13 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
high risk): o Altered ... Septic Shock • ... /L Management ... control (drain abscesses ... #sirs #shock #lactate
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... malperfusion - Lactate ... Distributive: Sepsis ... Insufficiency, Liver ... algorithm #treatment #management
Causes of Acute Liver Injury - Differential Diagnosis
Hepatocellular - Liver Parenchyma
 • Infectious: Hepatitis C, A,
Liver Injury - Differential ... Parenchyma • Infectious ... Hepatic Artery: Shock ... : Sepsis, Viral ... #Injury #Differential
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
Lactic Acidosis - Differential ... assessment - assess ... cardiac output - Acute ... peritonitis - Acute ... Acidosis #Elevation #Differential
Salicylate Toxicity - Diagnosis and Management

Consider if:
1) Patient is hot and altered
2) You see tachypnea with
Patient is hot and altered ... seems like DKA, sepsis ... 5) History of acute ... Pulmonary edema, Shock ... Alkalosis, High Lactate
Lactic Acidosis - Differential Diagnosis Framework

Type A: Impaired O2 Delivery (DO2)
 • Decreased O2 Delivery: Hypotension
Lactic Acidosis - Differential ... Cardiogenic & Septic Shock ... Localized soft-tissue infection ... Clearance: Systemic liver ... Malaria, Late Sepsis
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
and Management ... • Oliguria • Altered ... ) • Elevated lactate ... Establish IV/IO Access ... - Pulmonary >> Acute
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia

Severe sepsis (hypotension persisting after initial fluid challenge of
≥ 4mmol.l-1 if infection ... cause) or septic shock ... central and arterial access ... Discuss ongoing management ... Checklist #Diagnosis #Management
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Inflammatory: infectious ... (sepsis) or not ... AI, thyroid dz liver ... Classification #diagnosis #management ... #criticalcare #differential
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Inflammatory: infectious ... (sepsis) or not ... AI, thyroid dz liver ... Classification #diagnosis #management ... #criticalcare #differential