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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 ... recognition and treatment ... #QSOFA #SIRS #criticalcare
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Distributive: Sepsis ... Insufficiency, Liver ... Treatment Goals ... Differential #Diagnosis #criticalcare ... #management
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
and Management ... and Survey 4) Workup ... - Septic ... #Summary #criticalcare ... #treatment #workup
Decision tree of FALLS-protocol (Fluid Administration Limited by Lung Sonography). Lung Ultrasound in the hemodynamic assessment
assessment of Shock ... , i.e. septic shock ... #Pulmonology #CriticalCare ... #Shock #Fluids ... #POCUS
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 #StepWise
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 • ... >2 mmol/L Management ... recognition & treatment ... norepinephrine) if ... #sirs #shock #lactate
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia

Severe sepsis (hypotension persisting after initial fluid challenge of
shock (sepsis with ... source cultures if ... Discuss ongoing management ... Checklist #Diagnosis #Management ... #Workup
The Liver Consult Primer - Guide to calling a consult
HPI:
 - Start with reason for consult
for admission (if ... different) PMHx: - Focus ... disease work up ... of hypotension, shock ... , sepsis, GIB etc
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 ... Toxic Salicylate Level ... #Treatment
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
ultrasound - Calcium level ... - Triglyceride level ... strategy as for septic ... shock (e.g. moderate ... #CriticalCare