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Resus C4: Resus goals for the Sickler with MODS

Clinical questions addressed in this C4:
1. What is Acute Multiorgan Dysfunction Syndrome (MODS) in sickle cell patients?
2. Why do patients with SSD develop acute MODS?
3. What type of venous access will you need for exchange transfusion?
4. What are some of your resuscitation end-points in the patient with SSD associated MODS?

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Personalized Resuscitation Metrics – Sepsis, Early Antibiotics, and the Dilemma of Speed vs. Accuracy

One of the most important concepts that is often left out of the commonly quoted “early antibiotics” mantra is appropriate antibiotic therapy. While it is often difficult to determine what is appropriate for each patient presenting with severe sepsis, there are a number of tools that must be considered what choosing your gorillacillin variant. We should be striving to identify personalized metrics for resuscitation…

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Resus C4: Septic shock, Pressor Angst, and Vaso vs. Epi

Clinical questions addressed in this C4

  • What should be the first-line vasopressor in septic shock?
  • What is the correct timing to initiate vasopressor therapy?
  • What’s your contingency pressor if your NE doses are escalating?
  • What are some of your resuscitation end-points in the patient with septic shock?