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I've had a little experience with the use of cef...given it twice in the past year, both times for severe sepsis. As Melclin pointed out, there's lots good (and maybe ongoing) research on the topic. Obviously there's no sense in giving anti-biotics out to everyone meeting SIRS criteria...

Interesting to see what everybody uses....and what some of us lack. Here's a few that we have that may be out of the norm Prochlorperazine (Stemetil) in addition to odansetron as anti emetics I've think there are a few services out there that carry AB's...we have ceftriaxone. We primiarly...

Interesting looking ECG + first post...here we go There's obvious ST elevation, but I'm going to be different and head down the pericarditis route. Rationale....more U shaped and widespread ST elevation and maybe ( ? ) PR depression in the inferior leads. Can't really justify too much...