Critical Care Alert , Critical Care , Sepsis , Shock

Critical Care Alert: Methylene Blue in Septic Shock

7/6/2023 Emily D. Geyer, MD , Mustafa Rasheed, MD , Evan McMurray, MD

Can methylene blue play a role in treating your patient with septic shock? This randomized control trial shows earlier vasopressor discontinuation and shorter ICU and hospital lengths of stay - but no

CCA - fludrocortison hydrocortisone for septic shock.jpg

Critical Care Alert , Critical Care , Sepsis , Shock

Critical Care Alert: Effectiveness of Fludrocortisone and Hydrocortisone vs. Hydrocortisone Alone Among Patients with Septic Shock

6/26/2023 Gabriel Colon, MD , Evan McMurray, MD

In a recent study, fludrocortisone added to hydrocortisone was associated with increased hospital survival, shorter hospital lengths of stay, and decreased vasopressor duration when compared to hydroc

Infectious Disease , Sepsis

Sepsis Alert: Care Pathways in the ED

1/30/2023 Amelia R. Barber, MD , Keasha N. Kuhnen, DO

Sepsis identification tools have many criticisms and vulnerabilities. The value of different sepsis care pathways has been a major area of research and discussion among clinicians. This has caused lar

Critical Care Alert , Sepsis , Urology

Pelvic Sepsis: A Fatal Complication of Routine Hemorrhoidectomy

1/30/2023 Carly Rosen, MD , William Bonadio, MD , Jessica Fleischer-Black, MD

Pelvic sepsis is a well-known and feared complication of colorectal and urologic surgery; however, it is not common and may not be recognized by emergency physicians. Patients may present with only mi

Cardiology , Infectious Disease , Sepsis , Critical Care

In A Heartbeat: Septic Cardiomyopathy

8/10/2021 Lindsay Davis, DO, MPH, NRP , Bryce Taylor, DO, MS

Septic cardiomyopathy (colloquially known as septic heart) lacks formal criteria, but emergency physicians should be aware of generally accepted clinical signs. Awareness of septic cardiomyopathy as a

Critical Care , Critical Care Alert , Sepsis

Critical Care Alert: Fluid Resuscitation in Sepsis Induced Hypotension

8/2/2021 Erik Sherman, MD , Brian Sumner, MD

Early fluid resuscitation has been proven to be a fundamental component in improving survival for patients with severe sepsis or septic shock. But what happens when a patient has cirrhosis?

Critical Care , Critical Care Alert , Sepsis , COVID-19 , Airway

Critical Care Alert: Ketamine-Only Intubation Method in the ED

7/20/2021 Erik Sherman, MD , Brian Sumner, MD

ED intubations are typically carried out using rapid sequence intubation (RSI), utilizing both a sedative agent and neuromuscular blocking agent. What are the indications and complications of opting f

Critical Care , Critical Care Alert , Sepsis , COVID-19 , Airway

Critical Care Alert: Dexmedetomidine or Propofol for Sedation in Mechanically Ventilated Adults with Sepsis

7/9/2021 Brandon Chaffay, MD , Brian Sumner, MD

When patients with sepsis are mechanically ventilated, which sedation leads to better outcomes: dexmedetomidine or propofol?

Infectious Disease , Sepsis

Sick as a Dog: A Case of Overwhelming Post-splenectomy Infection

6/11/2021 Ashley Rider, MD , Tsuyoshi Mitarai, MD , Jennifer Wilson, MD, MS

Although it is rare, it is important to recognize C. canimorsus sepsis, as it is associated with high mortality rate and the patient can deteriorate rapidly.

Critical Care , Critical Care Alert , Sepsis

Critical Care Alert: Effect of Early Balanced Crystalloids Before ICU Admission on Sepsis Outcomes

4/5/2021 Jonathan Pickos, DO , Brian Sumner, MD

When and what type of IV fluid should you administer for critically ill patients in order to achieve the best outcome in terms of sepsis? This study examines balanced fluid resuscitation started in th

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