An infectious diseases specialist explains what sepsis is and how it is diagnosed in acute care. Which scoring system should you use? How does SIRS compare to qSOFA? What are the most dangerous mistakes in the diagnosis of sepsis? In this video, you will learn how the definition of sepsis changed in 2016 and what this means for our everyday practice. More importantly, you will learn about the dangerous limitations of qSOFA. More and more research articles show that this scoring system isn't nearly as helpful as intended. Clinical reasoning doesn't have to be complicated, but it cannot be condensed into something as trivial as qSOFA. If you are a student or a junior doctor and want to learn how to approach a patient with a suspected infection, I strongly recommend you follow the link to my series of lectures on this topic. You will get the basics right, and what you learn in this course will help you make the best possible decision in any clinical setting.
Free online course:
A Clinical Approach to Serious Infections in Adults - What Every Physician Should Know
drviktorkotarski.podia.com/re...
DISCLAIMER: Please, always keep in mind that my videos are intended for educational purposes only. The content of my videos is NOT medical advice. I do not practice medicine over the internet. If you are a patient and have any questions about your health, please talk to your doctor.
RESOURCES & RECOMMENDED READING:
1. The Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3) | Critical Care Medicine | JAMA | JAMA Network [Internet]. [cited 2021 Oct 2]. Available from: jamanetwork.com/journals/jama...
2. Sartelli M, Kluger Y, Ansaloni L, Hardcastle TC, Rello J, Watkins RR, et al. Raising concerns about the Sepsis-3 definitions. World J Emerg Surg. 2018 Jan 25;13:6.
3. Askim Å, Moser F, Gustad LT, Stene H, Gundersen M, Åsvold BO, et al. Poor performance of quick-SOFA (qSOFA) score in predicting severe sepsis and mortality - a prospective study of patients admitted with infection to the emergency department. Scand J Trauma Resusc Emerg Med. 2017 Jun 9;25(1):56.
4. Brink A, Alsma J, Verdonschot RJCG, Rood PPM, Zietse R, Lingsma HF, et al. Predicting mortality in patients with suspected sepsis at the Emergency Department; A retrospective cohort study comparing qSOFA, SIRS and National Early Warning Score. PLoS One. 2019;14(1):e0211133.
5. Marik PE, Taeb AM. SIRS, qSOFA and new sepsis definition. J Thorac Dis. 2017 Apr;9(4):943-5.