Research

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20 03, 2017

Tired of wasting time in ER waiting rooms?

By |2017-03-20T12:55:29-07:00March 20th, 2017|Research|Comments Off on Tired of wasting time in ER waiting rooms?

Value added wait time is a big focus for our patients, they want to get back home ASAP and stop being a patient.  This study from the Annals of Emergency Medicine looks at the effects of waiting room work-ups.  Pretty intuitive...they work! Initiating Diagnostic Studies on Patients c AP in the Waiting Room Decreases Time [...]

17 03, 2017

Management of Sepsis and Septic Shock: JAMA Clinical Guidelines Synopsis Howell MD, et al. JAMA 2017 Jan 19

By |2017-03-17T09:23:20-07:00March 17th, 2017|Research|Comments Off on Management of Sepsis and Septic Shock: JAMA Clinical Guidelines Synopsis Howell MD, et al. JAMA 2017 Jan 19

This article serves as a counterpoint to my previous post calling into question current dogma around evidence based sepsis protocols. http://jamanetwork.com/journals/jama/article-abstract/2598892

17 03, 2017

Food For Thought “Six myths promoted by the new surviving sepsis guidelines”

By |2017-03-17T08:40:42-07:00March 17th, 2017|Research|Comments Off on Food For Thought “Six myths promoted by the new surviving sepsis guidelines”

I will admit to having been on the Rivers train (EGDT) and many subsequent iterations related to protocolized sepsis therapy for over a decade.  This article by Josh Farkas does a good job of summarizing some different perspectives on the current state of evidence bases sepsis therapy.  What it doesn't address is how protocolized sepsis [...]

9 09, 2016

5. When diuretics may not be the place to start in the ED treatment of HF

By |2016-09-09T10:00:30-07:00September 9th, 2016|Research|Comments Off on 5. When diuretics may not be the place to start in the ED treatment of HF

5. When diuretics may not be the place to start in the ED treatment of HF Management approaches for patients in the emergency department (ED) who present with acute heart failure (AHF) have largely focused on intravenous diuretics. Yet, the primary pathophysiologic derangement underlying AHF in many patients is not solely volume overload. Patients with [...]

9 09, 2016

Using RNA expression profiling to differentiate children with bacterial disease from those with viral disease

By |2016-09-09T09:52:38-07:00September 9th, 2016|Research|Comments Off on Using RNA expression profiling to differentiate children with bacterial disease from those with viral disease

Clinicians who care for children have encountered the same questions for decades: does the child have an infection, is it likely bacterial or viral, and is an antibiotic indicated? These questions were further complicated by the “discovery” of bacteremia.   Read the full article here