Dr. Townsend,

I attended the Oct. 6th Quality Reporting Center Webinar titled "The Clinician 
Perspective on Sepsis Care: The Early Management Bundle for Severe 
Sepsis/Septic Shock II." There was a question regarding exclusions for sepsis 
fluid bolus for CHF or ESRD patients (on page 6 of the transcript). You 
referenced a study (or studies) by Dr. Rivers in your response. I have been 
trying to locate the article to share with some of our Providers who are 
hesitant to administer 30ml/kg in this patient population, but have not been 
successful in identifying any specific studies. Could you share the study 
titles please?

Thanks,

Lori Grimes
RN Quality Specialist
Providence St. Patrick Hospital
406-329-5734
[email protected]


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