PPT-Sepsis and Septic Shock: Recent Update

Recent Update Dr Apurba Kumar Borah Head of the Department Critical Care and Emergency Medicine Narayana Superspeciality Hospital AmingaonGuwahati Introduction. 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. Why Use Simulation?. 3. Simulation in Aviation. Miracle on the Hudson. © Medical Simulation Corporation 2009. A Changing Landscape. On-Line Course. Didactic Review. Simulation. Debrief. Blended Learning. Mary Lawanson-Nichols, 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 . 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. Abdullah . Alsakka. EM.Consultant. Antibiotics. . Relationship . between the delay of antibiotic administration after the onset of shock and mortality in patients with septic shock. . From:.   . Nobre. Early recognition of Sepsis. Early Goal Directed Therapy . CASE. 6. 4yr . Samoan male. 24 . hr. . Fever, productive cough, SOB . and . delirium. Initial . Obs. HR 162, RR . 40, . sats. . 90% . on 15l, BP . 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. Consensus Definitions for Sepsis . and Septic . Shock . Dr. . Kobra. . Tahermanesh. Fellowship in Minimally Invasive Gynecology. Associate . Professor of Iran University of Medical Sciences. Sepsis And Septic Shock. 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-. Dr LAU Chun Wing, Arthur. Associate Consultant. Intensive Care Unit. Pamela . Youde. . Nethersole. Eastern Hospital, Hong Kong. Presented at the ECMO Case Discussion Meeting co-organized with ICU, United Christian Hospital on 23.