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FOAMED

The EM Educator Series: Sepsis in the ED

Welcome back to The EM Educator Series! These posts provide brief mini-cases followed by key questions to consider while working and educating. Today we look at several components of sepsis evaluation and management in the ED, followed by key references.

practice updates

When is Capnography Useful in the ED? Part II

Welcome to Part II of capnography uses in the ED. Capnography is increasingly being utilized in the ED, primarily for endotracheal intubation, cardiac arrest, and procedural sedation. This post will introduce you to several other uses for capnography.

practice updates

Sepsis Biomarkers: What’s New?

Sepsis is a common disease, but sometimes, we need some assistance with the diagnosis and resuscitation of these patients. Can biomarkers help us, or are we wasting time using these measures? What's wrong with just the time-honored history and exam?

practice updates

The Controversies of Corticosteroids in Sepsis

Sepsis is a condition emergency providers manage daily and has the potential for high morbidity and mortality. Sepsis management requires rapid diagnosis, early administration of intravenous (IV) fluids with broad-spectrum antimicrobials, and source control. But what is the role for steroids in sepsis? What are the potential benefits and risks? This post will explore the evidence surrounding corticosteroids in sepsis management to help shed some light on this controversial topic.

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Unstable Sepsis: Airway First? Not Always

Intubation, especially in the septic and critically ill patient, can, by itself, cause hemodynamic abnormalities and/or hypoxemia and hypercapnea. In some situations, it may be important to make sure that the patient is adequately prepared for intubation, both from hemodynamic and pre-oxygenation standpoints. This is a brief review of some suggestions when intubating the very ill patient in the emergency department.