Tag: sepsis

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

Paediatric sepsis: The first hour. PLUS St.Emlyn’s at #Retrieval2014

I was absolutely delighted this week to attend the first day of the Retrieval 2014 conference in Glasgow. I first came across this conference in 2013 when I followed the twitter feed which had #FOAMed

JC: What has an awesome NNT of 5.8 for severe sepsis? St.Emlyn’s

Last week we saw the publication of the ProCESS study suggesting that protocolised treatment of sepsis makes little difference to outcome. A little earlier we heard that cooling to 33C vs 36C may not make

JC: Is Early Goal Directed Therapy dead? St.Emlyn’s

 Gosh, hardly a day goes by in the world of FOAMed without another tweet alerting me to the wonders of research. Today is no exception and despite being here at SMACCGold, needing to go for

New Surviving Sepsis Guidelines – What’s new? St.Emlyn’s

After much anticipation the new surviving sepsis guidelines have been published in critical care medicine. There will no doubt be much conversation, debate and discussion about this in the coming weeks and I’ll bet Scott