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"Sepsis bundles": No good evidence of benefit

PulmCCM

The Infectious Diseases Society of America (IDSA) has consistently opposed SEP-1 since at least 2016. But not completely prohibited: CMS has the authority to grant exceptions to SEP-1 reporting for the purposes of research. “SEP-1 protocol to manage severe sepsis and septic shock”, Chest/ACCP website, 2022.

Sepsis 52
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Clinical Conundrums: Should You Give the First Dose of Antibiotics IV Before Discharging Home on Oral Antibiotics?

RebelEM

Except for patients with poor gut absorption or those with critical infectious processes such as septic shock or necrotizing fasciitis, this belief appears to be unfounded. Clinical infectious diseases : an official publication of the Infectious Diseases Society of America. BMJ (Clinical research ed.).

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EM@3AM: Kawasaki Disease

EMDocs

Upon further research in the 1970’s, retrospective data from autopsies of those patients showed coronary aneurysms 5 Pathophysiology: Kawasaki Disease is a vasculitis of medium sized arteries. He has had a high fever of > 103°F (39.4°C) C) for the past week.

EMS 93
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The 79th Bubble Wrap x Bristol Royal Hospital For Children

Don't Forget the Bubbles

Article 1: Infections in Foreign Travellers Bird C, Hayward GN, Turner PJ, Wasala D, Merrick V, Lyttle MD, Mullen N, Fanshawe TR; for Paediatric Emergency Research in the UK and Ireland (PERUKI). International Consensus Criteria for Pediatric Sepsis and Septic Shock. Paediatr Int Child Health. 2024 Jan 11:1-7. doi:10.1001/jama.2024.0179

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Sepsis Updates Relevant to the Emergency Physician

EMDocs

Septic shock is high on the differential diagnosis for this patient’s presentation. 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. What are the most up-to-date guidelines for managing this patient?

Sepsis 93
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REBEL Core Cast 122.0 – Neutropenic Fever

RebelEM

Read More: Infectious Disease Society of America 2010 Clinical Practice Guidelines Life in the Fast Lane: Febrile Neutropaenia Uptodate: overview of neutropenic fever syndromes EMRAP: Risk stratification of neutropenic fever MDCalc: MASCC Score MDCalc: CISNE Score References: Ahn S, Rice TW, Yeung SJ, Cooksley T. Raad, II, et al.,

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Two Big Changes in Community Acquired Pneumonia Treatment

ACEP Now

As a result, the 2019 guidelines from the Infectious Disease Society of America (IDSA) significantly rein in those patients who should receive empiric coverage for MRSA or P. An official clinical practice guideline of the American Thoracic Society and Infectious Diseases Society of America. aeruginosa. 2019;200(7):e45–67.