21 results
Systemic Inflammatory Response Syndrome (SIRS)
•	Non-specific (infections vs non-infectious)
•	≥2 of the following:
o	Temp >38°C or <36°C
o	HR >90 bpm
o	RR
>10% bands Sepsis ... -3, 2016) • Sepsis ... Septic Shock • ... >2 mmol/L Management ... recognition & treatment
Sepsis - Diagnosis and Management
Life-threatening organ dysfunction caused by a dysregulated host response to infection
SEPTIC SHOCK
Sepsis - Diagnosis ... of sepsis in which ... Clinical construct of sepsis ... recognition and treatment ... @EmmGeezee #Sepsis
Causes of Depressed / Lethargic Newborn - Differential Diagnosis Algorithm
Maternal Related:
 • Drugs (Ex. SSRI)
 •
Lethargic Newborn - Differential ... Aspiration • Sepsis ... • Anemia • Shock ... Lethargic #Newborn #Differential ... Algorithm #Causes #Peds
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Distributive: Sepsis ... Treatment Goals ... #Differential # ... #management
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Shock and Vasoactive ... and etiology of shock ... Distributive: Sepsis ... inopressors #diagnosis #management ... #comparison #table
American College of Critical Care Medicine algorithm for time-sensitive, goal-directed stepwise management of hemodynamic support in
goal-directed stepwise management ... to next step if shock ... #CriticalCare #Peds ... #Pediatrics #Sepsis ... #Management #StepWise
Vasopressors and Inotropes
 • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
pressor added in shock ... in refractory shock ... Angiotensin - "Ang II" - Sepsis ... Vasopressors #Inotropes #management ... criticalcare #summary #comparison
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... Vascular tone): • Sepsis ... uw_IMresidency #Shock ... #Differential # ... Diagnosis #table #comparison
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Shock Overview ... Inflammatory: infectious (sepsis ... anaphylaxis, toxins/meds ... Classification #diagnosis #management ... #criticalcare #differential
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Shock Overview ... Inflammatory: infectious (sepsis ... anaphylaxis, toxins/meds ... Classification #diagnosis #management ... #criticalcare #differential