PPT-The Severe Sepsis/Septic Shock Bundle: Why is it important?

Mary LawansonNichols MSN CNS SM Adult ICU Yuhan Kao MSN CNS RR MICU Objectives Explain the fundamental pathophysiology of severe sepsis and septic shock and how they related to the treatment . Laura Evans, MD MSc. Medical Director of Critical Care. Bellevue Hospital. NYU School of Medicine. Disclosures. No conflicts of interest to disclose. Outline. Burden of sepsis. Surviving Sepsis Campaign. ?. Joe Brierley. Paediatric. . Intensivist. , Great Ormond St, London. Welcome to London!. Welcome to the North of the River to my colleagues from the South. Fluids and Solutions in Septic Shock: Crystalloids, Colloids and Blood Product - . Paediatric Inpatients. Learning Objectives. Recognise that sepsis . i. s . a medical emergency. Identify the . risk factors, signs and symptoms. Outline the escalation of the septic . patient. Define the initial A-G management actions. EM Student Lecture Series. CASE STUDY. A 53-year old woman presents complaining of several days of fever, generalized malaise, nausea & vomiting. She has a PMH of diabetes and HTN and takes . Glucophage. &. Quality Improvement Primer. Goals. Review epidemiology and patient impact of the sepsis continuum. Define the sepsis disease spectrum by reviewing . the . pediatric definitions . of SIRS, . sepsis. Dr. Vida Hamilton. National Clinical Lead Sepsis. www.hse.ie/sepsis. Sepsis - 2. A dysregulated immune response to infection. Regulated. Innate & Adaptive. Cellular: Dendritic cells, T-cells, B-cells. Stage 1. Source: world-sepsis-day.org . What is Sepsis?. Source: world-sepsis-day.org . Sepsis at a Glance. Sepsis is a . medical emergency . . . . . Source: . Advisory Board Company: “Why sepsis screening isn't one-size-fits-all” . Early Goal Directed Therapy. and Beyond. Anthony J. Hericks, D.O.. South Dakota. ACP. Scientific Meeting. September 13. th. , . 2013. A clinician, armed with the sepsis bundles, attacks the three heads of severe sepsis: hypotension, hypoperfusion and organ dysfunction. . COI Disclosures. Evans – Nothing to disclose. Thank You. Guidelines panelists. Group Heads. Methodologists. SCCM and ESICM . Participating societies. Reviewers. Dr. Phil Dellinger. Ms. Deb . Mcbride. MLP EM Education Curriculum. Dave Markel. September 15, 2015. What will be covered. Basic concepts and definitions. Initial management. Septic shock. Pearls and pitfalls. What will . not. be covered. P Llewellin. Aims. Briefly review the pathophysiology and effects of sepsis. Discuss contemporary definitions of sepsis. Understand the importance of early recognition of sepsis. Review the current management paradigms for sepsis . Source and Credits. This presentation is based on the October 2018. AHRQ . WebM&M. Spotlight Case. See the full article at https://psnet.ahrq.gov/webmm. CME credit is available. Commentary by: . Ibrahim. Definitions:. . acute , generalized , inadequate perfusion below that needed to deliver the oxygen and nutrition's for the normal cell function.. -. Aetiology. :. . there are 4 major classes-. the many faces . KPA Annual congress-. 9. th. April 2019 . Wahu g. r. ID specialist. A. B . C . D. Outline. Background and Introduction. Sepsis Overview and New Guidelines? ?thoughts. Management Principles.