Critical Care , Critical Care Alert , Sepsis

Critical Care Alert: Effect of Vitamin C, Thiamine and Hydrocortisone on Ventilator- and Vasopressor-Free Days in patients with sepsis - The VICTAS Randomized Clinical Trial

3/15/2021 Brian Sumner, MD

Does treatment with vitamin C, thiamine, and hydrocortisone lead to an increase in the number of days alive and free of mechanical ventilation and vasopressor use? The latest EMRA Critical Care Alert

Critical Care , Critical Care Alert , Cardiology , Sepsis

Critical Care Alerts: Effect of Ultra-Short-Acting Beta-blockers on Mortality in Patients with Persistent Tachycardia Despite Initial Fluid Resuscitation: A Systematic Review and Meta-Analysis

3/3/2021 Nicholas Huth , Jonathan Pickos, DO , Brian Sumner, MD

The latest EMRA Critical Care Alert examines a study that questions whether ultra-short-acting beta-blockers, such as esmolol and landiolol, reduced 28-day mortality in septic patients with persistent

Social EM , Sepsis , Hematology

Septic Thrombophlebitis as a Consequence of Intravenous Drug Use Disorder

10/9/2020 Ali Elsaied, DO , Kuljit Kaur, DO , Darragh Cullen, DO

This is a unique case of Lemierre's syndrome in a person who injects drugs (PWID) without a history of recent oropharyngeal infection or the presence of a central venous catheter.

Critical Care , Sepsis , Shock , Deep Dive in CritCare

Deep Dive into the Evidence: Steroids in Septic Shock

2/5/2019 Sean M. Hickey, MD , Susannah Empson, MD , Emily Gillespie , Meghan Gorski, DO , Yanika Wolfe, MD

The use of exogenous steroids in septic shock is a controversial issue with inconsistent data on mortality to date. Several studies examine sepsis treatment. What does the evidence show?

Medical Education , Sepsis , Critical Care

SIRS Criteria: A Nidus for Bias and How to Minimize It

1/31/2018 Erich Burton, DO , Michael Stanley, DO

SIRS Criteria: A Nidus for Bias and How to Minimize It As the use of SIRS persists, it’s worth re-examining its intended application, potential for error, and current utility. With the removal of Sys

Disaster Medicine , Sepsis

Preshospital Sepsis Alerts: A Stemi or Stroke Equivalent?

6/5/2017 Michael Spigner, MD, EMT-CC , Alanna O'Connell, DO

Preshospital Sepsis Alerts: A Stemi or Stroke Equivalent? “This is Medic 19 bringing in a Sepsis Alert, ETA 5 min.” With that alert, you mobilize your team and prepare for the patient. When they arr

Sepsis , Critical Care , Critical Care Alert

Critical Care Alert: Prognostic Accuracy of Sepsis-3 Criteria for In-Hospital Mortality Among Patients with Suspected Infection

3/1/2017 Jonathan Jaffe, MD

Critical Care Alert: Prognostic Accuracy of Sepsis-3 Criteria for In-Hospital Mortality Among Patients with Suspected Infection A 78-year-old female presents to the emergency department with altered

Sepsis , Critical Care

Sepsis-3: Redefining Sepsis

8/1/2016 Sarah Perman, MD MSCE , Mariana Guerrero, MD

Sepsis-3: Redefining Sepsis What EM Residents Need to Know Sepsis definitions were last revised in 2001. Since then, discoveries have been made regarding the pathobiology, management, and epidemiolog

Clinical , Critical Care , Sepsis , Pediatric EM

In Shock: The Approach to Pediatric Sepsis

6/13/2015 Jessica Wall, MD

In Shock: The Approach to Pediatric Sepsis Introduction and Sepsis Review Whether in a pediatric or adult patient, the physiologic process of sepsis remains the same. Sepsis is a systemic inflammator

Clinical , Critical Care , Sepsis

The Enlightened Era of Sepsis Management

1/7/2015 Melvin Ku, MD , Matthew Sarsfield, MD

The Enlightened Era of Sepsis Management Since the Surviving Sepsis Campaign (SCC) Guidelines came out in early 2013,1 literature on sepsis management has expanded with not only the ProCESS trial,2 b

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