Podcast #22: Sepsis Sofa - The Emergency Medical Minute

Podcast #22: Sepsis Sofa

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Run Time: 2 minutes

Author: Dr. Christopher Holmes

Educational Pearls:

  • Old Sepsis criteria included 2 SIRS criteria – Temperature > 100.4°F, Heart Rate >90 bpm, Respiratory Rate >20, and White Blood Cell count > 12,000 mm3 – and a suspected source of infection.
  • New Method involves SOFA – Sequencial Organ Failure Assessment scale – which has 3 criteria plus suspected source of infection.
    • Patient is newly confused.
    • Respiratory Rate > 22.
    • Systolic BP < 100.
  • New Septic Shock is 2 SOFA criteria and unresponsive to fluid bolus therapy.

References:  http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2703722/

 

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