ACP Hospitalist provides hospital-based physicians with news and information about the practice of hospital medicine.
Although early treatment is key in sepsis management, obtaining blood cultures after initiation of empirical antimicrobial treatment reduces culture sensitivity, a diagnostic study found. ... At seven EDs in the U.S. and Canada, researchers obtained
Many think a sepsis diagnosis requires positive blood cultures and is associated with an extremely grim prognosis. ... Sepsis is now defined as SIRS (systemic inflammatory response syndrome) due to an infection.
The VICTAS Trial found no increase in ventilator- or vasopressor-free days within 30 days in critically ill patients with sepsis who received vitamin C, thiamine, and hydrocortisone versus placebo. ... Combination treatment with vitamin C, thiamine, and
This column discusses the new CMS specialty code for hospital medicine and developments in sepsis criteria. ... Meanwhile, Medicare recovery audit contractors may adopt Sepsis-3 criteria for the clinical validation of sepsis.
Overall, 14,046 patients with troponin I levels measured during sepsis were included in the study. ... They concluded that in patients with no preexisting cardiovascular disease, modestly elevated troponin I levels during sepsis could indicate risk for
The conference defined sepsis as SIRS (systemic inflammatory response syndrome) due to infection. ... Surviving sepsis campaign: international guidelines for management of severe sepsis and septic shock: 2012.
Red blood cell transfusion did not appear to affect overall mortality in critically ill patients with sepsis, a study found. ... a database including patients with sepsis at admission, excluding patients with hemorrhagic shock at admission.
Severe sepsis is sepsis with evidence of end-organ dysfunction due to hypoperfusion. ... Various trials have confirmed the efficacy of normal saline administration in sepsis management.
Strategies to detect critical illness, particularly sepsis, in non-ICU patients were analyzed in a supplement to the November Journal of Hospital Medicine. ... The last article described a sepsis recognition program that began with 60 academic and