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diagnosis management differential criticalcare classification causes clinical ultrasound types hematology lactate lung syndrome a4c acidosis algorithm cardiogenic cardiology criteria echocardiogram
Systemic Inflammatory Response Syndrome (SIRS) Criteria - Definitions of Sepsis, Severe Sepsis and Septic Shock Systemic Inflammatory
Response Syndrome (SIRS ... and Septic Shock ... Response Syndrome (SIRS ... drop > 40 (Organ dysfunction ... Shock = Severe
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
Response Syndrome (SIRS ... • Organ dysfunction ... hypoperfusion/organ dysfunction ... Septic Shock • ... #sirs #shock #lactate
SEPSIS AND SEPTIC SHOCK DEFINITION AND PATHOPHYSIOLOGY • Sepsis: Life-threatening organ dysfunction due to a dysregulated host
• Septic shock ... • 2001 SIRS: ... with Shock: Sepsis ... /hypofunction. ... #Septic #Shock
Sepsis - Diagnosis and Management Life-threatening organ dysfunction caused by a dysregulated host response to infection SEPTIC SHOCK
Life-threatening organ dysfunction ... SHOCK is a subset ... shock are identified ... Previously, we used SIRS ... Management #QSOFA #SIRS
Bedside Classification of Shock Hypovolemic shock - Vomiting, diarrhea, overdiuresis - Hemorrhage (GI, peritoneal, RP) Distributive shock
Hypovolemic shock ... - Septic shock ... Post-cardiac arrest SIRS ... Acute valve dysfunction ... Prosthetic valve dysfunction
Shock Types and Classification DISTRIBUTIVE 66% • Sepsis/SIRS, anaphylaxis, adrenal insufficiency, liver failure, toxins, spinal/neurogenic • Warm
Shock Types and ... DISTRIBUTIVE 66% • Sepsis ... /SIRS, anaphylaxis ... Cold and Dry #Shock
Causes, classification and compensatory responses to shock. Shock can be caused by any pathological process that leads
Shock can be caused ... vasodilatation, myocardial dysfunction ... distributive (septic ... for example, in sepsis ... unresuscitated septic
Cardiogenic Shock - Diagnosis and Management Summary Identifying Hypoperfusion from Cardiac Dysfunction • Exam: Congestion vs Hypoperfusion
Cardiogenic Shock ... Hypoperfusion from Cardiac Dysfunction ... Diagnostic Studies • POCUS ... #Cardiogenic #Shock
Approach to Undifferentiated Shock - OnePager Summary Shock occurs when there is inadequate blood flow (CO) &
Undifferentiated Shock ... OnePager Summary Shock ... Shock can be broken ... DISTRIBUTIVE: Sepsis ... Inflammatory (SIRS
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... possible w/ early shock ... qSOFA/SOFA and SIRS ... • Obstructive Shock ... - Septic
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