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Many readmissions of patients with severe sepsis for other conditions could be prevented, US study finds

More than 40% of readmissions of people previously admitted to hospital for severe sepsis could be prevented with timely outpatient care, a new US study indicates.  
feeds.bmj.com
over 5 years ago
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Bacteremia and Intravascular Infections with Dr. Ramirez

Dr. Ramirez is a Professor of Medicine at the University of Louisville and is the Division Chief for Infectious Disease. Here, he discusses bacteremia and in...  
youtube.com
over 5 years ago
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Inflammatory factor IL-3 may play essential role in development of sepsis

Targeting IL-3 controlled pathways may help treat dangerous inflammatory reactionA new study finds that Interleukin-3 (IL-3), an inflammatory factor most associated...  
medicalnewstoday.com
over 5 years ago
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Leading doctors warn that sepsis deaths will not be curbed without radical rethink of research strategy

Leading doctors warn that medical and public recognition of sepsis - thought to contribute to between a third and a half of all hospital deaths - must improve if the number of deaths from this...  
medicalnewstoday.com
over 5 years ago
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Erectile dysfunction drugs could protect liver from sepsis-induced damage, says Pitt team

Drugs that are on the market to treat erectile dysfunction (ED) could have another use--they might be able to protect the liver from damage caused by sepsis, a systemic inflammatory response to...  
medicalnewstoday.com
over 5 years ago
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How best to manage sepsis patients, particularly during the critical first few hours of treatment

Survival of patients with septic shock was the same regardless of whether they received treatment based on specific protocols or the usual high-level standard of care, according to a five-year...  
medicalnewstoday.com
over 5 years ago
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Pediatric Bacteremia: Evolving and Dangerous CME/CE

: A retrospective analysis stresses that the evolving nature of pediatric bacteremia prompts the need for more timely antibiotic treatment in children who present to the emergency department.  
medscape.org
over 5 years ago
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Weingart Himmel Sessions 2 Fluids in Sepsis & Post-Intubation Sedation

Walter Himmel and Scott Weingart discuss the controversial and evolving topic of fluids in sepsis and septic shock & post-intubation sedation and analgesia  
emergencymedicinecases.com
over 5 years ago
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Recognition & Management of Pediatric Sepsis & Septic Shock

Dr. Sarah Reid & Dr. Gina Neto discuss the pearls and pitfalls in recognition & management of pediatric sepsis & septic shock, fluid management, IO tips, induction agent of choice, ionotropes of choice & cold vs warm shock  
emergencymedicinecases.com
over 5 years ago
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32

Airway Subtleties in Critically Ill Patients - emdocs

Cynthia Santos, MD with airway management recs for your patients with salicylate poisoning, sepsis-induced ARDS, and DKA. Crucial info here!  
emdocs.net
over 5 years ago
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Episode 21 – Acute Kidney Injury

(ITUNES OR LISTEN HERE) The Free Open Access Medical Education (FOAM) Dr. Josh Farkas of the PulmCrit blog has produced a couple of blog posts on the importance of renal protection in sepsis, Renoresuscitation: Sepsis resuscitation designed to avoid long-term complications and Renal microvascular hemodynamics in sepsis: a new paradigm.  Much of this is theoretical and certainly not…  
foamcast.org
over 5 years ago
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Emergency Medicine Literature of Note: Early Goal-Directed Waste For Sepsis

Hey Ryan, As always great work and post. I did want to make sure something was clarified from your post.....Looking at the results, a significant portion of “usual” care patients still get arterial catheters (62.2%), CVCs (50.9%), and vasopressors (46.6%). What this tells me is that our “usual” care has components of the EGDT algorithm engrained in it. Sick patients need fluids, antibiotics, and supportive therapies (i.e. Early critical care and resuscitation), but they don’t need CVP and SCVO2 monitoring to dictate their care. So there are still components of EGDT that should continue to be used, it is the invasive monitoring that is not really needed. Hope all is well.Salim  
emlitofnote.com
over 5 years ago
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Lab Case 55 – Interpretation

2. AMS – seizure, trauma, alcohol intoxication/withdrawal/ Wernicke’s, severe hyponatraemia, sepsis (intracranial/ other), drugs/ toxins, CVA etc  
emergucate.com
over 5 years ago
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Toxic Shock Syndrome Management: A tale of two patients

  0 Introduction  0 Toxic shock syndrome (TSS) is a true resuscitationist's disease.  It is potentially quite lethal, with many series of streptococcal tox  
pulmcrit.org
over 5 years ago
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Early suspicion of toxic shock syndrome

  0 Introduction 0 Toxic shock syndrome (TSS) is critical to recognize because it can be rapidly lethal and yet is usually treatable.   TSS is a relatively  
pulmcrit.org
over 5 years ago
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Renoresuscitation: Sepsis resuscitation designed to avoid long-term complications

0 Introduction 0 Over the last few years, I've gone through an almost 180-degree change in my conceptualization of septic shock.  In a perfect world, this  
pulmcrit.org
over 5 years ago
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Renal microvascular hemodynamics in sepsis: a new paradigm

Introduction 0 Traditionally it has been thought that during septic shock, renal blood flow decreases leading to pre-renal kidney injury.  This implied tha  
pulmcrit.org
over 5 years ago
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A young woman with recurrent perianal sepsis

A 23 year old woman had been experiencing cramping abdominal pain, alternating diarrhoea and constipation, and episodic blood per rectum for four months. An earlier colonoscopy showed proctitis, which was thought to be indicative of underlying inflammatory bowel disease, and she was started on oral and topical mesalazine. In the following months she was admitted twice with acute perianal sepsis, which required examinations under anaesthesia and drainage of an intersphincteric abscess. She later presented after feeling generally unwell for four days with “flu-like” symptoms and perianal pain. On examination she had tenderness and fluctuance in the region of the right ischial tuberosity, with an external fistula opening visibly in the perineum. Her blood tests show mild neutrophilia (9.40×109/L, reference range 2-7.5) and mildly raised C reactive protein (380.96 nmol/L (40 mg/L), 0-95.24 (0-10) only.  
feeds.bmj.com
over 5 years ago
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Sepsis Guidelines: EGDT without the "G"?

An overview of the latest update of the new care bundles published by the Surviving Sepsis Campaign in April 2015.  
stemlynsblog.org
over 5 years ago