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Surviving Sepsis 1-Hour Bundle - Initial Resuscitation for Sepsis and Septic Shock 

#SurvivingSepsis #1Hour #OneHour #Bundle
Surviving Sepsis ... Resuscitation for Sepsis ... and Septic Shock ... Resuscitation #CriticalCare ... #Management
Sepsis - Diagnosis and Management
Life-threatening organ dysfunction caused by a dysregulated host response to infection
SEPTIC SHOCK
and Management ... SHOCK is a subset ... shock are identified ... WBC > 12 K or < ... #QSOFA #SIRS #criticalcare
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Distributive: Sepsis ... 3) UOP > 0.5 cc ... Differential #Diagnosis #criticalcare ... algorithm #treatment #management
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
PaCO₂ <32 mmHg o WBC ... >10% bands Sepsis ... Septic Shock • ... >2 mmol/L Management ... #sirs #shock #lactate
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 #
Approach to Hemorrhagic Shock
PLAN FOR CONTROLLING HEMORRHAGE & ACTIVATE MASSIVE TRANSFUSION PROTOCOL
 • Activate massive transfusion
to Hemorrhagic Shock ... • Can use CBC ... #Hemorrhagic #Shock ... #Management #Summary ... #CriticalCare #
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia

Severe sepsis (hypotension persisting after initial fluid challenge of
Intraoperative Sepsis ... shock (sepsis with ... gas, lactate, FBC ... Discuss ongoing management ... Checklist #Diagnosis #Management
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
Undifferentiated Shock ... OnePager Summary Shock ... etc), Toxins (CCB ... DISTRIBUTIVE: Sepsis ... guyton #curves #criticalcare
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... and Management ... - Septic ... #Diagnosis #Management ... #Summary #criticalcare