Background: Patients with Limited English Proficiency (LEP) face multiple barriers to care and are at risk for worse health outcomes compared to similar patients with English Proficiency (EP). In sepsis, a common diagnosis and major cause of mortality in the US, the association of LEP with health outcomes has not been widely explored. We aimed [...]

Background: Sepsis is the leading cause of death in US hospitals; prompt recognition and treatment are critical. Early sepsis recognition and treatment varies depending on location (ED/floor/ICU) and evaluation time (presentation vs during stay). “Sepsis response teams” (SRT) improve sepsis care. After our hospital system implemented a “best-practice alert” utilizing Epic’s “sepsis score” (SS) to [...]

Background: Sepsis is a life threatening medical emergency triggered by an infection and can rapidly lead to tissue damage, organ failure and death. Early identification and treatment can improve mortality by up to 10%. We designed sepsis response team in our hospital to improve mortality index in patients with sepsis. Purpose: Early recognition and treatment [...]

Background: Effectively screening for sepsis in a hospital setting remains an elusive goal. Designed processes have been plagued by poor specificity [3,5], leading to alarm fatigue [2] and overuse of resources. Electronic tools have attempted to automate some or all screening, but thus far to inconsistent success [1]. Furthermore, for patients screened as septic, quickly [...]

Case Presentation: A 33-year-old G2P1011 woman who was 6 days postpartum from an uncomplicated vaginal delivery presented to the emergency department with acute right flank pain, hypotension (BP 88/60), tachycardia (HR 125) and new onset anemia with hemoglobin 9g/dL. CT abdomen/pelvis (CT AP) revealed a 21.5cm right renal angiomyolipoma (AML) with an associated bleeding pseudoaneurysm [...]

Case Presentation: A 35 y/o male with HIV infection presented with 3 weeks of worsening perianal pain. Patient reports engaging in receptive anal and oral sex approximately 3 weeks ago, with inconsistent condom use. He developed both perianal pain and skin lesions a few days after the encounter, noting vesicular and umbilicated lesions in his [...]

Case Presentation: Pasteurella multocida is a Gram-negative coccobacillus that can cause infections following bites or scratches from domestic animals. We present a case of an older adult who was admitted for sepsis secondary to Pasteurella multocida bacteremia after numerous cat bites and scratches. A 76-year-old man with a past medical history notable for PVD, CKD [...]

Case Presentation: 65 year old woman with history of mood disorder on abilify and cogentin presented with altered sensorium. Patient was exhibiting disorderly behavior and having visual hallucinations at home. Patient had multiple emergency room visits and two hospital admissions for nausea and vomiting in the past one month where she was diagnosed with UTI [...]

Case Presentation: A 25-year-old woman with no significant past medical history presented for a three-day history of fevers to 39.9 Celsius, frontotemporal headaches, and diffuse myalgias. She reported working outdoors for a summer camp without known insect or tick bites. Physical exam was notable for tenderness with neck flexion, nuchal rigidity, and abdominal tenderness to [...]