DON'T Diagnose Sepsis Like This!

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
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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.co...
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.

[@clinicaltips8926]

I want to remind everyone that my videos are for educational purposes only. Of course, everyone is welcome to watch, but the information I present is most useful for junior doctors, nurses, and students. As I stated in the description of every video and on my channel homepage, none of this is medical advice for patients. I don't practice medicine over the internet. If you are a patient and have any questions about your health, please get in touch with your doctor.

[@TheebX92]

great video

[@irmarincon2843]

I would like to know what you think about NEWS to assess clinical deterioration. The UK loves a score tool for everything!

[@stevensanderson2817]

Had this at my local hospital, ive had an abscess multiple times without antibiotics and a few days ago I started getting serious dizziness and pain everywhere. I went on the ambulance to the hospital and said I was concerned that I might be going into sepsis and I was told that their computer said that I didnt meet the criteria for sepsis so they wouldnt do any further testing to see. Another nurse told me that im obviously not in sepsis because im not grey and so exhausted that I cant move. I cant believe how much hospitals are saying now that they wont treat until your obviously on your deathbed.

[@GCT1990]

A abscess is a tooth infection?

[@stevensanderson2817]

@@GCT1990 Yeah

[@robins7594]

@@GCT1990a.as

[@Medtrader67]

And the hospital was obviously right since you are still around.

[@stevensanderson2817]

@@Medtrader67 Theyve been lucky so far, I went to see the dentist finally and they are shocked that I havent gone into sepsis yet, I have recurring abscesses on basically every single tooth in my mouth

[@Gocet]

Interesting take. What are you thoughts on expanding from qSOFA to full SOFA? Do you think that SOFA is better screening tool than SIRS?

[@Anistotle]

That's what I thought too. What about SOFA score which I'm willing to know from his perspective.

[@rudranataraj8909]

Loved your explaination,thank you !

[@meredithharman1146]

My sister died of sepsis. She was WAITING FOR 2 HOURS for the tests to come back. It was too late!! They could have saved her, I think. Should we start a malpractice complaint???

[@GCT1990]

I'm so sorry for your loss😔 how long would you say she had symptoms before she went to the hospital?

[@natasa87mijolovic]

Ok, qSOFA ne, a što da? Nije fer, ako popljuješ jednu opciju, ponudi drugu.😅

[@delmar418]

Quick Saving of Financial Assets, created by an insurance provider medical underwriter.

[@pxnchibatcat7652]

fantastico

[@ellentamatey947]

😂😂😂😂