Two Generals
Sepsis
Sepsis Stats
Septic Tank
EGDT
100
temperature >38C or 36C and Respirations >20/min
What are two SIRS criteria
100
Known or suspected infection plus two or more SIRS criteria
What is Sepsis?
100
210,000
What is deaths from sepsis in the U.S. annually?
100
Perfusion
What is the main problem in sepsis?
100
Scripted set of sepsis interventions
What is EGDT?
200
Heart rate > 90 beats/min and change in LOC
What are two SIRS criteria?
200
Alcoholics; untreated GI disease; the elderly
Who is at risk for Sepsis?
200
10th
What is the ranking of sepsis deaths in the U.S. compared to other deaths?
200
Gram negative and gram positive bacteria, virus, fungi
What are the microorganisms that cause sepsis?
200
Start an antibiotic within 1 hour
What is part of the sepsis EGDT bundle?
300
WBC count > 12,000 or < 4,000 or >10% immature neutrophils (bands)
What are two SIRS criteria?
300
Immune/Inflammatory response not localized to area around antigen
What is the body's response in sepsis?
300
25-50%
What is mortality from Severe Sepsis and Septic Shock
300
Altered Level Of Conscience
What is a SIRS criteria?
300
Central line placement within two hours
What is part of the sepsis EGDT bundle?
400
SIRS
What is Systemic Inflammatory Response Syndrome
400
Decreased blood flow to organ tissue
What is the body's response in sepsis?
400
Leading cause of Death in non-cardiac ICUs
What is severe sepsis and septic shock?
400
Fibrin clots lead to microvascular hypoperfusion
What is part of the bodies response in sepsis?
400
For a lactate >4 the time the result is reported by the lab
What is TIME ZERO?
500
burns, trauma, pancreatitis, anaphylaxis
What is SIRS with no evidence of infection
500
Fibrin clots lead to microvascular hypoperfusion, diminished oxygen delivery and tissue necrosis
What is septic coagulation?
500
Increases mortality by 7%
What is each hours' delay in giving antibiotics to severely septic patient?
500
Lactate >4
What is an indication severe sepsis requiring EGDT?
500
First 6 hours from Time Zero
What are "The Magic Hours"?
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