Dr. Renda | Trauma Surgeon
Region: US
Sunday 28 September 2025 13:16:12 GMT
112533
10878
246
426
Music
Download
Comments
Elle :
ED doc here - they get a 30 cc/kg bolus (if very overweight I will sometimes use ideal body weight), Abx based on suspected source or our order set has an “unknown source” option, fever control. If after fluid bolus were hypotensive, we’re supposed to do a volume reassessment. Most popular is POCUS to look for inspiratory collapse of the IVC
2025-09-30 12:01:11
54
DennisMD :
Difference between sepsis,septicemia,septic shock and SIRS??
2025-09-28 13:31:38
197
clur :
Sirs criteria is great and all but you can meet 2 of those & a source with an ear infection/flu/strep throat and then comes the rationale/gestalt to add on a lactic & cultures & do the whole thing when a lot of the time that's not necessary. I struggle with it as a new grad er pa
2025-09-28 13:42:06
41
user1425376802697 :
ER RN here, all of those + BP map equal or <60 and 1 or 2 suspected source of infection. If 2 or more criteria apply, initiate Sepsis protocol. Rainbow,lactic pro calcitonin, BC x2. Most of the time pts come in already looking sick. Sick/ not sick. Love ER!
2025-09-28 14:18:00
57
RB :
labor and delivery....99% of the time it's the uterus that's the source! Nothing else!
2025-09-28 13:39:35
156
madisonelmer :
30cc/kg of fluids is the appropriate amount :)
2025-09-28 14:09:59
63
squidtaketwo :
At first I was like why is he going to do a presentation on “slow”? 😂
2025-09-28 16:32:03
15
Danny Boy :
Definitely just need more macrophages.
2025-11-04 09:59:04
8
Cierra Mistt :
maybe it’s maybelline
2025-11-02 03:30:44
20
Kennedy Duello :
Within the first 60 mins all labs and cultures should be drawn, 1st broad spectrum abx should be going and 30mls per ideal body weight should also be started
2025-11-25 11:52:57
4
JihadSquad_MD :
In the pulmonary/critical care world we are already done with SIRS, moving away from 30 mL/kg bolus and are diuresing patients who have stuff like septic cardiomyopathy instead of reflexively giving fluids
2025-10-25 15:31:58
5
Carissa Plug :
For CMS criteria, an initial lactic greater than 2 is Severe Sepsis, greater than 4 would qualify for Septic Shock. You mentioned the ventilator for SIRS, that would be considered an end organ failure (respiratory failure). Great info!
2025-09-28 19:57:35
16
Baileigh :
ED RN in Virginia, our sepsis protocols change ALL THE TIME, it’s honestly a lot lol. We previously did sepsis watch or sepsis alerts. Our sepsis alert triggers when they have 2 or more criteria and a source. It was also provider discretion. We got rid of the watches pretty recently. Let me see if I can find our protocol.
2025-10-26 00:46:22
1
A shiine :
Surviving Sepsis Campaign guidelines
2025-12-04 22:07:50
1
della_english :
How about Infectious Disease colleagues ?!
2025-09-29 13:14:47
6
Dr. Koranteng💯 :
I enjoy your lectures, always tag me
2025-11-23 17:32:29
3
Deirdre Finney :
I have been out of medical school for many many years .I am loving your lectures.
2025-09-28 17:26:44
15
Alex Liberti :
Sepsis 3 guidelines are most up to date. Literature has leaned away from SIRS and qSOFA definitions, but they’re still used. 30cc/kg sepsis bolus and antibiotics within first hour of presentation are prioritized
2025-09-29 15:15:08
10
globaljen :
Paramedics saved my life from impending sepsis. A good friend previously had sepsis and gave sepsis awareness lectures - so I knew what I was facing. Appendix burst whilst driving - no cell service so kept driving and just managed to get home. By the time paras here I told them I was concerned re sepsis, moments before I passed out. A severe drop in body extremity temps, feeling of death, severe shivering, BP in my boots, major rapid heartbeat… Those heroes put me straight on antibiotics at home before transport. I wouldn’t have made it without their rapid interventions. I was very very lucky. Surgeon said my insides were a mess. #NotAllHeroesWearCapes
2025-10-01 20:04:17
8
Allie :
Why do uti’s often lead to sepsis? Thx
2025-11-26 04:34:59
1
Kimberly🤍 :
At my hospital, we do a sepsis screen on admission and with each vital. If two or more flag outside parameters, a code sepsis is called. You have 30 mins to notify doctor, collect specimens, and start antibiotics.
2025-09-30 00:18:01
3
Laura Mian :
My husband is an attending hospitalist at the VA and your videos are gold 🫶🏻. I’m a PT in a trauma ICU and I appreciate them as well.
2025-11-17 13:57:10
2
Nirali Patel :
WBC in those ranges or a bandemia >10%
2025-10-01 20:21:05
1
Ale✨ :
Can you please explain the purpose of IV fluids for sepsis patients other than to aid with low blood pressure?
2025-09-29 04:35:53
0
Sean :
Very thankful for these board talks. They’re great to learn from.
2025-11-04 15:56:37
4
To see more videos from user @dr_michael_renda, please go to the Tikwm
homepage.
