Title |
Is the “golden age” of the “golden hour” in sepsis over?
|
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Published in |
Critical Care, December 2015
|
DOI | 10.1186/s13054-015-1167-3 |
Pubmed ID | |
Authors |
Derek S. Wheeler |
Abstract |
The so-called "golden hour" of trauma resuscitation has been applied to a number of disease conditions in the intensive care unit (ICU) setting. For example, the "golden hour" as applied to the treatment of critically children and adults with severe sepsis and septic shock is based upon early recognition, early administration of antibiotics, and early reversal of the shock state. However, several clinical studies published over the last decade have called into question this time-honored approach and suggest that overly aggressive fluid resuscitation may cause more harm than good. Perhaps we are finally leaving the "Golden Age" of the "golden hour" and entering a new age in which we are able to use a more personalized approach to fluid management for patients with severe sepsis/septic shock. |
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Demographic breakdown
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Science communicators (journalists, bloggers, editors) | 1 | 8% |
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Mendeley readers
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