Sepsis 40

Sepsis Research Airway Management Outcomes 40

Emergency Medicine Journal

OCTOBER 26, 2023

Background Ambulance services need to identify and prioritise patients with sepsis for early hospital assessment. We aimed to determine the accuracy of early warning scores alongside paramedic diagnostic impression to identify sepsis that required urgent treatment. No other score provided clearly superior accuracy to NEWS2.

Sepsis 52

Sepsis Ambulance Services Operations Hospitals 52

The Skeptics' Guide to EM

NOVEMBER 4, 2023

Time for paediatrics to screen out sepsis “screening.” He specializes in Paediatric Emergency Medicine and is a passionate […] The post SGEM Xtra: Say What You Need to Say…but Don’t Say “Sepsis Screening” first appeared on The Skeptics Guide to Emergency Medicine. Time for paediatrics to screen out sepsis “screening.”

Sepsis 53

Sepsis Shock Hospitals 53

PulmCCM

DECEMBER 11, 2024

An excellent review article titled “Sepsis and Septic Shock” was published 4 December 2024 in the New England Journal of Medicine. health system require us to enter a diagnosis to generate payment by a health insurer, it’s worth emphasizing that sepsis is a syndrome, not a disease.

Sepsis 45

Sepsis Shock Research Wellness 45

University of Maryland Department of Emergency Med

OCTOBER 16, 2023

Settings: Retrospective study of a national inpatient database (Japan). Participants: All patients who were admitted between. Click to view the rest

Hospitals 70

Hospitals Sepsis 70

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.

Sepsis 94

Sepsis Stroke Shock Infectious Diseases 94

Don't Forget the Bubbles

AUGUST 7, 2023

Heart rate (HR) and respiratory rate (RR) are THE major vital signs used in Advanced Paediatric Life Support ( APLS) guidance , sepsis guidelines , and Paediatric Early Warning Scores (e.g., Identify the percentage of children whose heart or respiratory rate would exceed the “severe” cut-off from the UK Sepsis Trust and NICE guidelines.

Sepsis 98

Sepsis Pediatrics Urgent Care Emergency Department 98

The Trauma Pro

AUGUST 25, 2023

Embolization patients had fewer infectious complications during their hospital stay and better immune function using the indirect methods noted above. We have no idea if the numbers of T- and B-cells seen and the antibody titers are actually enough to avoid overwhelming post-splenectomy sepsis.

Sepsis 187

Sepsis Research Outcomes Hospitals 187

Ken Grauer, MD

FEBRUARY 28, 2023

These 2 settings are: i ) In patients with severe , often longstanding pulmonary disease ; and / or , ii ) In acutely ill patients with multi-system disease ( ie, sepsis, shock, electrolyte and/or acid-base disorders ). MAT almost always occurs in one of 2 common predisposing settings.

EKG/ECG 195

EKG/ECG Documentation/Coding Sepsis COPD 195

The Skeptics' Guide to EM

SEPTEMBER 25, 2021

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

Sepsis Emergency Department COPD Hospitals 40

Taming the SRU

APRIL 17, 2024

The surviving sepsis guidelines weakly recommend invasive arterial blood pressure monitoring (IABP) over noninvasive blood pressure monitoring (NIBP) with a blood pressure cuff supported by low quality evidence.(1) Surviving sepsis campaign: International Guidelines for Management of Sepsis and Septic Shock 2021. Crit Care Med.

Sepsis 92

Sepsis Research Stroke Academics 92

JournalFeed

APRIL 4, 2020

We cover Pediatric Surviving Sepsis; mortality risk after out-of-hospital naloxone; spontaneous pneumothorax - tube or no tube; opioids prior to pediatric sedation; and HINTS by emergency physicians and stroke risk. Here is the JournalFeed Podcast for the week of March 30- April 3, 2020.

Sepsis 52

Sepsis Stroke Pediatrics Hospitals 52

Taming the SRU

AUGUST 11, 2024

ABEM updates - R4 Capstone - Sepsis Operations update - R3 taming the sru - traveler’s diarrhea abem updates WITH dr. melissa platt, abem board of directors Beginning 2026, ABEM will be requiring a new certifying exam to replace the previous oral boards.

Sepsis 88

Sepsis Burns Shock Operations 88

Emergency Medicine Journal

NOVEMBER 28, 2023

Aims and Objectives Ambulance services need to identify and prioritise patients with sepsis for early hospital assessment. We aimed to determine the accuracy of early warning scores alongside paramedic diagnostic impression to identify sepsis requiring urgent treatment.

Sepsis 40

Sepsis Ambulance Services Operations Hospitals 40

The Trauma Pro

JULY 13, 2023

Inclusion of extraneous information from later in the hospital stay. Sepsis score. Which ultimately means that you (this really means your hospital) will have to pay for more registrars / PI coordinators / nurses! Anyone who has actually generated one of these can tell you that it’s a disaster! Ebola screens.

Sepsis 100

Sepsis Documentation/Coding Hospitals 100

EMDocs

NOVEMBER 7, 2023

Included patients had confirmed uncomplicated diverticulitis but no immunosuppression, peritonitis, sepsis. The recurrence rate and length of hospital stay were the same. Patients with sepsis and immunocompromise were not included. No statistical difference in the primary outcome of hospital length of stay (40 vs 46 hours).

Sepsis 88

Sepsis Best Practices Hospitals Outcomes 88

EB Medicine

OCTOBER 1, 2018

This month, we’ll be talking Updates and Controversies in the Early Management of Sepsis and Septic Shock. We have a special episode for you this month… We’ve brought Dr. Jeremy Rose, one of the peer reviewers, and a sepsis expert, on with us to talk through the content this month. Jeff : Sepsis chair. We like it that way.

Sepsis 40

Sepsis Shock Fluid Resuscitation Hospitals 40

Northwestern EM Blog

JULY 15, 2024

Indeed, there are many inciting sources that can be divided into direct—pneumonia, aspiration, intrathoracic procedures—and indirect—non-pulmonary sepsis, pancreatitis, trauma/burns, blood product transfusion (“TRALI”)—lung injury. Contrary to the recency bias of many, ARDS is not just a phenomenon associated with COVID-19. 2024, Jul 15).

Resuscitation 98

Resuscitation Burns Emergency Department Sepsis 98

Taming the SRU

DECEMBER 17, 2024

There is substantial evidence that IV fluids can be beneficial in patients with sepsis complicated by hypotension and labor. compared the effects of these two among the acute gastroenteritis children and reported that the use of ORT was associated with shorter hospital stay and increased patient satisfaction. AtherlyJohn et al.

Dehydration 82

Dehydration Fluid Resuscitation Administration Resuscitation 82

Taming the SRU

SEPTEMBER 1, 2023

to divert the plane). Lane & Mcdonough Definition of an immediate whole body CT (iWBCT) scan Shortly after patient arrival.

Sepsis 94

Sepsis Fractures Documentation/Coding Administration 94