Sepsis course I. From blood poisoning to septic shock Zsolt Molnar SZTE, AITI

Jan 28, 2014

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Sepsis course I. From blood poisoning to septic shock Zsolt Molnar SZTE, AITI

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SEPSIS ,SEVERE SEPSIS AND SEPTIC SHOCK

SEPSIS ,SEVERE SEPSIS AND SEPTIC SHOCK. 2008 UPDATE J.TAVARES,MD,FCCP,FAASM. Protocol for Early Goal-Directed Therapy. Rivers E et al. N Engl J Med 2001;345:1368-1377. SEPSIS RESUSCITATION BUNDLE: 1-Serum Lactate 2-Blood Cultures 3-Antibiotics within 3 hours/1 hr 4-IVF

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Sepsis Septic shock

Occurrence of Severe Sepsis . Annual incidence: ~750,000 cases in US2.26 cases per 100 hospital discharges51.1% received ICU care and 17.3% received IMC careIncidence and mortality increased with ageCase fatality rate: 28% Economic burden$22,100 per case~$16.7 billion nationally. Angus DC e

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SEPTIC SHOCK

SEPTIC SHOCK. By Marian D. Williams RN BN CEN CFRN CCRN. SEPTIC SHOCK. Most common cause of death in non-cardiac ICU’s in the US Most cases are nosocomial Increased incidence due to advanced invasive technology Elderly are at greatest risk Mortality:40%-85%. SEPTIC SHOCK.

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Septic Shock

Septic Shock. Stuart Forman MD, FAAFP Contra Costa Regional Medical Center June 2009. What is Shock?.

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SEPSIS , SEVERE SEPSIS, SEPTIC SHOCK

SEPSIS , SEVERE SEPSIS, SEPTIC SHOCK. Surviving Sepsis Campaign: International Guidelines for Management of Severe Sepsis and Septic Shock: 2012. Epidemiology. 1 of 4 ill people dies Incidence Sepsis 33,7 %, severe sepsis 15,7%, septic shock-6,4% Causes -

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Sepsis/Septic shock

Sepsis/Septic shock. Introduction. When bacteria is not effectively cleared by host defenses, a systemic inflammatory response is activated →sepsis. I ntroduction.

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Sepsis and Septic Shock

Sepsis and Septic Shock. The human body is resilient…. Undergoes many insults daily Survives most One insult is microbial If overwhelming, infection occurs Unchecked, damage occurs at the cellular level Transmits to organ level If damage progresses, shock occurs. What is “shock?”.

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Sepsis and Septic Shock

Sepsis and Septic Shock. Dr. John Pullman St. James Healthcare Butte, Montana 2011. Microbiology of Sepsis. Common gram-positive cocci are Strep pneumonia, Staph aureus (MSSA & MRSA), gp A & B strep, gp G strep; strep anginosis.

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SHOCK/SEPSIS

SHOCK/SEPSIS. NUR 351/352 Diane E. White RN MS CCRN PhD (c). Shock. Syndrome characterized by inadequate tissue perfusion Classifications: Hypovelmic Shock : inadequate volume Cardiogenic Shock : ineffective pump Obstructive Shock : compression

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Sepsis course – IV: Biochemical signs of sepsis Molnár Zsolt SZTE, AITI

Sepsis course – IV: Biochemical signs of sepsis Molnár Zsolt SZTE, AITI. Szepszis: nem definitív betegség. „Sepsis-syndrome” and Las Vegas: Fever or hypothermia (> 38 o C or < 36 o C) Tachycardia (>90/min)

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SIRS, Sepsis, Severe Sepsis, Septic Shock, and MOF

SIRS, Sepsis, Severe Sepsis, Septic Shock, and MOF. Bryan Imayanagita Trauma Research Associates Program 6/1/12. Systemic Inflammatory Response Syndrome (SIRS). Criteria established in 1992 Related to systemic inflammation, organ dysfunction/failure

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Severe sepsis and septic shock

Severe sepsis and septic shock. Salman Qureshi, MD McGill University Health Centre July 7, 2010 salman.qureshi@mcgill.ca. Severe sepsis and septic shock. Estimated 750,000 cases per year Projected to increase 25% by 2020 (1.1 million cases per year) Average age: 6 th decade

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SEVERE SEPSIS&SEPTIC SHOCK IN PEDIATRICS.

Abdel Razzaq Abu Mayaleh, MD PRCS _ New Hospital - Hebron Based partially on www.picucourse.org. SEVERE SEPSIS&SEPTIC SHOCK IN PEDIATRICS. INTRODUCTION. SEPSIS :- it’s an infection plus systemic manifestation of infection.

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SEPSIS & SEPTIC SHOCK 10.15. 2009

SEPSIS & SEPTIC SHOCK 10.15. 2009. Jaime Palomino, MD Pulmonary & Critical Care Medicine Tulane University Health Sciences Center New Orleans, Louisiana. Epidemiology. Sepsis yearly incidence  50 – 95 cases / 100,000 Increasing by 9% each year 2% hospital admissions

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Sepsis, Septic Shock, and Systemic Inflammatory Response Syndrome

Sepsis, Septic Shock, and Systemic Inflammatory Response Syndrome. Objective.

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Sepsis & Septic Shock

Sepsis & Septic Shock. Mario M. Panaligan, MD, FPCP, FPSMID. REFERENCES. Harrison’s Principles of Internal Medicine, 17 th ed Severe Sepsis and Septic Shock (Chapter 265, pp. 1695-1702) Treatment and Prophylaxis of Bacterial Infections (Chapter 127, pp. 851-864)

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Septic Shock

Septic Shock. Stuart Forman MD Contra Costa Regional Medical Center June 2010. What is Shock?.

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Sepsis, Severe Sepsis, and Septic Shock

Sepsis, Severe Sepsis, and Septic Shock. Anna Piekarska MD, PhD. Epidemiology. severe sepsis, defined as documented infection and acute organ dysfunction, occurred in 300 cases per 100,000 population

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Sepsis and Septic Shock, 2008

Sepsis and Septic Shock, 2008. Prof J Cohen. Sepsis and Septic Shock. Definitions Epidemiology Pathogenesis Principles of management. Definitions.

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Sepsis and septic shock

Sepsis and septic shock. Sir Run Run Shaw Hospital, 3rd floor of critical care medicine Zhejiang university school of medicine Jian-cang Zhou M.D. Sepsis and Septic Shock. Definitions Epidemiology Pathogenesis Principles of management. Definition - SIRS.

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Sepsis course I. From blood poisoning to septic shock Zsolt Molnar SZTE, AITI

Sepsis course I. From blood poisoning to septic shock Zsolt Molnar SZTE, AITI

Presentation Transcript

SEPSIS ,SEVERE SEPSIS AND SEPTIC SHOCK

Sepsis Septic shock

SEPTIC SHOCK

Septic Shock

SEPSIS , SEVERE SEPSIS, SEPTIC SHOCK

Sepsis/Septic shock

Sepsis and Septic Shock

Sepsis and Septic Shock

SHOCK/SEPSIS

Sepsis course – IV: Biochemical signs of sepsis Molnár Zsolt SZTE, AITI

SIRS, Sepsis, Severe Sepsis, Septic Shock, and MOF

Severe sepsis and septic shock

SEVERE SEPSIS&amp;SEPTIC SHOCK IN PEDIATRICS.

SEPSIS &amp; SEPTIC SHOCK 10.15. 2009

Sepsis, Septic Shock, and Systemic Inflammatory Response Syndrome

Sepsis &amp; Septic Shock

Septic Shock

Sepsis, Severe Sepsis, and Septic Shock

Sepsis and Septic Shock, 2008

Sepsis and septic shock

SEVERE SEPSIS&SEPTIC SHOCK IN PEDIATRICS.

SEPSIS & SEPTIC SHOCK 10.15. 2009

Sepsis & Septic Shock