Emergency Medicine Board Bombs
189. Sepsis: burn the stopwatches
Sep 11, 2023
This episode discusses the criteria for diagnosing sepsis, prompt antibiotic administration, target mean arterial pressure (MAP) goal for septic shock patients, use of balanced crystalloids for resuscitation, early initiation of vasopressors, importance of source control, role of hydrocortisone, need for LP in meningitis cases, and the significance of early intervention in septic shock and sepsis.
15:21
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Quick takeaways
- Sepsis in the ED requires clinical judgment to differentiate from other causes of surge criteria elevation.
- In septic shock, initiating broad-spectrum antibiotics within the first hour, starting peripheral vasopressors, and considering source control are crucial.
Deep dives
Identifying Sepsis Criteria
Sepsis in the ED is defined by two or more surge criteria, including respiratory rate, heart rate, and leukocytosis. However, surge criteria is not perfect and requires clinical judgment to differentiate septic patients from those with other causes for criteria elevation.
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