This is an extremely well-spoken, clear, and concise presentation of standardized sepsis guidelines, one of the best I have ever heard. Kudos to you, Dr. Sally Suliman. As a relatively novice speaker on the subject of sepsis myself, I am inspired. Thank you for this exceptional offering.
hi, a quick question. why virus is not mentioned as a possible cause of sepsis? i've seen some articles that describe virla sepsis. thanks for the video btw. very good presentation
but what I was wondering, I tought SIRS isn't existing as entity anymore? EDIT: nvm, she answered it, it's used as screening tool more lectures with Dr. Suliman, please!
I wish they would have a PowerPoint pointer, an arrow, to see what/where she is talking about. ALL of their videos do not have it so it makes learning a bit difficult since you're blindly listening during those graphic explanations.
Thanks- initially difficult to follow: history then, guidelines, importance, mortality, causes, back to epidemiology, then sources, back to etiologies... not yet definition..., cxr, infection,
In an acute state of septic shock, your suggested strategy of providing supplemental salt to correct intravascular fluid loss would be equivalent to attempting to put out a rampant forest fire with a garden hose. Intravascular volume loss from sepsis is due to the body's inflammatory response (inflammatory mediators, cytokines, interleukins, TNF-a, etc. etc.) causing damage to the microvasculature (endothelium) of the circulatory system, thereby increasing the porosity of the capillaries, leading to interstitial fluid accumulation and subsequent edema. The volume loss requires RAPID correction with crystalloid therapy to restore hemodynamic stability, coupled by vasopressor therapy if volume restoration fails. The rapid correction of shock is something dietary supplementation would not be able to provide. Hope this helps!
Adam P, I beg your pardon, but your information is incorrect and her information is in fact correct. In the US, per the Center's for Medicare/Medicaid Service's (CMS) sepsis guidelines, aka SEP-1, ideal body weight (IBW) may be used to adequately resuscitate patients using the 30 ml/kg formula for crystalloid resuscitation. As she alludes to in the video, this exception is reserved for patients considered obese. Per SEP-1 guidelines, patients meeting a body mass index (BMI) greater than 30 qualify as "obese," thereby qualifying for IBW use. And justifiably so, as giving an obscene amount of fluid (her example was 600 lbs, equivalent to 272 kg, thereby requiring > 8 liters of fluid) would likely be overkill and potentially harmful to the patient, especially in patients with underlying liver, kidney, and cardiovascular comorbidities.
This is an extremely well-spoken, clear, and concise presentation of standardized sepsis guidelines, one of the best I have ever heard. Kudos to you, Dr. Sally Suliman. As a relatively novice speaker on the subject of sepsis myself, I am inspired. Thank you for this exceptional offering.
THIS IS A VERY ELABORATE SHARING OF KNOWLEDGE. THANK YOU.
Thank you for this high quality content
Love her voice & learned so much !
reminds me a lot of minnie driver's character from good will hunting
Thank you for this presentation, it was presented in a very clear and succint manner!
Well explained !
Thank you for this brilliant on point presentation doc :)
Excellent content presented precisely.
Excellent...informative
Thank you
I can only give one thumb up, so I apologize for that.
hi, a quick question. why virus is not mentioned as a possible cause of sepsis? i've seen some articles that describe virla sepsis. thanks for the video btw. very good presentation
Awesome!
but what I was wondering, I tought SIRS isn't existing as entity anymore?
EDIT: nvm, she answered it, it's used as screening tool
more lectures with Dr. Suliman, please!
I wish they would have a PowerPoint pointer, an arrow, to see what/where she is talking about. ALL of their videos do not have it so it makes learning a bit difficult since you're blindly listening during those graphic explanations.
Thank You , this is the best explanation of sepsis.
Amazing
Thanks- initially difficult to follow: history then, guidelines, importance, mortality, causes, back to epidemiology, then sources, back to etiologies... not yet definition..., cxr, infection,
Where can I find the code for this lecture to claim CME credits?
hello..how supportive will it be if we add salt to oral fluids while feeding the patient??
In an acute state of septic shock, your suggested strategy of providing supplemental salt to correct intravascular fluid loss would be equivalent to attempting to put out a rampant forest fire with a garden hose. Intravascular volume loss from sepsis is due to the body's inflammatory response (inflammatory mediators, cytokines, interleukins, TNF-a, etc. etc.) causing damage to the microvasculature (endothelium) of the circulatory system, thereby increasing the porosity of the capillaries, leading to interstitial fluid accumulation and subsequent edema. The volume loss requires RAPID correction with crystalloid therapy to restore hemodynamic stability, coupled by vasopressor therapy if volume restoration fails. The rapid correction of shock is something dietary supplementation would not be able to provide. Hope this helps!
Great video. She mentioned septic bolus as 30cc/kg of ideal body weight. However, it is actual body weight
Adam P, I beg your pardon, but your information is incorrect and her information is in fact correct. In the US, per the Center's for Medicare/Medicaid Service's (CMS) sepsis guidelines, aka SEP-1, ideal body weight (IBW) may be used to adequately resuscitate patients using the 30 ml/kg formula for crystalloid resuscitation. As she alludes to in the video, this exception is reserved for patients considered obese. Per SEP-1 guidelines, patients meeting a body mass index (BMI) greater than 30 qualify as "obese," thereby qualifying for IBW use. And justifiably so, as giving an obscene amount of fluid (her example was 600 lbs, equivalent to 272 kg, thereby requiring > 8 liters of fluid) would likely be overkill and potentially harmful to the patient, especially in patients with underlying liver, kidney, and cardiovascular comorbidities.
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Is Davidson good for internal medicine
Yeah. Its a great book for internal medicine.