Surviving Sepsis Campaign: COVID-19 Guidelines

The Surviving Sepsis Campaign COVID-19 panel issued 54 statements, of which 4 are best practice statements, 9 are strong recommendations, and 35 are weak recommendations. No recommendation was provided for 6 questions. The topics were: 1) infection control, 2) laboratory diagnosis and specimens, 3) hemodynamic support, 4) ventilatory support, and 5) COVID-19 therapy.

Neutropaenic fever in kids

  Don’t be fooled. The patient with no immune system deserves significant respect and requires our vigilance. Be thorough.Where is the source? Look at the mucous membranes and consider necrotizing fasciitis (i.e., look in the perineum)! Be aggressive! If the child looks sick, throw all of the antibiotics at them. If the child looks well, […]

Vasopressors for Septic Shock

Epinephrine and norepinephrine are both acceptable, evidence-based approaches to hemodynamic support in septic shock. Individual patient responsiveness to vasopressors is variable and unpredictable. Some patients respond better to epinephrine than norepinephrine. For patients who are not responding well to norepinephrine, it is reasonable to empirically trial a low dose of epinephrine (“epinephrine challenge”).

Emergency Medicine Kenya Foundation