5 Minute Journal: Second Antibiotic Delays in Sepsis
Author: Dr. Tisma Background/Study Question How often do septic patients receive their second antibiotic dose later than they should? What are the risk factors for these delays? And do these…
5 minute Journal: Hydrocortisone + Fludrocortisone for adults with septic shock
Author: Vanessa I. Petrak, M.D. Background: Septic Shock is a dysregulated host response to infection, resulting in life-threatening circulatory, cellular, and metabolic abnormalities. Sepsis is associated with a dysregulated response of…
5 minute Journal: Shocking Norepi Use
Author: Dr. Collin Wulff, DO Study Question: Does early low-dose norepinephrine improve shock control in those with sepsis with hypotension? Design: Mostly good buzzwords here; single center, randomized, double-blind, placebo…
GCS < 8... Intubate?
Author: Dr. Catherine Buckley
It’s catchy. It rhymes for love’s sake! But is it necessary?
5 Minute Journal: Central Line Placement
Author: Lauran Wirfs
Background:
Central venous access is an important procedure for critically ill patients. One consideration when placing a venous catheter is the risk of catheter-related bloodstream infections (CRBIs), which can be a significant cause of morbidity and mortality in hospitalized patients. In 2012, there were 15 million central venous catheter (CVC) days per year in the US in ICUs, and the rate of infections per catheter days is 3/1000. This post looks at a systematic review done by Marik et. al. that examines CRBIs among internal jugular, subclavian, and femoral central venous sites.
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Bougie’s Galore
Here are some great videos on how to use bougies. Intubation with bougies Scott Weingart… yes, yes, but his video is good. Shows a preloaded bougie, which is what we…
Cricothyrotomy Video
Ruben Strayer of EMUpdates posted a great video on how to do a cricothyrotomy. The only things that I would change are I would likely be swearing a lot more out…
Circulatory Shock
Definitions Treatment More Treatment
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