PPT-Module 6: Stewardship in fever/sepsis,

neutropenia osteoarticular infection and endocarditis Benjamin Westley MD FAAP FACP 4120 Laurel St Suite 204 Anchorage AK 99508 Objectives Discuss initial management of various complex infectiousdisease scenarios. 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. program . (general overview). add . LHD and/or hospital name. Aims. Provide an overview of the SEPSIS KILLS program . and its impact in this LHD/facility. Outline the elements of the inpatient SEPSIS KILLS program. Papers to cover. Nguyen. Early lactate clearance is associated with improved outcome in severe sepsis and septic shock . P. Single centre prospective observational study of patients with septic shock. Wade Woelfle, MD, FAAEM. UW ECC 2016. June 21,2016. Sepsis Objectives. Definition. Why and how it happens. Identification. Similar problems. Monitoring. Treatments. New and revisited developments. Sepsis. 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.. 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. CALS Instructor Update. July 14, 2016. Definitions. Definition . vs. Clinical Criteria. Definition. : What it is. Clinical Criteria: How we operationalize the definition at the bedside. Definitions (ACCP/SCCM). 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. Pastor Chick Lane. What does “stewardship” mean?. For most people, “stewardship” is a code word.. For most congregation members, it is code for “What the congregation does to get some of my money out of my pocket and into the offering plate.” . 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. Maureen Campion, PharmD. Clinical Pharmacy Specialist- Infectious Disease. UMass Memorial Medical Center . Disclosure statement. I have no actual or potential conflict of interest . in relation to this program/presentation.. Infections. Sepsis. Exanthemata. Diane Williamson. Adult and . Paediatric. Emergency Medicine Consultant . Addenbrooke’s. . Hospital. Outline. Fever. Infections. Exanthemata. Sepsis. Other . advice … . Sepsis,. . TNF-α. . Association. . with. . Mortality. . but. . not. . Sepsis. . Severity. . or. . Infection. . Source:. . a. . Systematic. . Review. and. . Meta-analysis. Amal. . A..