Boston City EM


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SEP-1: Severe Sepsis by the Numbers

By: William Baker, MD THINK SEPSIS: SAVE LIVES Scope of the problem Approximately 1 million patients in the United States are affected by severe sepsis (SS) annually Most common cause of death among critically ill patients in non-coronary intensive care units (1)... Continue Reading →

Thoracic Trauma: Rib Fractures

By: Elizabeth Wallace, MD Broken Ribs? Who cares? Many trauma victims sustain injuries to their ribs, but these are an afterthought to the initial resuscitation. Providers correctly focus on the ABCs, along with major organ injury or extremity deformity, at the expense... Continue Reading →

Sepsis 1.0

By: William Baker, MD Sepsis pearls regarding the CMS bundle "SEP-1" Severe sepsis: (per SEP-1) All three within 6 hours of each other Documentation of a suspected infection (not just the dx) Two or more SIRS criteria Temperature >38.3 C or <36.0... Continue Reading →

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