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To ‘Roid or not to ‘Roid: Steroids in the ED!

To ‘Roid or not to ‘Roid: Steroids in the ED!

by emottawa | Mar 1, 2016 | Endocrinology, Grand Round Summaries

      Steroids have been used in medicine for their immune-modulating effects for decades, but how much of their use is actually evidence based?  Here we review the most recent literature for their use in four select presentations often seen in the Emergency...

Systemic inflammatory response syndrome criteria in defining severe sepsis

by emottawa | Nov 3, 2015 | Journal Club

Journal Club Summary Methodology Score: 4/5                  Usefulness Score: 3.5/5   Kaukonen KM, Bailey M, Pilcher D, et al. N Engl J Med. 2015 Apr 23;372(17):1629-38. Full Article   This retrospective multicenter study found that the use of SIRS criteria to define...

A randomized trial of protocol-based care for early septic shock

by emottawa | Oct 27, 2014 | Journal Club

Journal Club Summary Landmark Series Methodology Score: 4/5 Usefulness Score:  4/5 ProCESS Investigators  N Engl J Med. 2014 May 1;370(18):1683-93. Abstract Link    This large multicentre U.S. RCT of 1341 septic patients found no significant differences in mortality...

Albumin replacement in patients with severe sepsis or septic shock

by emottawa | Sep 22, 2014 | Journal Club

Journal Club Summary Methodology Score: 3.5/5              Usefulness Score: 2.5/5   Caironi P, Tognoni G, et al. the ALBIOS Study Investigators. N Engl J Med. 2014 Mar 18. Abstract Link   This was an open-label RCT of 1,800 ICU patients with severe sepsis or septic...

Hydroxyethyl Starch 130/0.42 versus Ringer’s Acetate in Severe Sepsis

by EMOttawa | Nov 18, 2013 | Journal Club, landmark

Journal Club Summary Landmark Series Methodology Score: 4/5                 Usefulness Score: 4.5/5   Perner A, et al.; 6S Trial Group; Scandinavian Critical Care Trials Group. N Engl J Med. 2012 Jul 12;367(2):124-34   Article Link   This multi-centre, double-blind,...
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World-Class Emergency Medicine: To provide outstanding compassionate emergency care through practice-changing research and innovative medical education. For more about our department, visit us at EMOttawa.

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World-Class Emergency Medicine: To provide outstanding compassionate emergency care through practice-changing research and innovative medical education. For more about our department, visit us at EMOttawa.

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