{"id":614,"date":"2015-03-25T20:42:57","date_gmt":"2015-03-26T00:42:57","guid":{"rendered":"http:\/\/emeddoc.org\/?p=614"},"modified":"2015-03-25T20:44:02","modified_gmt":"2015-03-26T00:44:02","slug":"predictors-of-progress-to-septic-shock-among-ed-patients","status":"publish","type":"post","link":"https:\/\/emeddoc.org\/?p=614","title":{"rendered":"Predictors of progress to septic shock among ED Patients"},"content":{"rendered":"<p>We were always told that Don&#8217;t underestimate triage or field vital signs! Now, we have a study that shows 25 % of patients presenting to ED\u00a0 with sepsis will progress to septic shock within 3 days.<\/p>\n<p><!--more-->This is a retrospective study with\u00a0 3,960 patients that had two or more SIRS criteria. Approximately 12% of septic emergency department patients develop shock within 48 hours of presentation, and more than half of these patients develop shock after the first 4 hours of emergency department arrival. Factors associated with this turnout are: 1. Female Patients 2. non-persistent hypotension 3. Bandemia (10% at least) 4. Lactate of 4 5. PMH of CAD.<\/p>\n<p>&nbsp;<\/p>\n<p>This tells me as always how important is to send these patient to ICU instead of IMC or floor and downgrade them from ICU instead of upgrade them to ICU!<\/p>\n<p><a href=\"http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/25668750\">Link to article<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>We were always told that Don&#8217;t underestimate triage or field vital signs! Now, we have a study that shows 25 % of patients presenting to ED\u00a0 with sepsis will progress to septic shock within 3 days.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[13,14,15,16,11],"tags":[],"class_list":["post-614","post","type-post","status-publish","format-standard","hentry","category-pgy1","category-pgy2","category-pgy3","category-pgy4","category-sepsis"],"_links":{"self":[{"href":"https:\/\/emeddoc.org\/index.php?rest_route=\/wp\/v2\/posts\/614","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/emeddoc.org\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/emeddoc.org\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/emeddoc.org\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/emeddoc.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=614"}],"version-history":[{"count":2,"href":"https:\/\/emeddoc.org\/index.php?rest_route=\/wp\/v2\/posts\/614\/revisions"}],"predecessor-version":[{"id":616,"href":"https:\/\/emeddoc.org\/index.php?rest_route=\/wp\/v2\/posts\/614\/revisions\/616"}],"wp:attachment":[{"href":"https:\/\/emeddoc.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=614"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/emeddoc.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=614"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/emeddoc.org\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=614"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}