Tag: sepsis

World Sepsis Conference: #wsc18 an Online, Free, #FOAMed style conference this week. 5th/6th September.

There is no doubt that I love a conference. I’ll freely admit this. I love the travel, the connections and the opportunity to learn, but I also have anxieties about the inequality of conferences, notably

The End of the ‘Roid? JC: ADRENAL

So another year, another Critical Care Reviews meeting. Rob is doing an absolutely fantastic job with these, inviting lead authors from major critical care trials to present and defend their work. In fact, this is

Are you PROcalcitonin? St.Emlyn’s goes bug-hunting.

At work the other day, someone mentioned that we could use procalcitonin to distinguish between viral and bacterial infections, particularly in the paediatric population. It was touted as the answer to that age-old question, “should

JC: Vitamin SCepTiC?

        We all love the idea of a magic bullet for sepsis. Despite having had our fingers burnt here before (like this time, and this time and that time…), the search continues

JC: Are we getting cosy on the septic SOFA? St.Emlyn’s

  Identifying, treating and prognosticating patients who attend the Emergency Department with infective symptoms, is part of the bread and butter of an emergency physician’s practice. It’s important that we identify patients that will develop

Holy Smokes! Batman, the SOFA and the Latest Sepsis Definitions

We can be a confused bunch when it comes to sepsis.  We have seen definitions, debates and controversies as to how we treat and what we treat.  Today a new definition was unleashed on the

Maestrini, Frank, Starling, Guyton…….and Fluids at St.Emlyn’s

Intravenous fluids are one of the most frequently implemented interventions that we, as doctors, prescribe. We give maintenance fluids (not so frequently in the ED) and we give resuscitation fluids. Recently the results of the

Sepsis 2015: EGDT without the “G”?

  Sepsis has been a big topic of research over the years (understatement), and the last 18 months have seen the publication of data that has made us, once again, rethink how we approach these

The ProMISe Study: EGDT RIP?

Today is another landmark in the history of sepsis research. The long awaited results of the ProMISe trial are finally published in the New England Journal of Medicine. At 56 hospitals across the United Kingdom

How low can you go? Experiential learning at St.Emlyn’s

Some time ago I was teaching our foundation (most junior) doctors about sepsis with a focus on the interpretation of blood gases. The teaching session ran along the usual lines of normal ranges, basic physiology

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