LECTURE 4: INFECTIONS AND SEPSIS
Laxmiben Patel is a 86 year old lady who is wheelchair dependant due to right hemiplegia from a previous stroke, 7 years ago, and is dependent on her family/carers for personal hygiene and feeding on pureed food.
She has suffered recurrent UTIs and is on prophylactic OD nitrofurantoin for the last 6 months.
She is referred to the hospital by out-of-hours GP for UTI (recurrent UTIs) and pneumonia (crackles on the chest).
She is brought by paramedics and accompanied by her family.
She is diagnosed as having sepsis/UTI/LRTI in the ED and commenced on Meropenem and fluids.
The family are keen for her to go back home.
Q1: How do you diagnose sepsis in older people?
Q2: What are the standards of care versus goals of care in this scenario?
Sepsis Definitions 2016 [#EM3]
Red Flag Sepsis (simulation) [#EM3]
The Shocked Patient (ACCS course) [#EM3]
Consensus definitions for Sepsis and Septic Shock (Sepsis-3) [The JAMA Network]