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US Probe: Velocity Time Integral (VTI) in Sepsis Management

EMDocs

In emergency departments, determining a septic patient’s fluid responsiveness can be challenging, as both under- and over-resuscitation can lead to poor outcomes. It is an essential metric for estimating cardiac output without the need for invasive procedures within the emergency department. Life In The Fast Lane Blog.].

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Clinical Conundrum: Should We Always Treat Fever in Patients with Sepsis?

REBEL EM

A large observational study of > 2000 patients found an association with fever at presentation and ICU survival for patients with severe sepsis or septic shock ( Sunden-Culberg 2017 ). Fever in the Emergency Department predicts survival of patients with severe sepsis and septic shock admitted to the ICU.

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Threading the Needle: Bougie-First Intubation

REBEL EM

Included patients from out-of-hospital, emergency department, intensive care unit, and operating-room intubations. Intubation performed in all settings (out-of-hospital, emergency department, ICU, and operating room). Randomized controlled trials or comparative non-randomized observational studies.

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Rethinking Fluid Resuscitation in Vaso-Occlusive Crisis: Is Lactated Ringer’s the Superior Choice?

REBEL EM

The characteristics that were significantly different between the LR and NS exposure groups race, organ dysfunction at presentation, ICU admission, hemoglobin SS genotype, discharge year, and hydroxyurea use were appropriately included as confounders in the TMLE analysis. appeared first on REBEL EM - Emergency Medicine Blog.

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Is Pip-Tazo Harming Sepsis Patients?

REBEL EM

What They Did: Investigators performed a retrospective cohort study in the Emergency Department at the University of Michigan between July 1, 2014 through December 31, 2018. Imbalances Between Treatment Groups : ICU Admissions : Higher in piperacillin-tazobactam (33% vs. 30%). Sex : More males in piperacillin-tazobactam (57.1%

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ED care of refugee populations from sub-Saharan Africa

EMDocs

84 All patients with severe malaria need inpatient admission, ideally to the intensive care unit (ICU). World Bank Blogs. HIV Prevention and Treatment: The Evolving Role of the Emergency Department. Ann Emerg Med. Use of Medical Interpreters in the Emergency Department.; Int J Equity Health.

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Potassium 6.2 with narrow QRS: any indication for calcium?

Dr. Smith's ECG Blog

and the patient was given more insulin/dextrose/calcium and admitted to ICU. Acute hyperkalemia in the emergency department: a summary from a Kidney Disease: Improving Global Outcomes conference. Eur J Emerg Med 2020. References 1. Lindner et al. Durfey et al.

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