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icon Re: septic shock

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icon Re: septic shock

icon Re: septic shock

icon Re: septic shock

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quote:
yasir wrote:
Excellent Management, but unfortunate patient. It is glad to know that you have tried all possible means to save the patient.

Cardian depression can also be due to Pneumococcal induced Myocarditis. And use of dobutamine in this case is recommended.

I wanted to know details about PROWESS trial as it is not available in NEJM.

What to do if you dont have all these facilities available? We see such paitents daily in our emergencies, and start treatment empirically most of the time, our patients and hospitals both are poor.

What is the recommendation of starting Steroids in sepsis?

Regarding the steroid question,
I think this paper by Marik and Zagola is an interesting read; although keep in mind that Dr Marik's views are a little extreme about the issue
Adrenal Insufficiency in the Critically Ill*
A New Look at an Old Problem
Paul E. Marik, MD, FCCP and Gary P. Zaloga, MD, FCCP Chest. 2002;122:1784-1796.)

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