Archive

Medical Category: Infectious Disease

Sepsis 3.0

Background: Systemic Inflammatory Response Syndrome (SIRS) is something that has been beat into the heads of medical students, residents, fellows, and all physicians in general. However, the derivation of SIRS occurred in 1991, where the focus was on the then-prevailing ...

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Infectious Disease

Time to Antibiotics in Sepsis: A Metric Not Supported by “High Quality” Evidence

Background: Some of the major take home points from the sepsis trilogy of studies recently published (ProCESS, ARISE, and ProMISe) was that early identification of patients with sepsis, early intravenous fluids, and timely, appropriate broad-spectrum antibiotics is key to decreasing ...

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Infectious Disease

REBEL Cast Episode 9: Sepsis Care in 2015

So I was recently invited to the Texas College of Emergency Physicians meeting in Austin, TX (April 23rd – 26th, 2015) and was asked to give a lecture on sepsis, titled “Optimizing ED Management of Sepsis.” I was able to ...

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Infectious Disease

Do Patients with Epistaxis Managed by Nasal Packing Require Prophylactic Antibiotics?

Epistaxis is a common Emergency Department (ED) complaint with over 450,000 visits per year and a lifetime incidence of 60% (Gifford 2008, Pallin 2005). Posterior epistaxis is considerably less common than anterior epistaxis and represents about 5-10% of all presentations. ...

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Head, Eye, Ear, Nose, and ThroatInfectious Disease

The Protocolised Management in Sepsis (ProMISe) Trial

Since 2002, the surviving sepsis campaign (SSC) has stated that best practice in sepsis care includes: early recognition, source control, appropriate/timely antibiotic therapy, resuscitation with intravenous fluids (IVF) and vasoactive medications. Resuscitation of the septic patient in the emergency department ...

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Infectious DiseaseResuscitation

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