Posts Tagged ‘Severe Sepsis’

45-Year-Old Man with a Rash

Posted by • March 28th, 2014

In the latest Case Record of the Massachusetts General Hospital, a 45-year-old man was admitted to the hospital because of diffuse, purple, blanching livedo over his arms and legs and signs of severe sepsis. Three days before presentation, the patient was bitten on his hands and forearms while bathing his dog. A diagnostic test result… Read More…

Severe Sepsis and Septic Shock

Posted by • August 30th, 2013

Sepsis, a complex physiological and metabolic response to infection, is a common reason for admission to an intensive care unit. The first article in our Critical Care Medicine review series examines the basis, diagnosis, and current treatment of this disorder. In 1992, an international consensus panel defined sepsis as a systemic inflammatory response to infection, noting… Read More…

New NEJM Review Series: Critical Care

Posted by • August 29th, 2013

The first article in a new series on Critical Care, Severe Sepsis and Septic Shock, is now available on NEJM.org. Sepsis, a complex physiological and metabolic response to infection, is a common reason for admission to an ICU. This review, from University of Pittsburgh’s Derek Angus and University of Amsterdam’s Tom van der Poll, examines the… Read More…

Take the Critical Care Challenge

Posted by • August 15th, 2013

A 77-year-old man is admitted to the ICU after resection of the rectosigmoid colon for gross fecal peritonitis. What should be done first? On August 29th, we will publish the first article in a new series on Critical Care, Severe Sepsis and Septic Shock. In advance of its release, we have published a case on NEJM.org that… Read More…

Starch or Ringer’s Acetate in Severe Sepsis

Posted by • July 11th, 2012

When a skydiver is falling through the air at 50 m/s, he needs to make a snap decision: pull out the parachute now, or later? The choice needs to be made quickly and he needs to be sure about it—it’s the difference between life and death. Treating a patient with sepsis can feel like skydiving… Read More…