The Blog
Thanks for dropping by! We have curated an incredible collection of the best articles from the leading Emergency Medicine, Tactical Medicine, Prehospitial Medicine, Austere & Remote Medicine authors, as well as Survival Medicine gurus and many others!
We hope you find something of interested to you, please use the search bar on top to narrow down what you are looking for.
As always, all credit is given to the original author and origin publication.
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Tactical Medicine News
The CLASSIC Trial: IV Fluid Restriction in Septic Shock
by Marco Torres
Jun 23, 2022
Background: The Surviving Sepsis Campaign guidelines recommend an initial fixed volume of 30mL/kg of IDEAL body weight within the first 3 hours of ...
Tactical Medicine News
The VICTAS Trial: How Many More RCTs do we Need on the Metabolic Cocktail in Sepsis?
Background: Since the publication of the before and after Marik trial [1] published in 2016, there have been six randomized clinical trials trying ...
Tactical Medicine News
The ATESS Trial: Time to Let Go of the Metabolic Cocktail
Background: The only well-established treatments for sepsis and septic shock are antibiotic therapy and source control. Septic shock, the most sev...
Tactical Medicine News
Let’s Get Our ACTS Together: The Metabolic Cocktail and Septic Shock Again
Background: Though it’s been stated numerous times on this blog, it bears repeating: the pillars of sepsis care remain early identification of seps...
Tactical Medicine News
Fluid Administration in End-Stage Renal Disease for Severe Sepsis and Septic Shock by Shyam Murali, MD
Background: In end-stage renal disease (ESRD) patients on hemodialysis (HD), infection is the second most common cause of mortality after cardiovas...
Tactical Medicine News
The HYVCTTSSS Trial: The “Metabolic Cocktail” in Another RCT
Background: Getting the basics right in all illness is vital. In sepsis, this means appropriate use of antibiotics, judicious fluid resuscitation, ...
Tactical Medicine News
Steroids in Septic Shock via George Willis, MD
“You’re in the emergency department, you have a patient who EMS has brought in from a nursing home…who’s excited? Right, nobody is. And they are br...
Tactical Medicine News
SEPSIS-ACT: Selepressin in Septic Shock
Background: Septic shock is the most severe form of sepsis. It is characterized by vasodilation and increased capillary permeability leading to hyp...
Tactical Medicine News
Ep 122 Sepsis and Septic Shock – What Matters from EM Cases Course
In this podcast Dr. Sara Gray, intensivist and emergency physician, co-author of The CAEP Sepsis Guidelines, answers questions such as: How does on...
Tactical Medicine News
ANDROMEDA-SHOCK: Peripheral Perfusion vs Serum Lactate in Septic Shock
Background: Based on the Surviving Sepsis Campaign, hemodynamic resuscitation of sepsis patients is done by repeating serum lactic acid levels ever...
Tactical Medicine News
The CENSER Trial: Early Norepinephrine in Septic Shock
Background: Standard management of septic shock has included, IV fluids until optimal intravascular volume is achieved, appropriate early antibioti...
Tactical Medicine News
Early Sepsis Screening in the Emergency Department
Background Information: Sepsis is a complex syndrome frequently encountered in the ED. This infection-triggered, multifaceted disorder of life-thre...
Tactical Medicine News
Should we Pump up the Juice (Steroids) in Septic Shock?
Background: A Cochrane review was published in 2015 evaluating 33 trials with 4,268 participants to evaluate the effects of corticosteroids on deat...
Tactical Medicine News
Episode 93 – PALS Guidelines
I remember when I started practicing emergency medicine a decade and a half ago it seemed that any kid who came to our ED in cardiac arrest died. I...
Tactical Medicine News
Time to Antibiotics in Sepsis: A Metric Not Supported by “High Quality” Evidence
Background: Some of the major take home points from the sepsis trilogy of studies recently published (ProCESS, ARISE, and ProMISe) was that early i...
Tactical Medicine News
The Protocolised Management in Sepsis (ProMISe) Trial
Since 2002, the surviving sepsis campaign (SSC) has stated that best practice in sepsis care includes: early recognition, source control, appropria...
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