![]() He has rales at the right lung base, mild wheezes, and tachycardia. He is speaking in full sentences and does not appear to be in respiratory distress. His vital signs are: heart rate, 102 beats/min respiratory rate, 22 breaths/min blood pressure, 130/89 mm Hg, and SpO 2, 94% on room air. Case PresentationsĪ 65-year-old man with COPD and diabetes presents from home with a productive cough (green sputum) for 1 week, dyspnea on exertion, and fever. This issue is a structured review of the literature on the management of sepsis, focusing on the current evidence, guidelines, and protocols. Diagnosis and treatment of sepsis and septic shock are fundamental for emergency clinicians, and include knowledge of clinical and laboratory indicators of subtle and overt organ dysfunction, infection source control, and protocols for prompt identification of the early signs of septic shock. Sepsis is a common and life-threatening condition that requires early recognition and swift initial management. Antibiotic Recommendations by Source of Infection Historical and Physical Examination Findings Concerning for Sepsis Potential Sources of Infection Associated With Sepsis, by Organ System Noninfectious Conditions That May Mimic Sepsis Definitions of Sepsis, Severe Sepsis, and Septic Shock ![]() Sequential Organ Failure Assessment Score Risk Management Pitfalls for Sepsis Management in the Emergency DepartmentĬlinical Pathway for Sepsis Screening in the Emergency DepartmentĬlinical Pathway for Initial Management of Patients With Sepsis.Lactate Versus Central Venous Oxygen Saturation ![]()
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