DERMATOLOGY AND RHEUMATOLOGY
Staphylococcal Scalded Skin Syndrome (SSSS) is a serious condition characterized by red blistering skin resembling burns. It is caused by toxins from Staphylococcus aureus, leading to exfoliation of the skin. Common in infants, the elderly, and immunocompromised individuals, SSSS requires prompt dia
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Understanding Sepsis: Current Management Strategies and Global Efforts
Sepsis is a life-threatening infectious illness with significant global impact. The World Sepsis Declaration of 2012 underscores the need for improved recognition, prevention, and treatment strategies to address the high burden of sepsis worldwide. Efforts are being made to enhance management guidel
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Risks and Strategies for Safe Caesarean Deliveries in South Africa
Understanding the mortality burden related to caesarean deliveries (CD) in South Africa, this report highlights the need for safe CD practices amidst high maternal death rates. Factors influencing safe CD, checklists for accreditation, and strategies for action plans are discussed. The Case Fatality
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Case Study: Sepsis Presentation and Management in Two Patients
Mrs. NP, a 55-year-old woman with a background of cirrhosis from heavy alcohol use, presented to the ED with symptoms suggestive of sepsis. Examination revealed a febrile state, elevated blood pressure, and altered mental status. Investigations were initiated to determine the cause, with differentia
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Enhancing Pediatric Care with the Irish Paediatric Early Warning System (PEWS)
The Irish Paediatric Early Warning System (PEWS) has been updated to align with National Sepsis Guidance in May 2023. It aims to assist in recognizing and responding to deterioration in pediatric patients, emphasizing the importance of clinical judgment and individualized assessment. PEWS does not r
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Early Vasopressors in Sepsis Clinical Trial: Improving Patient Outcomes
This UK-wide clinical trial aims to assess the effectiveness of early peripheral norepinephrine infusion in adult patients with septic shock. The study will compare the impact on mortality and other outcomes of targeting a mean arterial pressure (MAP) above 65mmHg within the first 48 hours of admiss
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Sepsis Risk Awareness Tool (RAT) Training Program Overview
The Sepsis Risk Awareness Tool (RAT) training program by The Virginia Department of Behavioral Health and Developmental Services aims to educate support coordinators, DSPs, and caregivers about the risk factors, signs, and symptoms of sepsis. It covers definitions, risk factors, signs, symptoms, dia
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National Audit Results for Severe Sepsis and Septic Shock 2016/17
This presentation outlines the national results of a clinical audit conducted in 2016/17 regarding the management of severe sepsis and septic shock in Emergency Departments (EDs). The audit objectives include benchmarking current performance, facilitating national and peer comparisons, identifying a
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Overview of Acute Pyelonephritis: Diagnosis, Treatment, and Epidemiology
Acute pyelonephritis is a serious bacterial infection of the kidneys, leading to complications such as renal scarring and sepsis. This overview covers key aspects including epidemiology, etiology, clinical presentations, and risk factors. Diagnosis, treatment, and prevention strategies are also disc
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Collaborating to Combat Sepsis: Role of Respiratory Therapists
Sepsis is a critical condition involving infection and inflammation, where the body's response causes widespread symptoms. Learn about the continuum of sepsis, its pathophysiology, and respiratory warning signs. Respiratory therapists play a crucial role in identifying and managing sepsis, with stat
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Implementation of UCLA Sepsis BPA Functionality & Careplan
The UCLA Sepsis Best Practice Alert (BPA) system aids in creating timely and effective care plans for patients diagnosed with sepsis. This comprehensive guide covers the activation triggers, BPA location, creation process, and elements of the Sepsis Careplan, emphasizing the importance of early inte
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Importance of Nutrition in Patient Healing and Recovery
Gain insight into the critical role of nutrition in aiding patients in their recovery from injuries and enhancing their physical well-being post-injury. Explore the phases of injury, the physiological and metabolic impacts of each phase, and the corresponding nutritional support strategies. Delve in
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Understanding Early-Onset Sepsis (EOS) Risk Factors and Management in Newborns
Neonatal Early-Onset Sepsis (EOS) is a rare but life-threatening condition primarily caused by Group B Streptococcus (GBS) or Escherichia coli. Recognizing risk factors such as maternal age, intrapartum fever, GBS colonization, and certain neonatal characteristics is crucial for timely evaluation an
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Improving Sepsis Care Pathways: Rob's Story Highlights Areas for Enhancement
Rob's journey through a sub-optimal sepsis care pathway sheds light on crucial areas for improvement, such as insufficient education, poor communication, tracking issues, and serious implications leading to family distress and legal challenges. The story emphasizes the importance of timely and effec
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Prevention and Management of Puerperal Sepsis and Infections
Puerperal sepsis and infections are serious conditions affecting women postpartum. Puerperal sepsis is characterized by specific symptoms, while puerperal infections are more general. Prevention includes antenatal care, strict intrapartum hygiene practices, and timely interventions. By following gui
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Understanding Intestinal Obstruction: Causes, Classification, and Pathophysiology
Intestinal obstruction can be classified into dynamic and adynamic types, with various causes such as intraluminal faecal impaction, malignancy, and hernia. The pathophysiology involves changes in bowel peristalsis and dilation, leading to potential strangulation and ischemia. Morbidity and mortalit
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Understanding Determinants of Maternal Death: Causes, Factors, and Response
This educational session delves into the determinants of maternal death, distinguishing between causes and factors that increase the risk of maternal mortality. It covers possible determinants like hemorrhage, sepsis, and poor access to healthcare services, and discusses the Three Delays model for i
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Managing Complications in Postpartum Period: Puerperal Sepsis Overview
Puerperal sepsis, a leading cause of maternal death, can be prevented through hygiene practices and early identification. Learn about the risk factors, diagnosis, and prevention strategies for maternal sepsis in the postpartum period.
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Understanding Preterm Delivery: Causes, Complications, and Evaluation
Preterm delivery, defined as labor prior to 37 weeks of gestation, affects approximately 12% of pregnancies worldwide, with almost 30% of these deliveries occurring before 34 weeks. The etiology of preterm birth can vary from maternal factors such as PROM to fetal anomalies and multiple gestations.
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Biomarker-Guided Antibiotic Duration in Sepsis Patients
This research focuses on evaluating the safety and efficacy of a biomarker-guided approach to determine the duration of antibiotic treatment in hospitalized adult patients with sepsis. The study involves a multi-centre randomized controlled trial to assess if a treatment protocol based on monitoring
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Understanding Glasgow Coma Score in Head Injury, Stroke & Encephalopathy
A 61-year-old female with intractable headache and eye pain was admitted for sepsis secondary to herpes zoster, leading to encephalopathy and CO2 Narcosis. Through accurate Glasgow Coma Score (GCS) documentation, the Severity of Illness (SOI) and Risk of Mortality (ROM) were improved. Coding guideli
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Understanding Sepsis and Its Impact on Patient Care
Sepsis is a life-threatening condition resulting from the body's response to an infection, leading to shock, multiple organ failure, and potentially death if left untreated. Recognizing and treating sepsis promptly is crucial, as it has a high mortality rate and can have a significant impact on pati
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Understanding Sterilization and Aseptic Techniques in Operating Room Setup
Explore the methods and processes of sterilization, principles of aseptic techniques, and operating room setup for patient safety. Learn terminologies related to sterilization, asepsis, sepsis, antiseptics, and disinfection to ensure a sterile environment for medical procedures.
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Understanding and Preventing Sepsis: Vital Information for Caregivers
Sepsis is a life-threatening condition caused by the body's response to infection. Learn about the symptoms, prevention strategies, and how to recognize and respond to sepsis in a healthcare setting. The importance of reporting vital signs accurately and understanding patient behavior is also highli
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Ignaz Semmelweis and the Fight Against Puerperal Fever
Ignaz Semmelweis, a pioneer in antiseptic procedures, determined the cause of puerperal fever in the 19th century. His work led to a significant reduction in maternal mortality by identifying the importance of handwashing in healthcare settings. Puerperal fever, a common cause of death in women afte
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Implementation of Sepsis Management Guidelines at Roscommon University Hospital
Sepsis, a life-threatening condition, necessitates timely management for improved outcomes. Roscommon University Hospital implemented the Sepsis Screening Program in 2016 with the objective of standardizing practices, educating teams, and assessing outcomes. The initiative includes training, tool im
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Understanding Ion Channel Dysfunction in Critical Illness
An intriguing case study presents a young male with weakness and coma in the ICU following pneumonia and sepsis. Nerve conduction results indicated critical illness myopathy and polyneuropathy, along with cardiac abnormalities. Reduced muscle excitability was attributed to a sodium channelopathy. Th
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Importance of Vaccinations in Sepsis Prevention
Sepsis is a life-threatening response to infection that can lead to organ failure and death. Infection prevention through vaccinations is crucial to combat sepsis. Best practices include obtaining vaccination consent, offering education, and co-administering vaccines to older adults. Accessing vacci
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Infection Prevention and Management in Newborns
This session focuses on the prevention, identification, and management of infections in newborns, discussing risk factors, infection prevention practices, and the use of antibiotics. Emphasizing the importance of hand hygiene, exclusive breastfeeding, and timely antibiotic use to reduce neonatal sep
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Contrasting Pathways in Sepsis Care: Rob's Journey
Rob's story illustrates the stark contrast between sub-optimal and optimal pathways in managing sepsis. Delayed recognition and treatment in the sub-optimal pathway led to severe complications, whereas timely intervention in the optimal pathway resulted in improved outcomes. The importance of early
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Sepsis Fallout Presentation - Managing Severe Sepsis and Septic Shock
This presentation template guides healthcare professionals on effectively managing severe sepsis and septic shock cases, emphasizing prompt recognition and appropriate interventions. It includes sections on patient background, sepsis criteria, treatment protocols, and debriefing discussions for cont
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Improving Healthcare Outcomes through Antibiotic Stewardship and Virtual Rapid Response Program
This project focuses on enhancing healthcare outcomes by implementing an Antibiotic Stewardship program and utilizing Virtual Rapid Response Teleconsultation in skilled nursing facilities. The initiative includes developing best practice protocols, educating staff on infection prevention, antibiotic
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Newborn Care Curriculum for Late Preterm Infants in Level II NICU
This curriculum module focuses on the care of late preterm infants in Level II NICU settings, covering topics such as respiratory management, feeding difficulties, hypoglycemia, hypothermia, sepsis, hyperbilirubinemia, and discharge planning. It includes learning objectives, nursery care levels, phy
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Improving Mortality Rates in Sepsis Patients: A Clinical Nurse Specialist Initiative
Clinical Nurse Specialist, Mary Lawanson-Nichols, initiated a program at UCLA-Santa Monica Medical Center to reduce mortality rates in sepsis patients. By focusing on mentoring skills, leadership development for staff nurses, and examining influences on mortality, the program aims to make a signific
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Paediatric Emergency Medicine Overview: Infections, Sepsis, Exanthemata, and Warning Signs
Paediatric emergency medicine involves assessing and managing various conditions in children, such as infections, sepsis, and exanthemata. This overview covers the evaluation of febrile children, warning signs indicating potential serious illness, and the importance of thorough examination and asses
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Perianal Suppuration: Abscess & Fistula Overview
Anorectal suppuration can lead to acute anal sepsis (abscess) or chronic anal fistula. This condition involves glandular secretions, infection, and suppuration, often originating from cryptoglandular sources. It can be caused by various specific conditions like Crohn's disease, ulcerative colitis, T
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Case Study: Infant with Persistent Fever and Cry
Aditi Malakar, a 2-month-old female infant, presented with a remittent fever persisting for 9 days unresponsive to antipyretics, along with persistent crying and decreased feeding for the last 2 days. She was referred to the hospital after being diagnosed with sepsis elsewhere. Aditi had a history o
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Management Strategies for Pediatric Septic Shock Simulation Program
This content provides information on the management of sepsis, including recognition, supportive care, source control, antibiotics, and specific therapies. It emphasizes the importance of initial resuscitation goals, strategies involving fluid resuscitation, inotropic support, and timely administrat
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Understanding Anorexia Nervosa, Bulimia Nervosa, and Post-Partum Psychiatric Disorders
Anorexia nervosa is characterized by significant weight loss, fear of gaining weight, and disturbed body image. It predominantly affects women in adolescence, often associated with dieting and harmful behaviors. Diagnosis involves criteria such as weight loss and amenorrhea. Complications include em
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Updates and Highlights in FY2017 ICD-10-CM/PCS
In the FY2017 update of ICD-10-CM/PCS, significant changes have been made with new codes, updates, and deletions affecting coding diagnoses. The update includes coding highlights related to various conditions like bacteriuria, sepsis, pre-diabetes, and Zika virus. The Third International Consensus D
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