Pediatric Septic Shock

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In this episode, Sam Ashoo, MD, interviews Ara Festekjian, MD, one of the authors of the November 2022 Pediatric Emergency Medicine Practice article on Pediatric Septic Shock in the Emergency Department

Introduction: How common is sepsis in kids and what is the mortality rate in the US?

Definitions

Septic shock
Sepsis associated organ dysfunction
Sepsis-3
Compensated vs uncompensated shock

Etiology

Neonate
Central line and VP shunts
Asplenia
Immunocompromised children

Differential Diagnosis

Prehospital Care

ED Evaluation

History
Examination
Septic shock + cardiogenic shock
Warm vs cold shock
Evolution of physical exam findings

Diagnostics

Labs
Imaging

Treatment

IV/IO placement
Fluid boluses
Antibiotics
Pressors
Airway management

Special Populations

Febrile neutropenia
Newborns with septic shock

Controversies

Fluid volume
Fluid type
Antibiotic timing
Corticosteroids

134集单集

#Fitness #Sam Ashoo MD #Sam Ashoo #Emergency Medicine #Science #Medicine #Podcasting Education #Emergency Department