In the emergency department, lumbar punctures are most commonly performed to determine the presence of an infectious process (meningitis, encephalitis, sepsis, etc.) or subarachnoid hemorrhage
American College Of Emergency Medicine
over 11 years ago
<div class="postBody">Sepsis is a common cause of death in the intensive care unit. In this episode I present some of the statistics on septic deaths, introduce the definitions, and present the basic science. Part 2 will cover fluid and drug therapy for septic shock. </div>
Jeffrey S. Guy, MD, FACS
over 11 years ago
<p><span style="color: #333333; font-size: small;">This episode covers an approach to children with altered level of consciousness. We present an approach to the initial management in these cases, with a focus on the ABC and DFG approach. Investigations and imaging are discussed. Some specific causes of altered LOC are covered. This episode was written by Peter MacPherson and Dr. Melanie Lewis. Peter is a medical student at the University of Alberta. Dr. Lewis is a general pediatrician and an Associate Professor of Pediatrics at the University of Alberta and Stollery Children's Hospital. She is also the Clerkship Director. </span></p <p><span style="color: #333333; font-size: small;">~~~</span></p <p><!--StartFragment--></p <p class="MsoNormal"><span style="font-family: Times;"><span style="font-size: small;"> <!--StartFragment--> </span></span></p <p class="MsoNormal"><span style="font-family: Verdana;">Differential Diagnosis of Altered Level of Consciousness:</span></p <p class="MsoNormal"><span style="font-family: Verdana;">1) Structural causes: cerebrovascular accident, cerebral vein thrombosis, hydrocephalus, intracerebral tumor, subdural empyema, trauma (intracranial hemorrhage, diffuse cerebral swelling, abusive head trauma/shaken baby syndrome)</span></p <p class="MsoNormal"><span style="font-family: Verdana;">2) Medical causes: anoxia, diabetic ketoacidosis, electrolyte abnormality, encephalopathy, hypoglycemia, hypothermia or hyperthermia, infection (sepsis), inborn errors of metabolism, intussusception, meningitis or encephalitis, psychogenic, postictal state, toxins, uremia (hemolytic-uremic syndrome)</span></p <div style="border: none; border-bottom: solid windowtext .75pt; padding: 0in 0in 1.0pt 0in;" <p class="MsoNormal" style="border: none; mso-border-bottom-alt: solid windowtext .75pt; padding: 0in; mso-padding-alt: 0in 0in 1.0pt 0in;"><span style="font-family: Verdana;">Adapted from: Avner J (2006) Altered states of consciousness. <em>Pediatr Rev</em></span><span style="font-family: Verdana;"> 27: 331-338.</span></p </div <p> </p>
over 11 years ago
Definitions. Before discussing SIRS along with the various sepsis syndromes, it is important to understand some basic definitions. Infection: This is the inflammatory response initiated by the presence of a micro-organisms in normally sterile tissue. Bacteraemia: The presence of live bacteria in the blood stream. This can occur in a healthy individual and present with no symptoms. Common causes include surgery, dental procedures and even tooth brushing.
almostadoctor.com - free medical student revision notes
over 7 years ago
This is infection within the renal pelvis, usually accompanied by infection within the renal parenchyma. The source of sepsis is often ascending infection...
almost 7 years ago
Many readmissions of patients with severe sepsis for other conditions could be prevented, US study finds
More than 40% of readmissions of people previously admitted to hospital for severe sepsis could be prevented with timely outpatient care, a new US study indicates.
over 6 years ago