Meningococcal Sepsis

Meningococcal Sepsis

9 month old unwell & febrile at 39deg, HR 190, peripherally shut down & lethargic.

PHYSIOLOGY

RR – 60

SpO2 – 88% in air

HR – 190

BP – 70/40

CRT – 5 secs

CLINICAL FINDINGS

  • Responds to pain.

  • Cold hands & feet – very shut down peripherally.

  • Non blanching rash to torso.


WHY WE SIMULATED

In the child with septic shock timely identification, fluid resuscitation and antibiotic administration are key – delays in antibiotic administration can significantly increase mortality.


LEARNING POINTS

  1. Try to “look forward” when managing patients; have fluid boluses/drugs drawn up ready in advance .

  2. Share your mental model – verbalise what you are planning/thinking then the whole team is in the loop and working towards the same goals.

  3. In sick shut down patients IV access is likely to be very difficult initially, consider IO as first line.

  4. Use our “Sepsis box” – it’s a one stop shop for the antibiotics we use most commonly including drug protocols and guidelines.

POSITIVE FEEDBACK

  • Early identification of serious bacterial infection.

  • Prioritisation of antibiotics and fluid resuscitation.

  • Fluids and antibiotics administered within 10 minutes of patient arrival.

 
Edit & Peer Review by Jamie Sillett
Sim Blog: Major Trauma

Sim Blog: Major Trauma

Neonate with Respiratory Distress

Neonate with Respiratory Distress