EM Cases · Antimicrobial stewardship
Stewardship under sepsis pressure — resus teaching station
ACEM OSCE balancing cultures-before-abx when safe, first-hour sepsis dosing, and refusing unnecessary antibiotics.
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Study tools
Target exams
ACEMFRCEMABEMFRCPCCCFPEMEBEEM
Prompt
Septic shock needing immediate antibiotics, then a viral bronchitis antibiotic request.
Station brief
Format. Resus + stewardship hybrid, 11 minutes.
References2ShowHide
- [1]Kumar A, Roberts D, Wood KE, et al. Duration of hypotension before initiation of effective antimicrobial therapy is the critical determinant of survival in human septic shock. Crit Care Med, 2006.PMID 16625125
- [2]Dellit TH, Owens RC, McGowan JE, et al. Infectious Diseases Society of America and the Society for Healthcare Epidemiology of America guidelines for developing an institutional program to enhance antimicrobial stewardship. Clin Infect Dis, 2007.PMID 17173212