The Human Cost of Failing to Name COVID ‘Airborne’ | The Tyee Safety laws are being sidestepped. One doctor’s nightmare shows how health-care workers pay the price.

The Human Cost of Failing to Name COVID ‘Airborne’
#septicshock #ME #PASC #painandsuffering #medsky
thetyee.ca/Analysis/202...

📣 The 𝟮𝟬𝟮𝟲 𝗦𝘂𝗿𝘃𝗶𝘃𝗶𝗻𝗴 𝗦𝗲𝗽𝘀𝗶𝘀 𝗖𝗮𝗺𝗽𝗮𝗶𝗴𝗻 𝗴𝘂𝗶𝗱𝗲𝗹𝗶𝗻𝗲𝘀 𝗳𝗼𝗿 𝗮𝗱𝘂𝗹𝘁𝘀 & 𝗰𝗵𝗶𝗹𝗱𝗿𝗲𝗻 𝗮𝗿𝗲 𝗼𝘂𝘁. Evidence-based & bedside-ready.

✔️ Adult👉 doi.org/10.1007/s001...
✔️ Paediatric👉 doi.org/10.1007/s001...

🔗 www.esicm.org/resources/se...

#SurvivingSepsis #sepsisguidelines #sepsis #septicshock #ICU #IntensiveCare

Clinical criteria for the definition of refractory septic shock: a joint Delphi consensus from the Society of Critical Care Medicine (SCCM) and European Society of Intensive Care Medicine (ESICM) - Intensive Care Medicine Objective A definition of refractory septic shock is necessary to guide diagnosis, management, prognostication, research, and future guidelines for this most severe form of the disease. We sought to achieve consensus on clinical criteria that would be used to define refractory septic shock. Design Review of literature, expert panel position statements, and Delphi rounds with an international expert group. Setting Consensus was defined as having at least 75% of panellists in agreement or disagreement on the three highest or lowest levels of a 7-point Likert scale or based on responses to single- or multiple-choice questions, respectively. Subjects A panel of multinational, multiprofessional, and multidisciplinary critical care experts assembled by the Society of Critical Care Medicine and the European Society of Intensive Care Medicine (57 invitations and 56 participants). Measurements and main results A five-round Delphi process was conducted for consensus and stability. The steering committee proposed 34 statements, and five of them were rejected by panel experts after round 2. Among 29 statements selected from eight domains, consensus was reached for 13. The panel agreed on the need for a comprehensive consensus set of clinical criteria for refractory septic shock. Markers of organ dysfunction (75%, 2 rounds), tissue perfusion (91.1%, 2 rounds) including lactate (94.6%, 2 rounds) and capillary refill time (76.8%, 2 rounds), assessment of fluid responsiveness after initial resuscitation (92.9%, 5 rounds), and use of vasoactive drugs at norepinephrine equivalents greater than 0.5 µg/kg/min (75.0%, 3 rounds) were selected as clinical criteria of refractory septic shock. The use of critical care ultrasound (CCUS) (92.9%, 3 rounds) was the single diagnostic modality that reached a consensus-based agreement. Conclusions A consensus for 13 criteria to frame the definition of refractory septic shock was reached. Refractory septic shock is characterised by persistently elevated lactate concentrations and or prolonged capillary refill time in patients with septic shock who are fluid unresponsive, require a norepinephrine base equivalent dose greater than 0.5 µg per kilogram per minute, and undergo CCUS assessment when mixed shock is suspected.

🚨 Refractory septic shock finally has a definition. 56 international ESICM & SCCM experts agreed on structured clinical criteria — a landmark step for intensive care.

📖 Read the full article 👉 link.springer.com/article/10.1...

➕ info👉 www.esicm.org/clinical-cri...

#ESICM #Sepsis #SepticShock #ICU

#DYK #Meningitis progresses to #Sepsis in hours?? There is no vaccine or cure for sepsis. #septicshock #sepsiskills #prevention matters.

Mild Autonomous Cortisol Secretion in Congenital Adrenal Hyperplasia Managed With Mini Back Scope Adrenalectomy Abstract. A 55-year-old woman, diagnosed with 21-hydroxylase deficiency congenital adrenal hyperplasia (CAH) at age 7 years in the mid-Atlantic United Stat

Mild Autonomous Cortisol Secretion in Congenital Adrenal Hyperplasia Managed With Mini Back Scope Adrenalectomy. Read more in #JCEMCaseReports: bit.ly/4rr1iEV #Sepsis #SepticShock #Inflammation @endocrinesociety.bsky.social

No 90-day survival benefit with albumin in septic shock patients Albumin replacement in septic shock does not improve 90-day survival compared with standard fluid resuscitation, the ARISS trial shows.

#MedNews - Albumin replacement in #SepticShock does not improve 90-day survival compared with standard fluid resuscitation, the ARISS trial shows.

Full story 👉 buff.ly/Vfrl5FY

#IDMed #ICUMed

RCT: Albumin Replacement Therapy in Septic Shock. Population: 290 Males, 150 Females. Intervention: 440 patients randomized. Findings: Albumin administration was safe. Graph of overall survival rate over 90 days for Albumin and Control groups. 90-d Mortality rate given.

From @jamanetworkopen.com: Albumin administration in #SepticShock was safe but did not improve 90-day survival compared with standard fluid therapy; results remain inconclusive due to early trial termination.

ja.ma/4kNtxLh

RCT: Albumin Replacement Therapy in Septic Shock. Population: 290 Males, 150 Females. Intervention: 440 patients randomized. Findings: Albumin administration was safe. Graph of overall survival rate over 90 days for Albumin and Control groups. 90-d Mortality rate given.

Albumin administration in #SepticShock was safe but did not improve 90-day survival compared with standard fluid therapy; results remain inconclusive due to early trial termination.

ja.ma/4qHTI7p

The battle for recovery begins at discharge. Sepsis survivors share their stories to advocate & educate because #Sepsis kills & does not discriminate. It can happen to anybody. #SepsisReform #sepsissurvivorweek #septicshock #medsky
#sepsisdisables @sepsiscanada.bsky.social

#SepsisSurvivors are starting a conversation on the unrecognized often complicated road to recovery.

#sepsis #septicshock #researchmatters #awarenesssaveslives #SepsisSurvivorWeek @sepsiscanada.bsky.social

Djibril shares his story to advocate & educate because #Sepsis kills & does not discriminate.” It can happen to anybody. #SepsisReform #AwarenessSavesLives
Read Djibril’s Story ⬇️
canadiansepsisfoundation.squarespace.com/our-sepsis-s...
@sepsiscanada.bsky.social #septicshock

#PostSepsis, life without support affects everything… Canada needs #sepsisreform

“I was blaming my family member for something that was out of their control?!”

#SepsisSurvivors #Sepsis #SepticShock #ResearchMatters #AwarenessSavesLives #SepsisReform #sepsisdisables #medsky

#Sepsis induces long-term reprogramming of human HSPCs and drives myeloid dysregulation in sepsis survivors

#MedSky #septicshock #researchmatters @sepsiscanada.bsky.social
pubmed.ncbi.nlm.nih.gov/41593458/

Winnipeg family seeks answers after 55-year-old dies following hours-long wait in St. Boniface ER | CBC News The family of a woman who died after an 11-hour wait in a Winnipeg emergency room last month say they're stunned and seeking answers about the quality of care she received before her death.

Canada needs #SepsisReforms NOW! This was #pneumonia & #Sepsis. Enough preventable deaths! #SepticShock #AwarenessSavesLives
www.cbc.ca/news/canada/...

Why are we hearing more about #Sepsis more in the news? A combination of increased awareness of tragic & preventable child & maternal deaths, dismemberment, ongoing research & calls for systemic improvements in healthcare brought sepsis to the forefront. #MedSky #SepticShock #sepsisreform

Collage titled "Most Viewed JAMA 2025," featuring medical diagrams and study results: lung scans, iron absorption, DNA repair, biofilm formation, coffee consumption/abstinence study, and organ system treatments.

The numbers are in.

This year's most popular JAMA content spans a range of topics, from coffee and #AFib to #osteoporosis to #SepticShock. What was your favorite article in 2025—and did other readers agree?

🔗 ja.ma/49g1SNA

Carotid Doppler and IVC metrics for volume and mortality assessment in septic shock.
Aksan, Ahmet et al.
Paper
Details
#SepticShock #CarotidDoppler #ICVmetrics

Collage titled "Most Viewed JAMA 2025," featuring medical diagrams and study results: lung scans, iron absorption, DNA repair, biofilm formation, coffee consumption/abstinence study, and organ system treatments.

The numbers are in.

This year's most popular JAMA content spans a range of topics, from coffee and #AFib to #osteoporosis to #SepticShock. What was your favorite article in 2025—and did other readers agree?

🔗 ja.ma/4qnPFNU

Collage titled "Most Viewed JAMA 2025," featuring medical diagrams and study results: lung scans, iron absorption, DNA repair, biofilm formation, coffee consumption/abstinence study, and organ system treatments.

The numbers are in.

This year's most popular JAMA content spans a range of topics, from coffee and #AFib to #osteoporosis to #SepticShock. What was your favorite article in 2025—and did other readers agree?

🔗 ja.ma/49dIcKr

Collage titled "Most Viewed JAMA 2025," featuring medical diagrams and study results: lung scans, iron absorption, DNA repair, biofilm formation, coffee consumption/abstinence study, and organ system treatments.

The numbers are in.

This year's most popular JAMA content spans a range of topics, from coffee and #AFib to #osteoporosis to #SepticShock. What was your favorite article in 2025—and did other readers agree?

🔗 ja.ma/3MSqrsD

Collage titled "Most Viewed JAMA 2025," featuring medical diagrams and study results: lung scans, iron absorption, DNA repair, biofilm formation, coffee consumption/abstinence study, and organ system treatments.

The numbers are in.

This year's most popular JAMA content spans a range of topics, from coffee and #AFib to #osteoporosis to #SepticShock. What was your favorite article in 2025—and did other readers agree?

🔗 ja.ma/3YaBWy6

Among patients with early #SepticShock, a personalized hemodynamic resuscitation protocol targeting capillary refill time was superior to usual care for the primary composite outcome, primarily driven by a lower duration of vital support.

ja.ma/44Bd3PK

Collage titled "Most Viewed JAMA 2025," featuring medical diagrams and study results: lung scans, iron absorption, DNA repair, biofilm formation, coffee consumption/abstinence study, and organ system treatments.

The numbers are in.

This year's most popular JAMA content spans a range of topics, from coffee and #AFib to #osteoporosis to #SepticShock. What was your favorite article in 2025—and did other readers agree?

🔗 ja.ma/3KYLUQ6

Sepsis | Updates in the Management of Sepsis and Septic Shock | FADIC Sepsis, View all Related Links, Articles and Antimicrobial Therapy, and Updates in the Management of Sepsis and Septic Shock Course

🚀 Must Read the #Updates in the Management of Sepsis and Septic Shock from #FADIC Blog and learn more What is Sepsis and How to prevent it

fadic.net/sepsis/

‏ #Symptoms of Sepsis
‏ #Sepsis vs  #SepticShock
‏ #SOFAScore
‏ #SepsisManagement
‏ #WorldSepsisDay

Current standard of care for septic shock Optimal management of patients with septic shock requires prompt and reliable recognition of patients with sepsis who require additional hemodynamic support. Discover the current best practice for…

Optimal management of patients with #SepticShock requires prompt and reliable recognition of patients with #sepsis who require additional hemodynamic support.

Discover the current best practices, with a focus on hemodynamic management.

👉 buff.ly/dLQAFI7

#IDSky

#DYK Media refers to #septicshock as ‘complications from?!” #Sepsis is the most common pathway to death from any infection incl influenza. Learn to recognize symptoms of infection progression, it could save a life. #sepsiskills #sepsisdoesnotdiscriminate

#DYK Media refers to #septicshock as ‘complications from?!” #Sepsis is the most common pathway to death from any infection incl influenza. Learn to recognize symptoms of infection progression, it could save a life. #sepsiskills #sepsisdoesnotdiscriminate

#DYK Media refers to #septicshock as ‘complications from?!” #Sepsis is the most common pathway to death from any infection incl influenza. Learn to recognize symptoms of infection progression, it could save a life. #sepsiskills #sepsisdoesnotdiscriminate

🤖 #AI meets pediatric #sepsis!

New @PECARNTeam study shows machine learning models can be trained & validated to predict sepsis and #septicshock in kids—paving the way for earlier recognition & intervention.

🔗 pubmed.ncbi.nlm.nih....

#PECARN #PRIME

Time to Vasopressor Initiation Is Not Associated With Increased Mortality in Patients With Septic Shock The optimal timing of vasopressor initiation in septic shock remains unclear. Our objective was to evaluate the association between time to vasopresso…

Tiempo desde el primer episodio hipotensivo al inicio del vasopresor no se asocia con la mortalidad a los 90d o los días sin vasopresor en pacientes con shock séptico #vasopressors #SepticShock www.sciencedirect.com/science/arti...