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Noninvasive Management of Sepsis

By ACEP Now | on April 1, 2012 | 0 Comment
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ACEP News: Vol 31 – No 04 – April 2012

Dr. Pendley is a third-year resident at the University of Chicago’s Emergency Medicine Residency Program. Dr. Ahn is a Medical Education Fellow and Clinical Instructor in the Section of Emergency Medicine at the University of Chicago Medical Center. Dr. Robert Solomon is Medical Editor of ACEP News and editor of the Focus On series, core faculty in the emergency medicine residency at Allegheny General Hospital, Pittsburgh, and Assistant Professor in the Department of Emergency Medicine at Temple University School of Medicine, Philadelphia.

Disclosures

Dr. Pendley, Dr. Ahn, and Dr. Solomon have disclosed that they have no significant relationships with or financial interests in any commercial companies that pertain to this article.

Disclaimer

ACEP makes every effort to ensure that contributors to College-sponsored programs are knowledgeable authorities in their fields. Participants are nevertheless advised that the statements and opinions expressed in this article are provided as guidelines and should not be construed as College policy. The material contained herein is not intended to establish policy, procedure, or a standard of care. The views expressed in this article are those of the contributors and not necessarily the opinion or recommendation of ACEP. The College disclaims any liability or responsibility for the consequences of any actions taken in reliance on those statements or opinions.

References

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  8. Levy MM, et al.; Surviving Sepsis Campaign. The Surviving Sepsis Campaign: results of an international guideline-based performance improvement program targeting severe sepsis. Crit. Care Med. 2010 Feb;38(2):367?74.
  9. Dellinger RP, et al. Surviving Sepsis Campaign: International guidelines for management of severe sepsis and septic shock: 2008. Crit. Care Med. 2008;36:296-327. Erratum in: Crit. Care Med. 2008;36:1394-6.
  10. Carlbom DJ, Rubenfeld GD. Barriers to implementing protocol-based sepsis resuscitation in the emergency department. Crit. Care Med. 2007;35:2525-32.
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  18. Brennan JM, et al. A comparison by medicine residents of physical examination versus hand-carried ultrasound for estimation of right atrial pressure. Am. J. Cardiol. 2007;99:1614-6.
  19. Nagdev AD, et al. Emergency department bedside ultrasonographic measurement of the caval index for noninvasive determination of low central venous pressure. Ann. Emerg. Med. 2010;55:290-5.
  20. Yanagawa Y, Sakamoto T, Okada Y. Hypovolemic shock evaluated by sonographic measurement of the inferior vena cava during resuscitation in trauma patients. J. Trauma 2007;63:1245-8.
  21. Nguyen HB, et al. Early lactate clearance is associated with improved outcome in severe sepsis and septic shock. Crit. Care Med. 2004;32:1637-42.
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  23. Shapiro NI, et al. The feasibility and accuracy of point-of-care lactate measurement in emergency department patients with suspected infection. J. Emerg. Med. 2009 (doi:10.1016/j.jemermed.2009.07.021).
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  29. Marshall J, et al. Source control in the management of severe sepsis and septic shock. Crit. Care Med. 2004;32(11 suppl):S513-26.

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Topics: AntibioticCMEDiagnosisEducationEmergency MedicineEmergency PhysicianInfectious DiseaseProcedures and SkillsResearchUltrasound

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