Archive

Medical Category: 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

The New Age of Sepsis Management

There are more than 750,000 cases of severe sepsis and septic shock in the US each year.  Most patients who present with sepsis receive their initial care in the emergency department.  In 2001, there was a landmark study by Rivers ...

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Infectious DiseaseResuscitation
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