PPT-SEPSIS - 3

President and Chief Medical Officer CDIMD Physician Champions Smyrna Tennessee jkennedycdimdcom 615 4797021 Sepsis Redefinition Sepsis3 February 23 2016 Announced at the SCCM meeting in Orlando on February 22 2016. 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. `. Christa A. Schorr RN, MSN, FCCM. Assistant Professor of Medicine. Cooper Medical School of Rowan University. Director of Databases for Quality Improvement and Research. Program Director of Critical Care Clinical Trials . 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. Melissa Lester. Dr. Matt Wray. Department of Sociology. Temple University. Philadelphia, PA. What is Sepsis?. Bacteria or fungus enter bloodstream. 2. Community or hospital acquired. 3. Response by innate immune system to infections. 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. Reliable sepsis recognition, admission and intervention is . a complex system requiring a sequence of events and interactions . dependent on. effective communication & seamless transitions of care between and within teams.. 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. Changing our Management of Mothers and Their Newborns . Andrew M. Ellefson, MD. Neonatologist. Christiana Care Health System. 1. FROM CHORIOAMNIONITIS:. TO T.I.M.E. PATHWAY. CHANGING OUR MANAGEMENT OF . 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” . Andrew J Seier, MS4. HPI. 3 weeks of age. ex-39 week uncomplicated (GBS negative) pregnancy and C-section (repeat) delivery. Routine prenatal labs were normal. . Asymptomatic from birth until 1 day prior to presentation. Then,. What is sepsis?. Sepsis is a complication of severe infection characterized by a systemic inflammatory response. . (. Gauer. , 2013). Sepsis can be present on admission, or it can occur during hospitalization. . 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. Acknowledgements. Claudia Dietrich, MS, RN- University of Mary Professor. Lori Popkes, BAN, MBA, RN- Avera McKennan Chief Nursing Officer. Lee Bollock, MSN, RN- Director of Emergency Services, Avera McKennan. Sepsis,. . TNF-α. . Association. . with. . Mortality. . but. . not. . Sepsis. . Severity. . or. . Infection. . Source:. . a. . Systematic. . Review. and. . Meta-analysis. Amal. . A..