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Adjunctive Glucocorticoid Therapy in Patients with Septic Shock

Adjunctive Glucocorticoid Therapy in Patients with Septic Shock

by Hans Rosenberg | Jun 11, 2018 | Critical Care, Endocrinology, Journal Club, Resuscitation

Methodology Score: 4/5 Usefulness Score: 3/5 Venkatesh B, et al. N Engl J Med. 2018 Jan 19. Journal Club Bottom Line Question/Methods: This was a international, pragmatic, double-blind, randomized, controlled trial comparing hydrocortisone as continuous infusion to...
Prehospital antibiotics in the ambulance for sepsis: a multicentre, open label, randomised trial

Prehospital antibiotics in the ambulance for sepsis: a multicentre, open label, randomised trial

by Hans Rosenberg | Apr 16, 2018 | Infectious Disease, Journal Club

Journal Club Summary Alam N, et al. Lancet Respir Med. 2018 Jan;6(1):40-50.  Question and Methods: The authors of this nation-wide open-label RCT studied the mortality effect of pre-hospital antibiotics on febrile patients with one other non-laboratory SIRS criteria...
Vitamins in the ED: Is it all just expensive pee?

Vitamins in the ED: Is it all just expensive pee?

by Stephanie Barnes, Richard Hoang | Oct 26, 2017 | Critical Care, Featured, Grand Round Summaries, Uncategorized

The global vitamin and supplement industry is expected to be worth $278 billion by 2024. “Wellness” as a concept and industry, which often includes vitamin and supplement use, is heavily promoted by celebrities, athletes, and social media stars. IV therapy lounges are...
Focus on POCUS: Ultrasound in undifferentiated shock

Focus on POCUS: Ultrasound in undifferentiated shock

by Michael Wong, Brandon Ritcey, Shahbaz Syed | Sep 21, 2017 | Featured, Ultrasound

A female in her 70s from a nursing home with a past medical history of dementia, obesity, COPD, and CHF presents to the emergency department with a decreased level of consciousness and shortness of breath. Seven days ago she was assessed in the ER with a diagnosis of...

Time to Treatment and Mortality during Mandated Emergency Care for Sepsis

by Hans Rosenberg | Sep 11, 2017 | Critical Care, Infectious Disease, Journal Club

Journal Club Summary Seymour CW, et al. Journal N Engl J Med. 2017 Jun 8;376(23):2235-2244. EDITORIAL: State Sepsis Mandates – A New Era for Regulation of Hospital Quality. Hershey TB, et al. N Engl J Med. 2017 May 21. Methodology Score:  3.5/5 Usefulness Score:...
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