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American College of Critical Care Medicine algorithm for time-sensitive, goal-directed stepwise management of hemodynamic support in
goal-directed stepwise management ... 2) Subsequent ICU ... goals—if shock ... Peds #Pediatrics #Sepsis ... #Management #StepWise
Sepsis - Diagnosis and Management
Life-threatening organ dysfunction caused by a dysregulated host response to infection
SEPTIC SHOCK
infection SEPTIC SHOCK ... Patients w/ septic shock ... likelihood of prolonged ICU ... recognition and treatment ... #criticalcare #icu
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Distributive: Sepsis ... Treatment Goals ... #Differential # ... #management
Intracranial Hemorrhage (ICH) and Increased Intracranial Pressure (ICP) - Pathophysiology
ICH Management:
1. Manage Blood Pressure
  •
Pathophysiology ICH ... Management: 1. ... lidocaine, +/- pre-treatment ... Pathophysiology #neurology ... #neurosurgery #management
Vasopressors and Inotropes
 • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
pressor added in shock ... common in OR; in MICU ... in refractory shock ... Angiotensin - "Ang II" - Sepsis ... Vasopressors #Inotropes #management
Posterior Reversible Encephalopathy Syndrome (PRES) - Treatment
Blood pressure control:
 • Aim for 10-25% BP reduction within
Posterior Reversible ... Syndrome (PRES) - Treatment ... EricsMedicalLectures/ #PRES #Posterior ... Encephalopathy #Syndrome #Treatment ... #Management #Neurology
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 ... Septic Shock • ... >2 mmol/L Management ... recognition & treatment ... #sirs #shock #lactate
Posterior Reversible Encephalopathy Syndrome (PRES) Overview

Clinico-Radiological Syndrome, characterized by:
 • Headache
 • Seizures
 • Altered mental
/Shock, Autoimmune ... Reversible course Differential ... epilepticus Treatment ... Syndrome #diagnosis #management ... #neurology
Pediatric SVT - Management Algorithm
Identify SVT:
 • HR not variable
 • Abrupt rate changes
 • Infants:
Pediatric SVT - Management ... Maneuvers - Ice ... Signs of shock or ... #tachycardia #Management ... peds #Pediatric #treatment
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
Undifferentiated Shock ... OnePager Summary Shock ... essential to determine treatment ... DISTRIBUTIVE: Sepsis ... #diagnosis #differential