Antimicrobial Stewardship in the Management of Sepsis

Dec 13, 2017 by in Uncategorized Comments Off on Antimicrobial Stewardship in the Management of Sepsis

Sepsis represents a unique clinical dilemma with regard to antimicrobial stewardship. The standard approach to suspected sepsis in the emergency department centers on fluid resuscitation and timely broad-spectrum antimicrobials. The…

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Pitfalls in the Treatment of Sepsis

Dec 13, 2017 by in Uncategorized Comments Off on Pitfalls in the Treatment of Sepsis

Sepsis is a challenging, dynamic, pathophysiology requiring expertise in diagnosis and management. Controversy exists as to the most sensitive early indicators of sepsis and sepsis severity. Patients presenting to the…

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Prehospital Sepsis Care

Dec 13, 2017 by in Uncategorized Comments Off on Prehospital Sepsis Care

Prehospital care providers are tasked with the delivery of time-sensitive care, and emergency medical services (EMS) systems must match patients to appropriate clinical resources. Modern systems are uniquely positioned to…

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Sepsis in Special Populations

Dec 13, 2017 by in Uncategorized Comments Off on Sepsis in Special Populations

Sepsis is recognized by the presence of physiologic and laboratory changes that reflect the inflammatory response to infection on cellular and systemic levels. Comorbid conditions, such as cirrhosis, end-stage renal…

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Pediatric Sepsis

Dec 13, 2017 by in Uncategorized Comments Off on Pediatric Sepsis

Pediatric sepsis is distinct from adult sepsis in its definitions, clinical presentations, and management. Recognition of pediatric sepsis is complicated by the various pediatric-specific comorbidities that contribute to its mortality…

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Ready for Prime Time? Biomarkers in Sepsis

Dec 13, 2017 by in Uncategorized Comments Off on Ready for Prime Time? Biomarkers in Sepsis

Sepsis is a common condition managed in the emergency department. Current diagnosis relies on physiologic criteria and suspicion of a source of infection using history, physical examination, laboratory studies, and…

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End Points of Sepsis Resuscitation

Dec 13, 2017 by in Uncategorized Comments Off on End Points of Sepsis Resuscitation

Resuscitation goals for the patient with sepsis and septic shock are to return the patient to a physiologic state that promotes adequate end-organ perfusion along with matching metabolic supply and…

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Vasopressors and Inotropes in Sepsis

Dec 13, 2017 by in Uncategorized Comments Off on Vasopressors and Inotropes in Sepsis

Vasopressor and inotropes are beneficial in shock states. Norepinephrine is considered the first-line vasopressor for patients with sepsis-associated hypotension. Dobutamine is considered the first-line inotrope in sepsis, and should be…

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