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The Latest in Critical Care, 2/5/24 (Issue #28)

PulmCCM

Fever in the ICU: Guideline Update The Society of Critical Care Medicine (SCCM) and the Infectious Diseases Society of America (IDSA) issued an interim update to their 2008 recommendations for the management of fever in the ICU. Ultrasound can quickly and more accurately identify significant biliary disease (e.g.,

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Diagnostics: Inflammatory Markers

Taming the SRU

Spinal Infection: According to the Infectious Disease Society of America’s (IDSA) 2015 guidelines for native vertebral osteomyelitis, CRP and ESR in the setting of protracted back pain have sensitivities ranging from 94 to 100% for ruling out infection and malignancy in these patients. days (secondary endpoint) [51].

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The 79th Bubble Wrap x Bristol Royal Hospital For Children

Don't Forget the Bubbles

Reviewed by: John Coveney Article 2: How do we define sepsis in children? International Consensus Criteria for Pediatric Sepsis and Septic Shock. The aim of this paper was to update and evaluate the criteria for sepsis and septic shock in children. It doesn’t help to diagnose or exclude sepsis. doi:10.1001/jama.2024.0179

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Symptomatic Bradycardia: Considering the Differential Diagnosis

Northwestern EM Blog

Myocardial Infarction Medication Sinus node dysfunction Infectious Disease Hypothermia Metabolic Abnormalities (hypothyroidism, hyperkalemia, ect.) For example, hypothyroidism, adrenal insufficiency, sepsis, neuromuscular disease, malnutrition, thiamine deficiency, hypoglycemia can all lead to hypothermia [11-13].

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Sepsis Updates Relevant to the Emergency Physician

EMDocs

Introduction Sepsis and septic shock are life-threatening conditions characterized by severe systemic inflammation and organ dysfunction due to a dysregulated host response to infection. 3,4 Prompt recognition and management of sepsis and septic shock are paramount for the ED clinician. vs. 0.91), positive predictive value (0.27

Sepsis 93
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Dacryocystitis 

Don't Forget the Bubbles

Occasionally, lacrimal probing does not work, and an operation is needed. Sepsis: The spread of infection through the bloodstream, known as sepsis, is a critical condition that can lead to organ failure and death if not promptly treated. Current Infectious Disease Reports. BMC ophthalmology. 2021 Dec;21(1):1-7.

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Fourteen Emergency Medicine Research Gems from 2023

ACEP Now

7 The operators involved in the trial were mostly emergency medicine residents or critical care fellows, but this fact does not diminish the generalizability of these observations. The Right Way to Airway Video largyngoscopy (VL) is simply, in most situations, the better tool for the job. percent to 38.3