PPT-Managing Sepsis SDMH 2017

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 . 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. Pär Lindgren. Överläkare, Anestesikliniken, Växjö. Anna Wimmerstedt . Specialistläkare, Infektionskliniken, Växjö. Hög dödlighet vid sepsis!. Svår . sepsis/septisk chock 28 . – 50 . %. Stroke . Adult 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 management actions. 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. 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. 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. Kok. Tan . MBBS FRCOG MMED(OG) FAMS. Senior Consultant, Department of OBGYN. Singapore General Hospital. Adjunct Associate Professor, Duke-NUS Graduate School of Medicine. Overview. Size of the problem . 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. . 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. 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 . 2. B. y. . t. he. . end. . o. f . t. h. i. s. . s. e. ss. i. on, . t. he. . l. ea. r. n. e. r. s. . w. il. l be. . ab. l. e. t. o. :.  . D. e. f. i. ne. . m. a. t. e. r. na. l. /. pu. e. r. Sepsis,. . TNF-α. . Association. . with. . Mortality. . but. . not. . Sepsis. . Severity. . or. . Infection. . Source:. . a. . Systematic. . Review. and. . Meta-analysis. Amal. . A..