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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
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
Causes, classification and compensatory responses to shock.

Shock can be caused by any pathological process that leads
vasodilatation, myocardial dysfunction ... distributive (septic ... for example, in sepsis ... unresuscitated septic ... #Differential #
Shock - Differential Diagnosis Algorithm
Warm Extremities
 - Distributive Shock - Low JVP
Shock - Differential ... Diagnosis Algorithm ... Low JVP • Sepsis ... #Hypotension #Differential ... #Diagnosis #Algorithm
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
Hypotension / Shock Differential Diagnosis Algorithm
Hypovolemic:
 • Poor oral intake
 • Hemorrhage
 • Renal loss
 •
Differential Diagnosis ... Algorithm Hypovolemic ... Distributive: • Sepsis ... #Hypotension #Differential ... #Diagnosis #Algorithm
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Distributive: Sepsis ... #Differential # ... #criticalcare #algorithm ... #treatment #management
Causes of Depressed / Lethargic Newborn - Differential Diagnosis Algorithm
Maternal Related:
 • Drugs (Ex. SSRI)
 •
Lethargic Newborn - Differential ... Diagnosis Algorithm ... Aspiration • Sepsis ... • Anemia • Shock ... #Diagnosis #Algorithm