The Skeptics' Guide to EM

OCTOBER 14, 2023

We have been reading online about something called sepsis that can be deadly. Does he have sepsis?” Specifically, heart rate and respiratory rates are used in early attempts to detect sepsis. His parents look at the monitor and ask you, “Is that heart rate normal for him? It seems awfully high. J Paediatr Child Health.

Pediatrics 105

Pediatrics Sepsis Urgent Care Emergency Department 105

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

Dr. Smith's ECG Blog

MARCH 13, 2024

He went to urgent care and had an ECG (not available) which was interpreted as normal, and was sent home. His pain returned, and he went back to the urgent care but was sent to the ER. It woke him the next day and radiated into his back. He was only able to sleep while sitting in a chair.

EKG/ECG 108

EKG/ECG Urgent Care Sepsis Wellness 108

EMDocs

OCTOBER 10, 2024

Sepsis is diagnosed and antibiotics started for the first time. High level amputation is considered, but she dies of sepsis and multiorgan failure on hospital day 7. It reveals a 7.5 cm abscess in the R thigh and retro-cecal appendicitis with retro-peritoneal perforation. An I & D of the thigh produces foul-smelling pus.

Documentation/Coding 97

Documentation/Coding Hospitals Sepsis Infectious Diseases 97

Downeast Emergency Medicine

DECEMBER 9, 2021

She was seen at urgent care the day prior for a worsening progressive cough, shortness of breath, and pleuritic right anterolateral chest pain. Her laboratory workup at urgent care was reviewed included the following labs (pertinent positives in parenthesis): CBC (WBC 12.6)

Ultrasounds 52

Ultrasounds Urgent Care Emergency Department Sepsis 52

ACEP Now

MAY 4, 2023

He had presented to urgent care for the same complaint a week before, but did not seek follow-up at an ED despite their recommendation. Early treatment with broad-spectrum antibiotics is essential to prevent sepsis and preserve testicular function. Some patients will end up with orchiectomy.

Urgent Care 52

Urgent Care Ultrasounds Sepsis Emergency Department 52

Don't Forget the Bubbles

OCTOBER 2, 2024

They used primary and urgent care clinics as referral sources and were randomised to different pathways. Corticosteroids for Managing Pediatric Sepsis and Septic Shock: A Systematic Review and Meta-analysis. The average waiting time for the first assessment was only a few minutes shorter when going through the ED. Pediatrics.

Pediatrics 52

Pediatrics Hyperthermia / Hypothermia Emergency Department Urgent Care 52