Category: sepsis
JC: Effect of Ascorbic Acid, Corticosteroids, and Thiamine on Organ Injury in Septic Shock. The ACTS Randomized Clinical Trial St Emlyn’s
Back in 2017 the sepsis world had a rather strong reaction to a paper published by Paul Marik that suggested that a combination of steroid, vitamin C and Thiamine could cure sepsis. The data, published …
JC: The Vitamins trial. Hydrocortisone, Vit C and Thiamine (Marik protocol – or not?) in sepsis. St Emlyn's
You may remember the controversy about Paul Marik’s suggestions that a combination of Vitamin C, steroids and Thiamine (sometimes known as HAT1) is a cure all for sepsis. There were some rather dramatic claims that …
JC: The 65 trial. Targeting MAP in sepsis. St Emlyn's at #CCR20
Editors note: This blog is based on the presentation of the 65 trial at the Critical Care Reviews conference in Belfast. We will add more data, and be able to add a more detailed critical …
All you need to know about Listeria. St Emlyn’s.
Before you start reading this blog summary, I have a small confession to make: I do not think I have ever treated an adult patient with confirmed Listeria infection. Maybe this is because of the …
Micro Machines: Sick Neonates at #RATH2018
Micro Machines – Sick Neonates at #RATH2018 If there’s one area in paediatric emergency medicine that seems to scare people more than any other, it’s neonates. It’s hard to fathom how something so small can …
St.Emlyn’s at #EuSEM18 – Day 1
They said Marvel’s Avengers: Infinity War was the biggest crossover event in history, then along came a joint conference between the Royal College of Emergency Medicine and the European Society For Emergency Medicine. I think …
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 …
JC: The End of the ‘Roid? 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 …
Taking a travel history in the ED by StEmlyns
Clinical scenario: A young man returns from Thailand where he spent two weeks in rural areas backpacking, rafting, mountain climbing before he starts university back home in Scotland. He has returned to the UK …
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 …