Where did the #sepsis 30mL/kg IVF rec come from?
After Rivers’ EGDT in 2001 until 2015, the literature was combed to find how much reasonable physicians gave to septic patients and their outcomes. That #? ~2-3L. Which is ABOUT 30mL/kg for the average sized adult.
Thought 🧵 1/6 I say “reasonable physicians” as the SSC guidelines admit this was decided upon from the average amount given in the pre randomization of PROCESS, ARISE, PROMISE trials. That amount being 2-3L.
#MedTwitter #pulmtwitter #FOAMed #MedEd #critcare #emergencymedicine
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H pylori #tweetorial for resistant H pylori
#AGA released CPU in 4/21 revisiting topic of resistance/treatment failures, not a guideline, but the expert opinion @BradSpellberg loves! (1/x)
gastrojournal.org/article/S0016-…
@ABsteward @RushCCH_ID #MedEd #medtwitter #idtwitter As GN bacteria go, it's an interesting bug:
Highly motile, curved, GNR, #Urease-positive, catalase-positive, oxidase-positive
Related to Campylobacter, for family fun
Nice crossover with our #Gastroenterology colleagues, eh #IDtwitter and @IDSAInfo
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