Sepsis
Sepsis
Information Covered:
- Multiple Organ Dysfunction Syndrome (MODS)
- Sepsis
- Acute Respiratory Distress Syndrome (ARDS)
- Death of organs
- Death of organism
- Non Cardiogenic Shock
- Introduction
- Epidemiology
- Anatomic and physiologic differences in children
- Pathophysiology (compensated vs. decompensated)
- Hypovolemic
- Distributive (septic, neurogenic, anaphylactic)
- Assessment
- History (fever, vomiting, diarrhea, urine output, fluid intake, blood loss, allergic symptoms, burns, accidental ingestion)
- Physical findings (heart rate, blood pressure, capillary refill, color, petechiae, mental status, mucous membranes, skin turgor, face/lip/tongue swelling)
- Management
- Intravenous isotonic crystalloid for all types
- Septic: in-hospital antibiotics for presumed bacterial sepsis
- Anaphylactic: subcutaneous epinephrine, intravenous anti- histamines (diphenhydramine, ranitidine), and intravenous steroids
- Consider Pressors for ongoing decompensated shock
- Infectious injury
- Virulence or pathogenicity of microorganisms via
- Invading and destroying cells
- Producing toxins
- Producing hypersensitivity reactions
- Bacteria
- Survival and growth
- Bacteria produce enzymes or toxins
- Toxins
- Exotoxins
- Endotoxins
- Virulence or pathogenicity of microorganisms via
- Introduction
- Viruses
- Immunologic and inflammatory injury
- Injurious genetic factors
- Injurious nutritional imbalances
- injurious physical agents
- Manifestation of Cellular Injury
- Cellular Death/Necrosis
- The Cellular Environment
- Distribution of Body Fluids
- Intracellular fluid (ICF)
- Extracellular fluid (ECF)
- Total body water (TBW)
- Aging and Distribution of Body Fluids
- Water Movement Between ICF and ECF
- Water Movement Between Plasma and Interstitial Fluid
- Alterations in Water Movement – Edema
- Water Balance and the Role of Electrolytes
- Acid-base balances
- Multiple Organ Dysfunction Syndrome (MODS)
- Distribution of Body Fluids
https://emedicine.medscape.com/article/168943-overview
https://www.mdcalc.com/sirs-sepsis-septic-shock-criteria
http://www.nejm.org/doi/full/10.1056/NEJMoa1415236#t=article
Content Creator: Ariel Wai
CAPCE Course Number: 20-EMTP-F3-1203
Total CE Hours: 1.0
Level: Advanced
NJ Course Number: 1342973877362
EMT-CE uses the NEMSES guidelines as the foundation for every course outline.