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Initial Evaluation and Management of Septic Shock - Algorithm

Landsberg Manual @LandsbergManual - https://amzn.to/3rEtbK8

#Septic #Shock #Sepsis #management
Evaluation and Management ... of Septic Shock ... - Algorithm Landsberg ... #Shock #Sepsis ... #Algorithm
Operationalization of New Sepsis and Septic Shock Criteria #Diagnosis #Management #EM #IM #QSofa #Score #Sepsis #SepticShock
Operationalization of New Sepsis ... and Septic Shock ... Criteria #Diagnosis #Management ... #QSofa #Score #Sepsis ... #SepticShock #Algorithm
Causes, classification and compensatory responses to shock.

Shock can be caused by any pathological process that leads
Causes, classification ... vasodilatation, myocardial dysfunction ... distributive (septic ... #Differential # ... Causes #Types #Classification
Bedside Classification of Shock

Hypovolemic shock 

- Vomiting, diarrhea, overdiuresis 

- Hemorrhage (GI, peritoneal, RP) 

Distributive shock
Bedside Classification ... - Septic shock ... Acute valve dysfunction ... Prosthetic valve dysfunction ... #Classification
SEPSIS AND SEPTIC SHOCK

DEFINITION AND PATHOPHYSIOLOGY
 • Sepsis: Life-threatening organ dysfunction due to a dysregulated host
Septic shock ... with Shock: Sepsis ... INITIAL MANAGEMENT ... ADVANCED MANAGEMENT ... #Septic #Shock
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
• Organ dysfunction ... hypoperfusion/organ dysfunction ... Septic Shock • ... >2 mmol/L Management ... #sirs #shock #lactate
Shock - Differential Diagnosis Algorithm
Warm Extremities
 - Distributive Shock - Low JVP
Shock - Differential ... Diagnosis Algorithm ... Low JVP • Sepsis ... #Hypotension #Differential ... #Diagnosis #Algorithm
Shock Types and Classification
DISTRIBUTIVE 66%
 • Sepsis/SIRS, anaphylaxis, adrenal insufficiency, liver failure, toxins, spinal/neurogenic
 • Warm
Shock Types and ... Classification ... DISTRIBUTIVE 66% • Sepsis ... Cold and Dry #Shock ... #diagnosis #differential
Lactic Acidosis Classification - Type A vs Type B
Type A Lactic Acidosis: Sepsis, Ischemic bowel, Hemorrhagic
Lactic Acidosis Classification ... Lactic Acidosis: Sepsis ... bowel, Hemorrhagic shock ... Hypoperfusion, Cardiogenic shock ... TypeB #diagnosis #differential
Sepsis - Diagnosis and Management
Life-threatening organ dysfunction caused by a dysregulated host response to infection
SEPTIC SHOCK
and Management ... Life-threatening organ dysfunction ... SHOCK is a subset ... shock are identified ... Criteria #Diagnosis #Management