5 • 644 Ratings
🗓️ 21 March 2017
⏱️ 25 minutes
🧾️ Download transcript
In this episode, we discuss the newest definition of sepsis and septic shock according to the Sepsis-3 criteria and the 2016 Surviving Sepsis guidelines. We also review the scoring systems of “qSOFA” and “SOFA” and use a patient case to help demonstrate the new definitions.
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0:00.0 | Welcome to Helix Talk, an educational podcast for healthcare students and providers covering real-life clinical pearls, professional pharmacy topics, and drug therapy discussions. |
0:11.0 | This podcast is provided by pharmacists and faculty members at Rosal Franklin University College of Pharmacy. |
0:17.0 | This podcast contains general information for educational purposes only. This is not |
0:22.0 | professional advice and should not be used in lieu of obtaining advice from a qualified health |
0:26.3 | care provider. And now on to the show. Welcome to episode 58 of Felix Talk. I'm your |
0:33.8 | co-host Dr. Cain. And I'm Dr. Patel. In today's episode is entitled, Third Times a Charm, Redefining Sepsis, again, using Sepsis 3. |
0:43.1 | So today we're talking about the relatively new sepsis criteria and guidelines for what exactly is sepsis. |
0:49.2 | So Dr. Kane, I do not obviously practice in an acute care environment. |
0:53.5 | So this idea and notion is very new to me. |
0:56.8 | And I'm excited to talk about how the evolution of this definition has become and what |
1:02.1 | it is now. |
1:03.1 | Great. |
1:04.1 | Well, why don't we start with a patient case? |
1:05.4 | So let's say Dr. Patel that you were seeing a patient that presents to your clinic with shortness of breath, |
1:12.0 | productive cough, fever, and chills. And we'll say that pneumonia's, a community-acquired pneumonia, |
1:17.2 | is high up on your differential list. We'll say the patient has the typical past medical |
1:21.9 | history of hypertension, hyperlipidemia, a diabetic, someone within stage renal disease on |
1:27.4 | haemodalysis, hasn't really been in the hospital, |
1:29.8 | but certainly has some risk factors for getting sick and not having a great outcome from pneumonia. |
1:35.3 | And we'll say that their heart rate is a little tachycardic, 105, respiratory rate a little fast at 25. |
1:42.3 | They're saturating 92% on room air, and their blood pressure is on the lower |
1:46.2 | side. So normally we'll say they run 130s, 140s. Today they're at 95 over 65, which is a mean |
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