The EMGuideWire Team is visited by a prior crew
member, Russell Trigonis, MD! Join them as they
discuss how the patient diagnosed with Sepsis in your ED has their
care continued in the ICU!
Pearls
Start pressors with IVF (30-40cc/kg). NE at 7mcg/min
peripherally can always be stopped, but better earlier than
later.
Increase NE until at 20mcg/min, if still hypotensive, then add
a 2nd pressor like Vasopressin at 0.03units/min and 100mg
Hydrocortisone Q8h.
Start antibiotics early and identify source. CXR, US lungs/abd,
UA, CT abd should all be considered.
Procalcitonin is helpful for stopping abx. Doesn’t change ED
treatment.
Join the faculty and residents of Carolinas Emergency Medicine Residency Program, one of the oldest programs in the country, as they explore some of the Core Concepts of Emergency Medicine as well as many of the niche environments of this important arena of specialty care.