Podcast 598: Sepsis, Round One
Emergency Medical Minute22 Sep 2020

Podcast 598: Sepsis, Round One

Contributor: Aaron Lessen, MD

Educational Pearls:

  • Early antibiotics have been shown to improve outcomes in septic patients time after time
  • Emerging evidence challenges the concept of one-size-fits-all large fluid boluses for septic shock patients and fluid may worsen patients who have underlying sepsis-induced pulmonary capillary leak
  • Starting peripheral vasopressors early, and relaxing if fluid resuscitation is successful, is appearing to be a more appropriate strategy than fluids first, then vasopressors

References

CLASSIC Trial Group; Scandinavian Critical Care Trials Group. Restricting volumes of resuscitation fluid in adults with septic shock after initial management: the CLASSIC randomised, parallel-group, multicentre feasibility trial. Intensive Care Med. 2016 Nov;42(11):1695-1705. doi: 10.1007/s00134-016-4500-7. Epub 2016 Sep 30. PMID: 27686349.

Permpikul C, Tongyoo S, Viarasilpa T, Trainarongsakul T, Chakorn T, Udompanturak S. Early Use of Norepinephrine in Septic Shock Resuscitation (CENSER). A Randomized Trial. Am J Respir Crit Care Med. 2019 May 1;199(9):1097-1105. doi: 10.1164/rccm.201806-1034OC. PMID: 30704260.

Summarized by Jackson Roos, MS4 | Edited by Erik Verzemnieks, MD



Avsnitt(1146)

CBHW Summit: Safe Prescribing 101/201

CBHW Summit: Safe Prescribing 101/201

From DU's 1st annual Colorado Behavioral Health and Wellness Summit: Contributor: Christopher Urbina, MD, MPH, Colorado Consortium for Prescription Drug Abuse Prevention

27 Nov 20191h 8min

CBHW Summit: Male Mental Health - A Crisis in Public Health

CBHW Summit: Male Mental Health - A Crisis in Public Health

From DU's 1st annual Colorado Behavioral Health and Wellness Summit: Contributor: Jason Vitello, MSW, Behavioral Health Coordinator, Denver Public Health/CPHA

27 Nov 201952min

CBHW Summit: Children's Mental Health

CBHW Summit: Children's Mental Health

From DU's 1st annual Colorado Behavioral Health and Wellness Summit: Contributors: Sarah Davidon, EdD, Director of Research & Child and Adolescent Strategy, Mental Health Colorado, and Sarah Younggren...

27 Nov 20191h 6min

CBHW Summit: Positive Psychology and Well-Being

CBHW Summit: Positive Psychology and Well-Being

From DU's 1st annual Colorado Behavioral Health and Wellness Summit: Contributor: Carl Clark, MD, President & Chief Executive Officer, Mental Health Center of Denver

27 Nov 201923min

CBHW Summit: Words Matter - How Language Can Shift Public Thinking

CBHW Summit: Words Matter - How Language Can Shift Public Thinking

From DU's 1st annual Colorado Behavioral Health and Wellness Summit: Contributor: Karen Prestia, MBA, Director, Marketing & Communications, Mental Health Center of Denver

27 Nov 201933min

CBHW Summit: Integrated Substance Use, Family Systems, and Culturally Responsive Treatment in Community Mental Health Settings

CBHW Summit: Integrated Substance Use, Family Systems, and Culturally Responsive Treatment in Community Mental Health Settings

From DU's 1st annual Colorado Behavioral Health and Wellness Summit: Contributors: Allison Miller, LCSW, LAC, Program Manager of Child and Family Outpatient Services, Mental Health Center of Denver, a...

26 Nov 20191h 11min

CBHW Summit: Substance Use During the Perinatal Period

CBHW Summit: Substance Use During the Perinatal Period

From DU's 1st annual Colorado Behavioral Health and Wellness Summit: Contributors: Tracy Vozar, Ph.D., Director of the Infant and Early Childhood Mental Health Specialty, and Jennifer M. Tippett, Psy...

26 Nov 20191h 5min

CBHW Summit: Strategies for Remaining Adaptive and Agile in Response to the Dynamic Issue of Substance (Mis)use

CBHW Summit: Strategies for Remaining Adaptive and Agile in Response to the Dynamic Issue of Substance (Mis)use

From DU's 1st annual Colorado Behavioral Health and Wellness Summit: Contributors: Marion Rorke, MPH, Substance Use Resource Coordinator, City and County of Denver, and Maggie Kauffman, MPH, Health Eq...

26 Nov 201932min

Populärt inom Vetenskap

dumma-manniskor
svd-nyhetsartiklar
p3-dystopia
kapitalet-en-podd-om-ekonomi
allt-du-velat-veta
rss-ufo-bortom-rimligt-tvivel
det-morka-psyket
medicinvetarna
rss-vetenskapsradion
rss-vetenskapsradion-2
sexet
rss-experimentet
pojkmottagningen
hacka-livet
rss-spraket
dumforklarat
rss-broccolipodden-en-podcast-som-inte-handlar-om-broccoli
halsorevolutionen
bildningspodden
rss-arkeologi-historia-podden-som-graver-i-vart-kulturlandskap