By Ravish Amin
The diagnosis of SIRS, sepsis, severe SIRS, severe sepsis, septic shock of an 82 year old diaphoretic nursing home resident presenting with intermittent fever of >36hours,chills, thirst and positive medical history of diabetes, hypertension, COPD with vitals T=39.6, HR=97, BP=138/66, RR=18, O2 sat=93% on room air presents challenges for clinicians. For prompt symptom recognition it is important to know the definitions and diagnostic criteria of SIRS and sepsis, develop common differentials, etiology and take focused H&P to initiate appropriate workups for figuring out whether the cause is sepsis or hospital-acquired pneumonia (HAP), ventilator-acquired pneumonia (VAP)and/or other infections.
The Sepsis Clinical Guide app features charts, a search feature, calculators, and references.
Medical information for sepsis this app provides includes:
- The STOP sepsis bundle, hemodynamic management and mechanical ventilation of sepsis-induced ALI/ARDS and guidelines from the Surviving Sepsis Campaign and the American Thoracic Society (ATS)
- Antibiotic treatment guidelines from the Infectious Diseases Society of America
- Management of pediatric and neonatal sepsis.
- Calculators for APACHE II score, Multiple Organ Dysfunction Score (MODS), the Simplified Acute Physiology Score (SAPS) II, the Sequential Organ Failure Assessment (SOFA) score, the Clinical Pulmonary Infection (CPI) score, the Inferior Vena Cava Collapsibility Index