I trained as an intern back in 2008, so Rivers' article was one of our main teaching resources. But I'd have to say that in the last decade of practice that I've almost never adhered strictly to the EGDT protocol. Particularly as we are continually discovering new data about topics such as transfusions in the critically ill and learning more sophisticated ways of determining volume status. That being said, I have had some amazing teachers who didn't refer to EGDT as a protocol, but as a learning tool to critically think about the pathophysiology of sepsis. I was taught not to think of the CVP in a vacuum, but in the context of the actual patient in the bed in front of me. Or that a CV Sat of 65 means something very different than one of 40. So my question is, do you think Rivers' article can still be a valuable teaching tool, and if so, how can we use it most effectively to help trainees (and us attendings) learn more about the management of septic shock?
Easy one-click social registrationIs this safe?
We only receive the minimum information necessary to verify your account. We never get access to your friends/contacts or your profile, and we never post on your behalf. Your social account is used for logging in only.ORRegister via email
Send me updates on this Contest
In order to ensure a fair voting process and to make sure that no one votes more than once, we ask that you register either with a social networking account (easiest, only requires one click) or by registering with your email address (this will require you to click on a verification email that we will send you).
You only need to register once.