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Emergency critical care topic

Sepsis study guide previews.

Sepsis pathophysiology, septic shock phenotypes, steroids, septic cardiomyopathy, and common sepsis pitfalls.

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Common Sepsis Mistakes

Sepsis management can fail not because clinicians miss the diagnosis - but because of predictable errors in timing, prioritization, and physiology-based decision-making. Rigidly following bundles without reassessing the patient’s hemodynamics, perfusion, and response. Pearl include Protocols start care - physiology directs it and Mistake #2: Giving Too Much (or Too Little) Fluid Without Reassessment. Septic shock evolves include may be fluid responsive, vasodilation and capillary leak dominate, and Excess fluids worsen outcomes in many patients.

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Stress Dose Steroids in ED

Septic Shock • ARDS • Severe Community-Acquired Pneumonia. Risks include hyperglycemia, secondary infection, delirium, GI bleeding, and neuromuscular weakness. Septic shock is characterized by vasoplegia, relative adrenal insufficiency, and catecholamine hyporesponsiveness. Steroids are not routinely indicated for sepsis without shock. Duration is typically 5-7 days or until shock resolves (institution-dependent). ARDS involves diffuse inflammatory lung injury and increased alveolar-capillary permeability.

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