RebelEM

MAY 18, 2023

REBEL Cast Ep116: The CLOVERS Trial – Restrictive vs Liberal Fluids in Sepsis-Induced Hypotension Click here for Direct Download of the Podcast Paper: The National Heart, Lung and Blood Institute Prevention and Early Treatment of Acute Lung Injury Clinical Trials Network. Liberal: 14.9% Estimated Difference: -0.9%; 95% CI 04.4

Sepsis 85

Sepsis Shock Resuscitation Outcomes 85

EM Ottawa

JUNE 12, 2023

Questions and Methods: Using a cohort and QI approach, to demonstrate the effectiveness of a multidisciplinary educational intervention and EHR tool to increase sepsis bundle compliance. Findings: Overall EHR tool use increased from 23.3

Sepsis 98

Sepsis Emergency Department 98

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

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 50

Sepsis Shock Hospitals 50

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. No other score provided clearly superior accuracy to NEWS2.

Sepsis 40

Sepsis Ambulance Services Operations Hospitals 40

Emergency Medicine Journal

NOVEMBER 28, 2023

Aims and Objectives In 2021, the Surviving Sepsis Campaign International Guidelines advised clinicians to administer antimicrobials within 1h and 3h to sepsis patients with and without shock respectively. We aim to evaluate whether the timing of antibiotic administration in admitted sepsis patients affects mortality.

Sepsis 40

Sepsis Administration Shock 40

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

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

JournalFeed

MARCH 23, 2024

The JournalFeed podcast for the week of March 18-22, 2024. These are summaries from just 2 of the 5 articles we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.

Sepsis 52

Sepsis Shock Research 52

Emergency Medicine Cases

MARCH 1, 2022

The post EM Quick Hits 36 – Surviving Sepsis, Angle Closure Glaucoma, Bougies, Frostbite, Hot/Altered Patient, Central Cord Syndrome appeared first on Emergency Medicine Cases.

Sepsis 52

Sepsis EMS Fluid Resuscitation Hyperthermia / Hypothermia 52

The Skeptics' Guide to EM

SEPTEMBER 25, 2021

Most emergency department patients meeting sepsis criteria are not diagnosed with sepsis at discharge. She is also an Assistant Professor, Department of Emergency Medicine Mayo […] The post SGEM#346: Sepsis – You Were Always on My Mind first appeared on The Skeptics Guide to Emergency Medicine. mg/dl or 107 umol/L).

Sepsis 40

Sepsis Emergency Department COPD Hospitals 40

FOAMCast Blog

FEBRUARY 21, 2016

(ITUNES OR LISTEN HERE) The Society of Critical Care Medicine (SCCM) and the European Society of Intensive Care Medicine (ESICM) redefined sepsis with the Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3). Septic shock is a subset of sepsis where underlying circulatory and […]

Sepsis 52

Sepsis Shock 52

JournalFeed

JUNE 12, 2021

We cover overuse of antibiotics for ED sepsis alerts, HEART or EDACS with hs-cTn 0-1 hour rule outs, ED-AWARENESS - paralysis awareness after RSI, thoracentesis or chest tubes in coagulopathic patients, and a review on managing the difficult airway. It’s the JournalFeed Podcast for the week of Jun 7-11, 2021.

Sepsis 52

Sepsis 52

JournalFeed

APRIL 24, 2021

We cover leadership through change, IN midazolam for pediatric seizure, hypothermia and young infant sepsis risk, VICTAS RCT, and clinically diagnosing GHB intoxication. It’s the JournalFeed Podcast for the week of Apr 19-23, 2021.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Seizures Sepsis Leadership 52

JournalFeed

DECEMBER 25, 2021

We cover Surviving Sepsis 2021, BOUGIE RCT, the role of humor in medical education, the age old question of rocket science vs brain surgery (who is smarter), and a Christmas reflection. It’s the JournalFeed Podcast for the week of December 20-24, 2021.

Sepsis 52

Sepsis 52

EMDocs

APRIL 6, 2024

. #1: Phoenix Criteria – New Pediatric Sepsis Score Spoon Feed The Phoenix Sepsis Score, which is a novel clinical criterion for pediatric sepsis and septic shock developed using measures of organ dysfunction, outperforms existing IPSCC criteria for the diagnosis of pediatric sepsis and septic shock.

Sepsis 72

Sepsis Shock Pediatrics 72

JournalFeed

DECEMBER 2, 2023

The JournalFeed podcast for the week of Nov 27th – Dec 1st, 2023. These are summaries from just 2 of the 5 article we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.

Sepsis 52

Sepsis Shock 52

JournalFeed

JANUARY 8, 2022

We cover POCUS for pyloric stenosis, deaths from OTC cough medicine in children, ED sepsis teams reduce mortality, dispo times early vs late in your shift, and new ASA 2022 difficult airway guidelines. It’s the JournalFeed Podcast for the week of January 3-7, 2022.

Sepsis 52

Sepsis 52

Don't Forget the Bubbles

MAY 6, 2024

Reviewed by: Tasnim Ransome and Spyridon Karageorgos Article 3: Which Sepsis Scoring Tools Perform Best? Organ Dysfunction in Children With Blood Culture-Proven Sepsis: Comparative Performance of Four Scores in a National Cohort Study. Each patient was scored using the four sepsis tools. Schlapbach, L.J., Hagenbuch, N.,

Sepsis 64

Sepsis Outcomes Pediatrics Documentation/Coding 64

PulmCCM

APRIL 29, 2024

The Infectious Diseases Society of America (IDSA), along with societies for emergency medicine physicians and hospitalists, are again speaking up about the ongoing policy experiment known as the Centers for Medicare and Medicaid Severe Sepsis/Septic Shock Management Bundle (SEP-1). The stakes are going up.

Infectious Diseases 52

Infectious Diseases Sepsis Administration Shock 52

JournalFeed

JUNE 6, 2020

We cover ketamine for safe takedown of agitated patients, early onset neonatal sepsis, TXA in a U.S. Here is the JournalFeed Podcast for the week of June 1-5, 2020. level 1 trauma center, HFNC for palliative care patients, and the Epley maneuver.

Sepsis 52

Sepsis 52

JournalFeed

MAY 9, 2020

We cover Surviving Sepsis for COVID-19; EP-driven admission; HYVCTTSSS - vitamin C, hydrocortisone, thiamine; Slack for teaching; and glue vs eye - what to do. Here is the JournalFeed Podcast for the week of May 4 -8, 2020.

Sepsis 52

Sepsis 52

Emergency Medicine Cases

MARCH 26, 2019

In this podcast Dr. Sara Gray, intensivist and emergency physician, co-author of The CAEP Sepsis Guidelines, answers questions such as: How does one best recognize occult septic shock? What are the goals of resuscitation in the patient with sepsis or septic shock? What are the indications for a second vasopressor after norepinephrine?

Sepsis 40

Sepsis Shock EMS Resuscitation 40

Emergency Medicine Cases

MAY 5, 2020

The post EM Quick Hits 18 Conservative Management Pneumothorax, Microdosing Buprenorphine, Practical Use of CRITOE, Canadian TIA Score, Pediatric Surviving Sepsis Guidelines, Safety of Peripheral Vasopressors appeared first on Emergency Medicine Cases.

Sepsis 52

Sepsis Pediatrics EMS Fractures 52

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

University of Maryland Department of Emergency Med

NOVEMBER 22, 2023

Building on Dr. Winter's pearl from a couple of weeks ago, this is more evidence that a one-size-fits-all approach to fluid volume for. Click to view the rest

Sepsis 53

Sepsis 53

Emergency Medicine Cases

OCTOBER 17, 2023

In this ECG Cases blog Dr. Jesse McLaren guides us through 10 cases, driving home the points that sepsis is a common cause of rapid Afib and diffuse ST depression with reciprocal ST elevation in aVR, myo/pericarditis is a diagnosis of exclusion, endocarditis or lyme carditis can cause AV block, PE can cause low grade fever and ECG signs of acute RV (..)

Infectious Diseases 87

Infectious Diseases EKG/ECG Sepsis EMS 87

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

Don't Forget the Bubbles

NOVEMBER 27, 2023

Four-year-old Ed is being resuscitated for presumed Invasive Group A Streptococcal Sepsis from tonsilitis. In middle-to-high-income countries, after 40-60ml/kg of fluid resuscitation, the Surviving Sepsis Campaign International Guidelines recommend using vasoactive drugs. After 40ml/kg of IV 0.9% The CRT is unchanged.

Shock 143

Shock Sepsis Fluid Resuscitation Resuscitation 143

RebelEM

FEBRUARY 7, 2024

REBEL Core Cast 117.0 – Infections of Pregnancy Click here for Direct Download of the Podcast Urinary Tract Infection/Pyelonephritis Epidemiology: Occurs in as many as 15% of pregnant women and between 20-40% of pregnant women with asymptomatic bacteriuria will progress to pyelonephritis ( Gorgas 2008 ) Management: Uncomplicated UTI Suggested (..)

Sepsis 77

Sepsis Shock Hospitals Ultrasounds 77

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

First 10 EM

JULY 3, 2023

I think there is an interesting variety of papers this time around, from sepsis, to b t, to patient access to their own results online. The pace of these literature summaries has decreased over the years, but perhaps that means that quality has increased?

Research 83

Research Sepsis EMS 83

EB Medicine

FEBRUARY 1, 2024

Eckler MD interview Nick Harrison, MD and Daniel Brenner, MD, two of the authors of the February 2024 Emergency Medicine Practice article, Emergency Department Management of Patients With Right Heart Failure Pathophysiology Presenting Symptoms Differential Diagnosis Specific Acute Causes PE Sepsis RVMI PPV ARDS COVID-19 Specific Chronic Causes CTEPH (..)

Emergency Department 111

Emergency Department Sepsis EKG/ECG 111

Board Bombs

APRIL 30, 2023

Hypotensive patient? Just reflexively give 30 cmL/kg, trend lactates, and broad spec antibiotics right? Turns out, the heart could really care less. In fact, it might just decide to kill the patient if you do that. Let’s talk about a lesser common cause of shock. Want to experience the greatest in board studying?

Shock 52

Shock Sepsis 52

Life in the Fast Lane

JULY 26, 2023

Pramod Chandru Network Five: Critical Care Network Five Emergency Medicine Journal Club Episode 21 - Critical Care reviewing papers on cardiogenic shock, intravenous fluids in sepsis and lung protective ventilation strategies.

Sepsis 52

Sepsis Shock 52

EMDocs

NOVEMBER 25, 2023

. #3: High or Low Fluid Volume in Sepsis? New Meta-analysis Spoon Feed This updated systematic review and meta-analysis showed no statistically significant difference in all-cause mortality or serious adverse events in sepsis patients given low vs higher fluid volumes.

Sepsis 55

Sepsis Emergency Department Pediatrics Academics 55