A 72 year old man has returned from a holiday abroad. He has been unwell for 3 days now with increasing shortness of breath. He has been red called to Resus as a possible sepsis.

Observations

  • Sats 89% (15l), RR 22

  • HR 116 Bp 76/52

  • GCS E3 V4 M5 (12)

  • Temp: 39°C

Questions

Answer one question before attending the face-to-face teaching session. Add comments to answers already given if you think it's appropriate. The first part of teaching will be spent discussing this case:

  1. What is the definition of shock and how can this be identified in the ED?

  2. What is MAP and how is it calculated? (A favourite MCEM Question- either in part A or part B)

  3. What class of drug is noradrenaline and how does it work?

  4. What are the treatment goals in this patient (Hint: give 6)

  5. When would you consider referral to critical care?

  6. What features would make you consider a diagnosis of SEPSIS?

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