“I think he had a knife,” Jeff Fisher told a 911 operator in a tape of the call released Tuesday. Breathing heavily and bleeding profusely, Fisher told the dispatcher the assailant had attacked a woman, who was lying motionless on the driveway, and then him when he tried to intervene. When asked if he knew the man, he replied, “I have no idea.”.
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pandora jewelry The 2013 World Health Organization guidelines continue to recommend rapid fluid resuscitation for children with shock despite evidence that this can be harmful. Sarah Kiguli and colleagues call for WHO to think againThe World Health Organization recommendations on management of common childhood illnesses affect the lives of millions of children admitted to hospital worldwide. Its latest guidelines,1 released in May 2013 pandora jewelry, continue to recommend rapid fluid resuscitation for septic shock, even though the only large controlled trial of this treatment (Fluid Expansion as a Supportive Treatment (FEAST) found that it increased the risk of death in African children.2 A subsequent systematic review of bolus resuscitation in children with shock resulting from severe infection also did not support its use.3 Failure to take this evidence into account is not consistent with WHO’s commitment to systematically and transparently assess evidence using the GRADE (Grading of Recommendations Assessment, Development and Evaluation) process when producing guidelines and could endanger the lives of children.Evidence on fluid resuscitationRapid fluid resuscitation was recommended as a lifesaving treatment for shock on the basis of a GRADE systematic review that found weak evidence of benefit (largely expert opinion based on two paediatric case series at a single tertiary centre).4 It has become a key component of surviving sepsis campaigns in children and adults4 5 and is widely practised in well resourced settings pandora jewelry.