Providing early, appropriate antibiotic treatment for patients with sepsis — a serious complication of infection that can lead to organ failure and death — is crucial for their survival.
How do we help these incredibly busy, skilled emergency department clinicians to identify sepsis patients who are at risk for under-triage? This study is a step toward answering that question.”
— Dr. Ithan Peltan, Intermountain Healthcare
SALT LAKE CITY, UT, USA, May 22, 2019 /EINPresswire.com/ -- Providing early, appropriate antibiotic treatment for patients with sepsis — a serious complication of infection that can lead to organ failure and death — is crucial for their survival.
But in a new study, researchers at Intermountain Healthcare in Salt Lake City found that antibiotic delivery was significantly faster — by up to 32 minutes — for sepsis patients being treated in an emergency department if they were assigned a slightly higher score on a subjective one-to-five acuity scale commonly used for patient triage.
“Triaging patients and delivering antibiotics quickly in the emergency department is a constant challenge,” said Sierra R. McLean, a University of Utah medical student and the study’s lead author. “We’re trying to figure out ways to provide better quality care to patients, and this study shows us we need to come up with interventions to make sure very ill sepsis patients are appropriately recognized to help get their antibiotics on time.”
In the study, Intermountain researchers examined adult sepsis patients who were treated in four Intermountain Healthcare emergency departments in Utah between July 2013 and January 2017. Many emergency departments, including those in this study, assign patients an acuity score on a five-point scale to aid triage and resource allocation, with one being most in need of immediate care and five the least.
The assessment is often made quickly, however, and the choice between mid-range triage scores can be subtle and subjective, researchers noted. For this study, investigators zeroed in on patients with mid-range scores — those given a 2 (emergent) or 3 (urgent) – who also had abnormally low blood pressures. Among 799 eligible patients, 591 had a score of 2 and 208 had a score of 3. Researchers then evaluated how quickly they received antibiotics.
They found that patients given a triage score of 3, or urgent, had door-to-antibiotic times that were 32 minutes longer than patients assigned a triage score of 2, or emergent.
“Federal and international standards encourage the start of broad-spectrum antibiotics within three hours of a sepsis patient’s arrival in the emergency department. Those 32 minutes can make a major difference in a patient’s chances for survival,” said Ithan D. Peltan, MD, MSc, senior author of the study and an attending physician in the Intermountain Medical Center Shock Trauma Intensive Care Unit and Intermountain Healthcare Telecritical Care.
“If we could find interventions to help triage patients better, we might be able to help patients get antibiotics on time,” added McLean.
McLean and Dr. Peltan will present their findings from the study at ATS 2019, the annual international conference of the American Thoracic Society, in Dallas on May 22.
Dr. Peltan said the study is part of a broader look at the system level challenges that make it hard to deliver high-quality sepsis care. “How do we help these incredibly busy, skilled emergency department clinicians ¬– who are working in an environment where there’s not much information -- to identify sepsis patients who are at risk for under-triage? This study is a step toward answering that question,” he added.
The research was funded by the National Institutes of Health and the Intermountain Research and Medical Foundation. McLean joined the Intermountain research team as part of a University of Utah Medical School program designed to provide students mentored experience in biomedical research.
Intermountain Healthcare is a Utah-based not-for-profit system of 24 hospitals, 160 clinics, a Medical Group with some 2,300 employed physicians and advanced care practitioners, a health insurance company called SelectHealth, and other health services. Intermountain is widely recognized as a leader in transforming healthcare through evidence-based best practices, high quality, and sustainable costs.
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Missyou
Exclusively Premieres
"closetoyou" Music Video
via Aesthetic Magazine
Watch HERE
Debut EP YourBody
Available Now via
Spotify and Apple Music
New York, NY - May 22, 2019 - Alt-pop/rock band Missyou are exclusively premiering the video for "closetoyou" via Aesthetic Magazine! Give it a watch here: https://bit.ly/2HxyNSr.
"closetoyou" was the final single off of the band's debut EP, YourBody, which was released last month. The 6-track EP is available to listen to across streaming services now including Spotify, Apple Music, and Soundcloud.
On the new EP, lead vocalist and the incredible mind behind Missyou, Blaise Beyhan shares, "A girl who I grew up with, who used to baby sit me and was part of the commune I grew up in, she was like a big sister to me, passed away a couple of months ago, I did not know what to say and the thing that kept coming to mind is to say we should not take each other for granted, that we need to keep our loved ones close, and that none of us are getting out alive. The video is an expression of loss of innocence, and an exercise of grief."
The four-piece's vision is to create music they can stand behind with an emphasis on storytelling, moving listeners through time. They believe every picture and sound they create is part of a larger story, and above all, in freedom of expression. The forthcoming EP brings Missyou's vision to life through visceral melodies and heavy hitting lyrics.
YourBody is available everywhere now. For more information, please visit https://www.missyoumusic.com/.
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Missyou is Blaise Beyhan (vocalist), Omer Wald (guitar), Vince Quinones (drums), and Pete Valentini (bass).
Upcoming Shows:
May 25 - New York, NY @ Rockwood Music Hall
For more information, and to keep up with Missyou:
https://www.instagram.com/missyou_music/
https://twitter.com/missyou_music
https://www.facebook.com/missyoumusic/
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A weekly report on education news and commentary you won’t find anywhere else — from the nation’s leading voice on education innovation and opportunity.
FIGHTING BACK. Doing his part in the continuing war on educational opportunities for disadvantaged kids, North Carolina Governor Roy Cooper has submitted a budget that will end the state’s “Opportunity Scholarship Program”. The program currently provides up to $4,200 per school year to low income students - currently over 9,500 participate - to attend any school they wish. Savvy businessmen, knowing the need for qualified graduates entering the workforce, are fighting back. We say it’s about time, and hope this is just the first salvo of a full fledged counter-offensive.
SCHOOL KIDS HELD HOSTAGE IN MICHIGAN. $50 million in already approved and received federal grants intended to open more charter schools in Michigan is being held hostage by anti-charter, anti-choice bullies on the state school board. The real hostages here are the school kids who are being trapped in failing schools. The education bullies are so fierce that even a Democrat member of the board who lives in Detroit, where more than half the students attend charter or private schools, abstained from voting. Suffer the little children.
FRESH AIR IN THE MOUNTAINEER STATE. West Virginia was the site of a typically ugly union strike against school kids earlier this year. The only good thing to come out of it was that in an unguarded moment the state's AFT President admitted the strike wasn’t about salary or class size, but was really about eliminating charters. Two top education researchers recently set the record straight about charters and exposed the unions' deception and duplicity.
EPIC ACHIEVEMENTS FOR EPIC CHARTERS. EPIC Charter Schools in Oklahoma has 231 students inducted into the National Honor Society (NHS). The current NHS President at the school is walking, talking evidence of what charters do for kids of all backgrounds. As one educator at the school says “a priority for us is to create an academic model that is conducive to student success”. What a concept.
BREVITY IS THE SOUL OF WIT. And also wisdom. In explaining his support of school choice, New Hampshire Education Commissioner Frank Edelblut got maximum impact from minimal verbiage in saying “I’m a supporter of school choice because I’m a supporter of children.” Wish we had said that…oh, we have!
EXCELLENCE IN NEW HAMPSHIRE. Like most charter and choice proponents, Commissioner Edelblut has the facts to back up his words. Just last week the Academy for Science and Design charter school in Nashua was named New Hampshire's top high school for 2019. The school’s director engaged in a bit of understatement saying “We know we have a really special place here”. Bravo to the Academy for Science and Design for proving, yet again, the value and excellence of charters.
AT 20TH ANNIVERSARY CHARTERS GOING STRONG IN UTAH. Charter schools in Utah just celebrated their 20th anniversary and are thriving in the Beehive state. This is one place where district and charter schools have a symbiotic relationship, helping each other get better through competition. As one charter President puts it “Competition has been a fabulous thing because everybody had to step it up. Our local school districts step it up; we constantly step it up. I think it’s a win-win situation for the students”. Hmm, a “win-win” for students. Are you listening, union bosses?
MATH CHALLENGED IN FLORIDA. We’re not trying to be snarky, but charter-choice critics in Florida really need some remedial math help. A hyperbole and hysterics filled report from – you guessed it – the Florida Education Association claims that charter & private schools will cost other public schools nearly $1 billion in the next five years. In the words of Colonel Sherman Potter, horse hockey. The facts – inconvenient as they may be for educrats and their friends, are here and here. Spoiler alert – Florida spends about $10,300 per pupil in traditional public schools while the state pays $7,300 per charter pupil. Nice round numbers. Easy to understand. Unless you’re purposefully myopic.
Please reach out, we welcome your questions and suggestions on news that should be covered.
Founded in 1993, the Center for Education Reform aims to expand educational opportunities that lead to improved economic outcomes for all Americans — particularly our youth — ensuring that conditions are ripe for innovation, freedom and flexibility throughout U.S. education.
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UNITED UTAH PARTY ISSUES PARTY STATEMENT ON ABORTION
Statement takes issue with extremist laws passed in Alabama and elsewhere
The United Utah Party has issued the following statement:
There is no more polarizing issue in American politics than abortion, and, unfortunately, the debate is too often dominated by extremists on both sides. This is despite the fact that polling frequently demonstrates that the vast majority of Americans are somewhere in the middle of the two polar opposites.
The United Utah Party platform outlines a position that is consistent with that moderate majority. We recognize the sanctity of human life, but we also are concerned about the welfare of women. Therefore, we oppose abortion, but we support exceptions in cases of rape, incest, fatal fetal deformities, or serious jeopardy to the life or health of the mother.
Recent state laws on abortion, most notably the one passed and signed in Alabama, reject many or all of these exceptions in their legislation. Such rigid extremism seems designed to satisfy certain groups pushing extremist agendas. These laws are likely to be counterproductive in achieving their aims, and they also further polarize the abortion debate. The last thing this issue needs is more stridency.
We call on lawmakers everywhere to reject extremism, especially when it is cynically used as a political tool to widen the ideological chasm in a nation that is already deeply divided. We have had enough of political brinkmanship. It is time for people of good will to work together to find common ground solutions on the issue of abortion.
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DOLL SKIN
SHARE NEW SINGLE "EMPTY HOUSE"
NEW ALBUM LOVE IS DEAD AND WE KILLED HER
TO BE RELEASED JUNE 28, 2019 VIA HOPELESS RECORDS
ALBUM NOW AVAILABLE FOR PRE-ORDER
TOUR WITH NEW FOUND GLORY, REAL FRIENDS AND
THE EARLY NOVEMBER KICKS OFF MAY 30
May 22, 2019 - Phoenix, AZ - Doll Skin have shared the latest single off their upcoming album, Love Is Dead And We Killed Her, out June 28, 2019 via Hopeless Records. Fans can watch the visual video for "Empty House" here: smarturl.it/emptyhousevisual
Doll Skin announced their signing to Hopeless Records last month, and shared the music video for "Mark My Words", the first single off Love Is Dead And We Killed Her.
The album, which was recorded with Mike Green and Will McCoy, is available for pre-order now at smarturl.it/lidawkh. When fans pre-order digitally via iTunes they will receive "Mark My Words" and "Empty House" as instant grat tracks.
Doll Skin is a powerful breath of fresh air. The band is composed of four, incredibly talented, badass, multi-colored hair females all under the age of twenty-two. Meghan, Nicole, Sydney and Alex are working towards GIRL DOMINATION.
Speaking on the new album, Doll Skin explain, "This album was written about traumatic or extraordinary events that have impacted us as humans and wanted to share those emotions with people who can relate. We want to be vocal for those who may feel like they don't have a voice. Lots of these songs tackled issues that upset us and we want to put out a message that we feel matters and to have a point behind all of our songs."
Love Is Dead and We Killed Her Track Listing
1. Don't Cross My Path
2. Love Is Dead And We Killed Her
3. Mark My Words
4. No Fear
5. Outta My Mind
6. Ink Stains
7. Nasty Man
8. Your Idols Are Dying
9. Empty House
10. When They Show Their Teeth
11. Homesick
Doll Skin is confirmed to tour this Spring with New Found Glory, Real Friends and The Early November. They will tour the UK this summer with Trash Boat. A full list of upcoming dates are below. Tickets are available here: www.dollskinband.com
Upcoming U.S. Tour Dates
05/30 - Charleston, SC @ The Music Farm
05/31 - Atlanta, GA @ Heaven at The Masquerade
06/02 - Franklin, TN @ Liberty Hall at The Factory*
06/04 - Charlotte, NC @ The Underground
06/05 - Norfolk, VA @ The NorVa
06/06 - Baltimore, MD @ Baltimore Soundstage
06/07 - Philadelphia, PA @ Franklin Music Hall
06/08 - Sayreville, NJ @ Starland Ballroom
06/09 - Boston, MA @ House of Blues
06/11 - New York, NY @ Playstation Theater
06/12 - Buffalo, NY @ Town Ballroom
06/14 - Cleveland, OH @ House of Blues
06/15 - Columbus, OH @ Newport Music Hall**
06/16 - Detroit, MI @ St. Andrew's Hall
06/18 - Indianapolis, IN @ Egyptian Room at Old National Centre
06/19 - St. Louis, MO @ Delmar Hall
06/21 - Minneapolis, MN @ Varsity Theater
06/22 - Milwaukee, WI @- The Rave
06/23 - Chicago, IL @ Concord Music Hall
06/25 - Lawrence, KS @ Granada Theater
06/26 - Denver, CO @ Ogden Theatre
06/27 - Salt Lake City, UT @ Union Event Center
06/29 - Berkeley, CA @ The UC Theatre
06/30 - Anaheim, CA @ House of Blues
07/02 - Los Angeles, CA @ The Belasco Theater
07/03 - San Diego, CA @ House of Blues
07/05 - Las Vegas, NV @ House of Blues
07/06 - Phoenix, AZ @ The Van Buren
07/08 - Dallas, TX @- Gas Monkey Live!
07/09 - Austin, TX @ Emo's Austin
07/10 - Houston, TX @ House of Blues
07/11 - New Orleans, LA @ House of Blues
07/13 - Lake Buena Vista, FL @ House of Blues
07/14 - Fort Lauderdale, FL @ Revolution Live
* BreakFEST
** No The Early November
Doll Skin formed in 2013 in Phoenix, AZ. They have performed on the Vans Warped Tour and have toured with the likes of The Dead Kennedy's, Creeper, Flogging Molly, Lacey Sturm and more.
Follow Doll Skin
Spotify: https://spoti.fi/2v9iWCn
Website: https://www.dollskinband.com
Facebook: www.facebook.com/dollskinband
Twitter: https://twitter.com/DollSkinBand
Instagram: https://www.instagram.com/dollskinband/.