Don’t forget to register for the Spring Lecture series. For more information on the Cardiovascular Symposium click on the dates below.
Hosted by: MCMS and Centegra Health System
Where: Hampton Inn, 1555 South Illinois Route 31, McHenry IL
For more information click here.
Please join us for the Diabetes Symposium on February 4, 2014 or February 5, 2014.
Click here for more information on the Diabetes Symposium.
The Fall Symposium lectures will be held on October 22, 2014 and October 23, 2014.
Registration and lecture information can be found Here.
Dr. Martha Twaddle, MD, FACP, FAAHPM
Thursday, September 18, 2014
100 E. Station Street
Barrington, IL 60010
For more information, click Here.
There will be 2 sessions for the Men’s Health Symposium :
For a printer friendly version of the flier click here
Lectures and other events can all be found on the Calender.
The following is a recording of the fall nursing symposium lecture presented on Sept 13th 2013 at McHenry County College for Centegra Health System.
This lecture was presented at the July 2013 Centegra summer symposium. Continue reading
Infectious Disease Clinical Symposium will be held at the ￼Holiday Inn – Crystal Lake, IL located at Three Oaks Rd. and Rt. 31 (2 blocks south of Rt. 14) on
- Wednesday, July 24, 2013 at 5:00 pm – 9:30 pm – Dinner will be served
- Thursday, July 25, 2013 at 7:30 am – 12:30 pm – Full Breakfast will be served
The program is identical on both days
4.0 AMA PRA Category I Credits Available
Contact Edie Best @ 815–759–8151 or firstname.lastname@example.org for more information
This is the screen cast of a lecture titled “Sepsis an update” given by Irfan Hafiz MD on June 21st 2013 at Centegra Woodstock Hospital.
TO BE COMPLETED WITHIN 3 HOURS:
- Measure lactate level
- Obtain blood cultures prior to administration of antibiotics
- Administer broad spectrum antibiotics
- Administer 30 ml/kg crystalloid for hypotension or lactate ≥4mmol/L
TO BE COMPLETED WITHIN 6 HOURS:
- Apply vasopressors (for hypotension that does not respond to initial fluid resuscitation) to maintain a mean arterial pressure (MAP) ≥65 mm Hg
- In the event of persistent arterial hypotension despite volume resuscitation (septic shock) or initial lactate ≥4 mmol/L (36 mg/dL):
- Measure central venous pressure (CVP)*
- Measure central venous oxygen saturation (ScvO2)*
- Remeasure lactate if initial lactate was elevated*
- Targets for quantitative resuscitation included in the guidelines are CVP of ≥8 mm Hg; ScvO2 of ≥70%, and normalization of lactate.
- To achieve central venous pressure (CVP) of > 8 mm Hg
- To achieve central venous oxygen saturation (ScvO2) of > 70%
- To achieve MAP > 65mmHg and a urine output of >0.5mls/kg/hr
- The 24 hour SSC Management Bundle includes:
- Low-dose steroids administered for septic shock in accordance with a standardized ICU policy
- Glucose control maintained below upper limit of normal (8.3 mmol/L) with an insulin sliding scale regime (usually short-acting insulin such as Human Actrapid)
- Lung Protective Ventilator Strategy utilising 5–8 mls/kg tidal volumes for mechanically ventilated patients to avoid volutrauma and barotrauma.
- Surviving sepsis campaign
- History of sepsis
- Ingaz Semmelweis – reduced puerperal sepsis
- Louis Pasteur – founder of microbiology
- Joseph Lister – father of antisepsis
- Intensive Insulin Therapy and Pentastarch Resuscitation in Severe Sepsis; N Engl J Med 2008; 358:125–139January 10, 2008DOI: 10.1056/NEJMoa070716
- RBC transfusion guidelines
- Procalcitonin as a diagnostic marker for sepsis: a systematic review and meta-analysis; The Lancet Infectious Diseases, Volume 13, Issue 5, Pages 426 – 435, May 2013 doi:10.1016/S1473–3099(12)70323–7
- Understanding of the Efficiency and Effectiveness of the Health Care System – Dartmouthatlas.org
- The Quality of Health Care Delivered to Adults in the United States; N Engl J Med 2003; 348:2635–2645June 26, 2003DOI: 10.1056/NEJMsa022615
- Use of a Computer Decision Support System and Antimicrobial Therapy Appropriateness
Infection Control and Hospital Epidemiology , Vol. 34, No. 6 (June 2013), pp. 558–565
Article DOI: 10.1086/670627