Details

Autor(en) / Beteiligte

• Agarwal, Anish K.
• Gaieski, David F.

Titel

Response to letter regarding article, “The impact of emergency department crowding upon early interventions and mortality in patients with severe sepsis.”

Ist Teil von

• The American journal of emergency medicine, 2017-10, Vol.35 (10), p.1563-1563

Ort / Verlag

United States: Elsevier Inc

Erscheinungsjahr

2017

Quelle

MEDLINE

Beschreibungen/Notizen

• Strict utilization of EGDT declined over the course of the study period for a variety of reasons, including whether the patient qualified based on elevated lactate or persistent hypotension, the source of infection, increasing use of ultrasound to assess hemodynamics and fluid responsiveness, and the gender of the attending physician making clinical decisions [5]. [...]regarding the authors' fourth point, we completely agree with them that there exist a multitude of factors that may affect how we think about ED crowding [6,7]. For the third international consensus definitions for sepsis and septic shock (sepsis-3), JAMA, Vol. 315, Iss. 8, 2016, 762-774 4 E.P. Rivers, B. Nguyen, S. Havstad, J. Ressler, A. Muzzin, Early goal-directed therapy in the treatment of severe sepsis and septic shock, N Engl J Med, Vol. 345, 2001, 1368-1377 5 M.E. Mikkelsen, D.F. Gaieski, M. Goyal, A.N. Miltiades, J.C. Munson, Factors associated with non-adherence with early goal-directed therapy in the emergency department, Chest, Vol. 138, Iss. 3, 2010, 551-558 6 U. Hwang, L. Graff, M.J. Radford, H.M. Krumholz, The association between emergency department crowding and time to antibiotic administration, Ann Emerg Med, Vol. 44, Iss. 4, 2004, S6-S7 7 M.L. McCarthy, D. Aronsky, I.D. Jones, J.R. Miner, R.A. Band, J.M. Baren, Ann Emerg Med, Vol. 51, Iss. 1, 2008, 15-24