Cite this post as:
Scott Weingart, MD FCCM. EMCrit – Retract SSC 2018 – You Only Have Yourself to Blame if You Do Not Take Action. EMCrit Blog. Published on May 8, 2018. Accessed on April 1st 2023. Available at [https://emcrit.org/emcrit/retract-ssc-2018/ ].
Financial Disclosures:
Dr. Scott Weingart, Course Director, reports no relevant financial relationships with ineligible companies.
This episode’s speaker(s), (listed above), report no relevant financial relationships with ineligible companies.
CME Review
Original Release: May 8, 2018
Date of Most Recent Review: Jan 1, 2022
Termination Date: Jan 1, 2025
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As a non-US-based resident, would my signature still be useful?
I agree that the guidelines are absurd and unhelpful. I don’t have much hope for change, given the trend to eliminate physician judgement in the interest of “patient safety.” Also, are you sure the Kumar link is the correct one? You have posted a letter he wrote essentially saying there may still be a mortality benefit to very early antibiotics due to bias in the meta-analysis (that found no benefit).
thanks! link corrected.
As an ED RN, this is driving us crazy as well. we’re pressured to get the ATBs in for a >2 (not shock), no white count, no fever, clear xray, clean urine etc…Stop doing all these lactates…docs: please use better clinical judgment. HR and RR elevated because of the pain or stress in the ED. While we’re hanging the ATB, the intox is aspirating in the next bed..
Thanks Scott for spearheading this. SSC is powerful and their guidelines persuasive to NQF and then the CMS. The SSC has other opponents for multiple other reasons beyond your well stated summary of many EM/CC opponents. See the IDSA’s position on this We have our own set of proposed measures at Boston Medical Center that we’re trying to get off the ground internally. Flowsheet here: (lactate clearance and mortality as outcomes measures, being clear that the outcomes on a granular level don’t necessarily relate to compliance with these specific processes… would love to have some balancing measures someday too). Opinion… Read more »