MEM-EM: The Memorising Emergency Medicine Podcast16 Mar

NICE Paediatric Sepsis Overview: Triggers Antibiotics and Fluids Discussion

Executive Summary

The primary mission in the Emergency Department (ED) is the rapid identification of life-threatening organ dysfunction. Clinicians must maintain a high index of suspicion, asking "Could this be sepsis?" for any patient presenting with signs of infection.

Critical Window: For patients meeting any High Risk criteria, a senior clinical decision maker (ST4+) must assess the patient, and broad-spectrum antibiotics must be administered within one hour.
Risk Stratification: Risk is graded as High, Moderate-to-High, or Low based on age-specific criteria across behavior, respiration, circulation, and skin appearance.
Key Interventions: Initial management focuses on the "Sepsis Six" principles: high-flow oxygen (if SpO2 <92% or shocked), blood cultures and investigations, intravenous (IV) antibiotics, and weight-based fluid resuscitation.
Safety Netting: Patients not meeting high-risk criteria must still be reviewed by a clinician within 1–3 hours depending on the number of moderate-to-high risk markers.

Sepsis: Life-threatening organ dysfunction caused by a dysregulated host response to infection [1].
Suspected Sepsis: Individuals presenting with signs or symptoms indicating possible infection who require face-to-face assessment and potential urgent intervention [1].

Definition and Classification

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Episoder(62)

Approach to Low Back Pain & Cauda Equina Syndrome in the ED

Mnemonic for BACKPAIN Red Flags & Do Not Miss DDX =BACKPAIN can be CRAFTIBack Pain Red Flags* Bladder, Bowel & Erectile Dysfunction or Bilateral Sx** Anaesthesia (saddle) Cancer or Coagulopathy – S...

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Locating the Source of Sepsis: The LUCAS mnemonic

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6 Apr 17min

Sepsis resuscitation: Applying the Pathophysiology, Guidelines and future of sepsis care at the bedside.

Sepsis is a time-critical medical emergency defined as life-threatening organ dysfunction caused by a dysregulated host response to infection [1]. Globally, it remains a leading cause of morbidity and...

30 Mar 20min

Mental SIM: HALO Procedure - Tracheostomy & Laryngectomy Emergency Mx Algorithm

What to do in these emergency situations.

27 Mar 28min

Sepsis in pregnant or recent pregnant patients recognition, Diagnosis & Mx

Suspected Sepsis in Pregnant and Recently Pregnant People: Recognition, Diagnosis, and Early ManagementExecutive SummarySepsis in the obstetric population is a life-threatening medical emergency requi...

23 Mar 20min

RCEM Syllabus Summaries - Acute Airway Obstruction (RP1), Choking (RC1), Stridor (RC2)

Executive SummaryAcute airway obstruction, designated under the Royal College of Emergency Medicine curriculum as clinical presentation RP1, remains one of the most significant challenges in the Natio...

19 Mar 19min

RCEM Syllabus Summaries - Resus Overview

Executive SummaryThe modern management of resuscitation presentations in the Emergency Department (ED) requires a standardized approach using the Airway, Breathing, Circulation, Disability, and Exposu...

19 Mar 25min

Identification of Tension Pneumothorax

Executive SummaryTension pneumothorax (TPT) is a life-threatening condition occurring in approximately 1% to 3% of prehospital major trauma and intensive care patients. While traditionally taught as a...

19 Mar 19min