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December 04, 2013The updated 2012 Surviving Sepsis Campaign fluid resuscitation goals specify a central venous pressure of 8-12 mmHg, central venous oxygen saturation >70% (or mixed venous oxygen saturation >65%), mean arterial pressure >65 mmHg, and urine output of at least 0.5 mL/kg/hr.
Dellinger RP, et al. Surviving sepsis campaign: international guidelines for management of severe sepsis and septic shock, 2012. Crit Care Med. 2013;41(2):580.
December 03, 2013Patients treated for acute pulmonary embolism are four times as likely to die of recurrent thromboembolism in the next year as patients treated for deep venous thrombosis.
Victor F. Tapson, M.D. Acute Pulmonary Embolism. N Engl J Med 2008; 358:1037-1052
December 02, 2013Meta-analysis of 13 controlled, contrast medium-induced nephropathy studies representing almost 26,000 patients failed to demonstrate any difference in the incidence of acute kidney injury, dialysis and death between patients receiving contrast medium and the control group
McDonald, J. S., McDonald, R. J., Comin, J., Williamson, E. E., Katzberg, R. W., Murad, H. M., & Kalimes, D. F. (2013). Frequency of acute Kidney injury Following intravenous contrast Medium administration: A Systematic Review and Meta-Analysis. Radiology, 267(1), 119–128.
December 01, 2013Multi-slice spiral CT (MSCT) can provide useful information for predicting hyovolemic shock in severe multiple-injury patients. An IVC flatness index > 3.02 suggests the presence of hypovolemic shock in severe multiple-injury patients.
Yang Li, MD, et al. The Flatness Index of Inferior Vena Cava is Useful in Predicting Hypovolemic Shock in Severe Multiple-Injury Patients. The Journal of emergency medicine. 12 August 2013.