Medical School - Sepsis in 5 Minutes

5 Minute Discussion of Sepsis.
ERROR: Of note Xigris was not shown to improve outcomes at 28 days in sepsis via the PROWESS-SHOCK trial. Xigris has been removed from market.

[Schatten]

thank you so much, tomorrow I have a test about the entire US constitution and this video will just do it! you're awesome bro!

[Muuip]

Great concise presentation!
Many thanks!

I think many agree that multiple hours of work put into a few minutes long presentation is an extremely effective way to teach and learn.

I commented, liked and subscribed.

The SIRS and Sepsis criteria have been improved, more parameters are included.

[tennandtenn]

This video, although fairly brief, provides an excellent source of information about sepsis. I especially appreciate the discussion of what it is as well as the symptoms and signs of sepsis.

[oliviabrogdon]

I had sepsis in 6th grade. It was TERRIBLE. I had a terrible fever the whole week and could barely move I was so tired. I woke up in the middle of the night 2-3 times. One day my hand started to swell up, and it was strange. I couldn't touch anything without feeling extreme pain. This was also on Christmas break, which made things worse. On Christmas Day, I normally run downstairs at six AM, but I was so sick I couldn't. Then, my foot started to swell up at about 9:00 am. I couldn't walk. I also had a totally random nosebleed. My dad decided it was time to go to the hospital, so I did. He had to carry me to the car, carry me out, go inside the ER, be told it was closed because it was christmas, be carried back out, drive to radys children's hospital, and go to the ER there. From then, things got worse. I had to have surgery Christmas night, then spend 6 days sedated, almost dead. My lungs were starting to fail, and I was lucky to survive. I couldn't walk for 3 months after because...

[juardine]

Awesome!! I'm an MICU nurse and sepsis is our main patient population. This was a great quick review. I love the quotes from research studies regarding the glucose goal of 180 and h/h of greater than 7. Unfortunately our insulin drip protocol doesn't reflect this. I believe our goal is 80-150. I'm posting this video on my facebook page.

[Wessel]

this was really helpful for me as a medicine student, thanks!

[ChandraPalGupta]

Very good video explaining briefly about sepsis.

[chinonsokingsley]

you are a genius send more of ur videos

[telepcanin]

Can influzenza be considered mild sepsis at least according to SIRS critera (TEMP> 38 HR>90) ?

[laumal]

I am a survivor of severe septic shock with organ failure. I have had 3 years of horrific "living" since. I suffer from many things which are thought to be a ripple effect of the septic shock. Chronic fatigue, chronic pain, cognitive issues, and many, many more. Have you done any specific research on the after effects? It's very hard to find any physicians who are clear on this. Any input would be greatly appreciated! Thank you for the great info!

[DermNerd]

Carefully with the corticosteroids. Usage can alter the WBC count which is a criterion in diagnosing the disease. Similar to biotin use in detecting Graves'

[elliotderricotte]

This was great! One question I have is what causes the hypotension? My understanding is the inflammatory response and cytokine release results in massive vasodilation. This process combined with the microvascular clots you mentioned contribute to lack of perfusion.

[marcoramos]

great vid! thanks for the pertinent specifics

[stephenkaylor]

I've known several people who had to lie in hospital beds for weeks. After 2 of them died, it occurred to me that every hospital bed must have its own exhaust fan ( not just curtains ). That way infections and resulting inflammations would be way less, and much more simple than the use of extensive medical terminology, lab tests and remedies { which can be taxing for the patient }!

[Universal]

@iMedicalSchool Hello, I've been diagnosed with folliculitis since 2013 caused by staphylococcus infection. I also had furnacles & fear that I may have Sepsis. I heard that this is a uncurable deadly disease & I'm afraid to die from this. I don't know what to do.

[bristobaby]

For treatment part early administration of antibiotics is the priority .

[Kryslu]

You're a genius! Thank you sooo much!

[DermNerd]

Some infection sources are more common in the hospital setting than others (ex. urinary catheters)

[DermNerd]

Isn't their monitoring for anuria and oliguria in some patients?

[d.l.]

2016 guidelines changed how we define Sepsis and Septic Shock. We no longer use SIRS criteria because it resembles the normal physiological response to inflammation, its nonspecific​ to the presence of an infection, its a poor predictor of mortality, and host responses to sepsis is variable.