New Clinical Decisions Article: Management of Septic Shock

Posted by • June 19th, 2017

The newest addition to our Clinical Decisions series gives you a chance to decide how you would treat Ms. Jones, a 65-year-old woman with a history of hypertension who has come to the emergency room after experiencing 3 days of chills and dysuria. After checking vital signs, conducting a physical examination and urinalysis, you make a preliminary diagnosis of sepsis, specifically coming from a urinary source. Once the patient has been stabilized, you must decide which of the two given treatments for septic shock leave her with the best chance of survival. In one method, treatment would continue under the early, goal-directed therapy (EGDT) protocol, and, in the other, by continuous intravenous administration of antibiotics and vasopressors, guided by measurement of clinical signs. Read more about this case, form your opinion as to which option will be more effective and share your thoughts here.

Clinical Decisions are a great way to help you evaluate treatment options and gain insight from colleagues. The articles include a case vignette, plus clinically acceptable management options, each supported in a short commentary by a respected clinician. You are invited to vote for, and comment on, the options at NEJM.org, where a diverse range of thinking is presented. Browse previous Clinical Decisions articles here!

 

3 Responses to “New Clinical Decisions Article: Management of Septic Shock”

  1. Leopoldo Revich says:

    Monitoring the pstient

  2. dr prem raj pushpakaran says:

    Clinical Decisions series is an effective medical platform for discussion and information sharing!!

  3. Brisson Muia says:

    A very resourceful write-up on management of septic shock