This article presents updated definitions of and clinical criteria for diagnosing sepsis and septic shock based on recommendations from an expert task force. Severe sepsis and septic shock are major public health problems globally and are associated with substantial morbidity and mortality1 no specific therapy exists . Original article goal directed resuscitation for patients with early septic shock the arise investigators and the anzics clinical trials group n engl j med 2014 . Number 0649 policy aetna considers extracorporeal shock wave therapy eswt medically necessary for calcific tendinopathy of the shoulder of at least 6 months
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