Saturday with SMACC: Weingart on sepsis in New York City

In this brilliant talk from smaccGOLD last March in Australia, Scott Weingart talks about lessons from the STOP Sepsis Collaborative project in New York City based on their experience with 15,000 severe sepsis patients. In brief, the Collaborative achieved a 22% reduction of in-patient mortality in these patients by relatively simple measures that did not involve early goal-directed therapy or fancy invasive monitoring. The key steps in their protocol involved: early recognition of the septic patient source control reasonable but not massive fluid administration inotropes early antibiotics meticulous intubation (if indicated) This lecture is absolutely not-to-be missed. Here are links to some of the resources Scott cites in the lecture:  A Randomized Trial for Protocol-Based Care for Early Septic Shock: The PROCESS Trial (NEJM) Central or Peripheral Catheters for Initial Venous Access of ICU Patients: A Randomized Controlled Trial (Crit Care Med) Intubating the Patient in Shock (EMCrit) By the way, Dr. Paul Marik, who is mentioned in the lecture, will be at SMACC Chicago, coming June 23-26 2015. He will be giving talks on “Understanding Lactate” and also debating the proposition that “Predicting Fluid Responsiveness is a Waste of Time.” (He will take the “con” position.) The entire program for SMACC Chicago can be accessed here. Registration opened earlier this week and the response has been nothing short of astounding. I will have more ...
Source: The Poison Review - Category: Toxicology Authors: Tags: Medical Paul Marik Scott Weingart septic shock SMACC Chicago smaccGold STOP sepsis collaborative Source Type: news