23 results
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
malperfusion - Lactate ... Distributive: Sepsis ... Insufficiency, Liver ... Differential #Diagnosis #criticalcare ... #management
Sepsis - Diagnosis and Management
Life-threatening organ dysfunction caused by a dysregulated host response to infection
SEPTIC SHOCK
SHOCK is a subset ... shock are identified ... Serum lactate >2 ... recognition and treatment ... #QSOFA #SIRS #criticalcare
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia

Severe sepsis (hypotension persisting after initial fluid challenge of
30ml.kg-1 or blood lactate ... shock (sepsis with ... Discuss ongoing management ... Checklist #Diagnosis #Management ... #Workup
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
Septic Shock • ... /L Management ... recognition & treatment ... norepinephrine) if ... #sirs #shock #lactate
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
and Management ... ) • Elevated lactate ... - Septic ... #Summary #criticalcare ... #treatment #workup
Lactic Acidosis - Differential Diagnosis Framework

Type A: Impaired O2 Delivery (DO2)
 • Decreased O2 Delivery: Hypotension
Cardiogenic & Septic ... Shock, Severe Anemia ... Beta-Agonists, ↑ work ... Malaria, Late Sepsis ... Differential #Diagnosis #criticalcare
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
/hypoxemia/Sepsis ... ->treatments include ... circulation If ... before beginning treatment ... syndrome - Sepsis
American College of Critical Care Medicine algorithm for time-sensitive, goal-directed stepwise management of hemodynamic support in
goal-directed stepwise management ... shock persists. ... #CriticalCare # ... Peds #Pediatrics ... #Sepsis #Management
Salicylate Toxicity - Diagnosis and Management

Consider if:
1) Patient is hot and altered
2) You see tachypnea with
Consider if: ... seems like DKA, sepsis ... Pulmonary edema, Shock ... Alkalosis, High Lactate ... #Treatment
Septic Arthritis - Diagnosis and Management Summary
Clinical Exam: hot, swollen, pain with passive AND active ROM
Diagnosis and Management ... active ROM +/- fever ... viral arthritis Workup ... 90% sensitive in pediatrics ... anal Cxs) • *** If