SlideShare a Scribd company logo
1 of 31
Sepsis Syndrome Cynthia L. Gibert, M.D. Washington VA Medical Center Georgetown University Medical Center
Sepsis and Septic Shock ,[object Object],[object Object],[object Object],[object Object]
Mortality Percentage 0 10 20 30 40 50 60 UVA Hospital Johns Hopkins UVA newborn ICU UVA Enterococcus UIHC CNS UIHC Candida UIHC SICU
Stages of Sepsis Consensus Conference Definition ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Multiple Organ Dysfunction Syndrome ,[object Object],[object Object]
 
 
Factors Associated with Highest Mortality ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Predisposing Underlying Diseases ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Organisms Responsible for Septic Shock in Relation to Host Factors
 
Bacteremia   in the Preantibiotic Era ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Emergence of  Gram-Negative Organisms ,[object Object],[object Object],[object Object]
Differential Diagnosis  of Fever and Shock ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Clinical Manifestations ,[object Object],[object Object],[object Object],[object Object]
History ,[object Object],[object Object],[object Object],[object Object],[object Object]
Approach to Septic Patient ,[object Object],[object Object],[object Object]
Skin ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Cardiovascular Signs ,[object Object],[object Object],[object Object],[object Object]
Pulmonary Signs ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Hematologic Findings ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Renal and  Gastrointestinal Signs ,[object Object],[object Object],[object Object],[object Object],[object Object]
Acute Physiology and  Chronic Health Evaluation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Laboratory Studies ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Therapy of Septic Shock ,[object Object],[object Object],[object Object],[object Object]
Failure of Fluid Replacement and Vasopressors ,[object Object],[object Object],[object Object],[object Object]
Empiric Antimicrobial Regimens for Sepsis Syndrome ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
Septic Shock Outcomes for Patients on  Hospital Wards versus ICU’s ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],JS Lunberg, Crit. Care Med. 26:1020; 1998
Immunotherapies for  Septic Shock ,[object Object],[object Object],[object Object],[object Object]
Other Treatment Modalities ,[object Object],[object Object],[object Object],[object Object],[object Object]

More Related Content

What's hot

STUDY OF ASCITIC FLUID FOR DIAGNOSIS OF SPONTANEOUS BACTERIAL PERITONITIS (SB...
STUDY OF ASCITIC FLUID FOR DIAGNOSIS OF SPONTANEOUS BACTERIAL PERITONITIS (SB...STUDY OF ASCITIC FLUID FOR DIAGNOSIS OF SPONTANEOUS BACTERIAL PERITONITIS (SB...
STUDY OF ASCITIC FLUID FOR DIAGNOSIS OF SPONTANEOUS BACTERIAL PERITONITIS (SB...Earthjournal Publisher
 
Hemophagocytic Lymphohistiocytosis - HLH
Hemophagocytic Lymphohistiocytosis - HLHHemophagocytic Lymphohistiocytosis - HLH
Hemophagocytic Lymphohistiocytosis - HLHJedrek Wosik, MD
 
Febrile neutropenia by Dr. Mukesh
Febrile neutropenia by Dr. MukeshFebrile neutropenia by Dr. Mukesh
Febrile neutropenia by Dr. MukeshDR MUKESH SAH
 
Cases in cardiology part one PART THREE MAGDI SASI
Cases in cardiology part one PART THREE MAGDI SASICases in cardiology part one PART THREE MAGDI SASI
Cases in cardiology part one PART THREE MAGDI SASIcardilogy
 
Anti gbm disease
Anti gbm diseaseAnti gbm disease
Anti gbm diseaseAjay Kurian
 
Emphysematous pyelonephritis- case discussion
Emphysematous pyelonephritis- case discussionEmphysematous pyelonephritis- case discussion
Emphysematous pyelonephritis- case discussionDr Abdul sherwani
 
Hemophagocytic syndrome.
Hemophagocytic syndrome.Hemophagocytic syndrome.
Hemophagocytic syndrome.Sandip Dukare
 
A case study on emphysematous pyelonephritis
A case study on emphysematous pyelonephritisA case study on emphysematous pyelonephritis
A case study on emphysematous pyelonephritisAnisha Ebens
 
Idiopathic (autoimmune) Thrombocytopenic Purpura
Idiopathic (autoimmune) Thrombocytopenic PurpuraIdiopathic (autoimmune) Thrombocytopenic Purpura
Idiopathic (autoimmune) Thrombocytopenic PurpuraDr. Saad Saleh Al Ani
 
Div disease dukes club
Div disease dukes clubDiv disease dukes club
Div disease dukes clubthedukes
 
Acute glomerulonephritis
Acute glomerulonephritisAcute glomerulonephritis
Acute glomerulonephritisSurendra Sharma
 
Idiopathic Thrombocytopenic Purpura
Idiopathic Thrombocytopenic PurpuraIdiopathic Thrombocytopenic Purpura
Idiopathic Thrombocytopenic PurpuraDang Thanh Tuan
 
A Case of Myotoxicity + Hepatotoxicity due to an Alternative Remedy
A Case of Myotoxicity + Hepatotoxicity due to an Alternative RemedyA Case of Myotoxicity + Hepatotoxicity due to an Alternative Remedy
A Case of Myotoxicity + Hepatotoxicity due to an Alternative RemedyRichard McCrory
 

What's hot (20)

STUDY OF ASCITIC FLUID FOR DIAGNOSIS OF SPONTANEOUS BACTERIAL PERITONITIS (SB...
STUDY OF ASCITIC FLUID FOR DIAGNOSIS OF SPONTANEOUS BACTERIAL PERITONITIS (SB...STUDY OF ASCITIC FLUID FOR DIAGNOSIS OF SPONTANEOUS BACTERIAL PERITONITIS (SB...
STUDY OF ASCITIC FLUID FOR DIAGNOSIS OF SPONTANEOUS BACTERIAL PERITONITIS (SB...
 
Hemophagocytic Lymphohistiocytosis - HLH
Hemophagocytic Lymphohistiocytosis - HLHHemophagocytic Lymphohistiocytosis - HLH
Hemophagocytic Lymphohistiocytosis - HLH
 
Febrile neutropenia by Dr. Mukesh
Febrile neutropenia by Dr. MukeshFebrile neutropenia by Dr. Mukesh
Febrile neutropenia by Dr. Mukesh
 
NEONATAL ENDOCARDITIS
NEONATAL ENDOCARDITISNEONATAL ENDOCARDITIS
NEONATAL ENDOCARDITIS
 
Cases in cardiology part one PART THREE MAGDI SASI
Cases in cardiology part one PART THREE MAGDI SASICases in cardiology part one PART THREE MAGDI SASI
Cases in cardiology part one PART THREE MAGDI SASI
 
Systemic Lupus Erythematosus
Systemic Lupus ErythematosusSystemic Lupus Erythematosus
Systemic Lupus Erythematosus
 
Anti gbm disease
Anti gbm diseaseAnti gbm disease
Anti gbm disease
 
Maternal death autopsy
Maternal death autopsyMaternal death autopsy
Maternal death autopsy
 
Emphysematous pyelonephritis- case discussion
Emphysematous pyelonephritis- case discussionEmphysematous pyelonephritis- case discussion
Emphysematous pyelonephritis- case discussion
 
Hemophagocytic syndrome.
Hemophagocytic syndrome.Hemophagocytic syndrome.
Hemophagocytic syndrome.
 
A case study on emphysematous pyelonephritis
A case study on emphysematous pyelonephritisA case study on emphysematous pyelonephritis
A case study on emphysematous pyelonephritis
 
Idiopathic (autoimmune) Thrombocytopenic Purpura
Idiopathic (autoimmune) Thrombocytopenic PurpuraIdiopathic (autoimmune) Thrombocytopenic Purpura
Idiopathic (autoimmune) Thrombocytopenic Purpura
 
Anemia 101
Anemia 101Anemia 101
Anemia 101
 
Div disease dukes club
Div disease dukes clubDiv disease dukes club
Div disease dukes club
 
Acute glomerulonephritis
Acute glomerulonephritisAcute glomerulonephritis
Acute glomerulonephritis
 
Idiopathic Thrombocytopenic Purpura
Idiopathic Thrombocytopenic PurpuraIdiopathic Thrombocytopenic Purpura
Idiopathic Thrombocytopenic Purpura
 
Macrophage activation
Macrophage activation Macrophage activation
Macrophage activation
 
Gi bleed
Gi bleedGi bleed
Gi bleed
 
A Case of Myotoxicity + Hepatotoxicity due to an Alternative Remedy
A Case of Myotoxicity + Hepatotoxicity due to an Alternative RemedyA Case of Myotoxicity + Hepatotoxicity due to an Alternative Remedy
A Case of Myotoxicity + Hepatotoxicity due to an Alternative Remedy
 
Bleeding ii
Bleeding iiBleeding ii
Bleeding ii
 

Viewers also liked (6)

Ards hoover
Ards   hooverArds   hoover
Ards hoover
 
Sepsis and septic shock
Sepsis and septic shockSepsis and septic shock
Sepsis and septic shock
 
Severe sepsis and septic shock
Severe sepsis and septic shockSevere sepsis and septic shock
Severe sepsis and septic shock
 
Pediatric ards fortenberry
Pediatric ards   fortenberryPediatric ards   fortenberry
Pediatric ards fortenberry
 
Sepsis, SIRS & Septic Shock
Sepsis, SIRS & Septic ShockSepsis, SIRS & Septic Shock
Sepsis, SIRS & Septic Shock
 
CME: Management of Severe Sepsis & Septic Shock
CME: Management of Severe Sepsis & Septic ShockCME: Management of Severe Sepsis & Septic Shock
CME: Management of Severe Sepsis & Septic Shock
 

Similar to Sepsis

Gram Negative Sepsis
Gram Negative SepsisGram Negative Sepsis
Gram Negative Sepsisshabeel pn
 
Major Case Presentation Septic Shock
Major Case Presentation Septic ShockMajor Case Presentation Septic Shock
Major Case Presentation Septic ShockMmorshed217
 
Sepsis in children
Sepsis in childrenSepsis in children
Sepsis in childrenAnand Singh
 
Sickle cell disease sandip
Sickle cell disease sandipSickle cell disease sandip
Sickle cell disease sandipSandip Gupta
 
Nephrotic And Nephritic Syndrome 2008
Nephrotic And Nephritic Syndrome 2008Nephrotic And Nephritic Syndrome 2008
Nephrotic And Nephritic Syndrome 2008Dang Thanh Tuan
 
Dengue fever
Dengue feverDengue fever
Dengue feverbhabilal
 
Dengue fever
Dengue feverDengue fever
Dengue feverbhabilal
 
Updates on sepsis & septic shock
Updates on sepsis & septic shockUpdates on sepsis & septic shock
Updates on sepsis & septic shockshashi kant prasad
 
Sepsis power point presentation
Sepsis power point presentationSepsis power point presentation
Sepsis power point presentationdlecolst
 
sepsis .pptx
sepsis .pptxsepsis .pptx
sepsis .pptxRevathy S
 
Pericarditis in animals
Pericarditis in animalsPericarditis in animals
Pericarditis in animalsDr Vinod Gupta
 
SEPSIS MANGEMENT IN THE EMERGENCIES.pptx
SEPSIS MANGEMENT IN THE  EMERGENCIES.pptxSEPSIS MANGEMENT IN THE  EMERGENCIES.pptx
SEPSIS MANGEMENT IN THE EMERGENCIES.pptxDr Abd Elaal Elbahnasy
 
Vasculitis Overview
Vasculitis OverviewVasculitis Overview
Vasculitis Overviewjcm MD
 

Similar to Sepsis (20)

Gram Negative Sepsis
Gram Negative SepsisGram Negative Sepsis
Gram Negative Sepsis
 
Antibiotics
AntibioticsAntibiotics
Antibiotics
 
Major Case Presentation Septic Shock
Major Case Presentation Septic ShockMajor Case Presentation Septic Shock
Major Case Presentation Septic Shock
 
Goutham seminar
Goutham seminarGoutham seminar
Goutham seminar
 
Sepsis in children
Sepsis in childrenSepsis in children
Sepsis in children
 
Sepsis in children
Sepsis in childrenSepsis in children
Sepsis in children
 
Sickle cell disease sandip
Sickle cell disease sandipSickle cell disease sandip
Sickle cell disease sandip
 
Sepsis
SepsisSepsis
Sepsis
 
Sepsis
SepsisSepsis
Sepsis
 
Strep pneumoniae
Strep pneumoniaeStrep pneumoniae
Strep pneumoniae
 
Nephrotic And Nephritic Syndrome 2008
Nephrotic And Nephritic Syndrome 2008Nephrotic And Nephritic Syndrome 2008
Nephrotic And Nephritic Syndrome 2008
 
Dengue fever
Dengue feverDengue fever
Dengue fever
 
Dengue fever
Dengue feverDengue fever
Dengue fever
 
Updates on sepsis & septic shock
Updates on sepsis & septic shockUpdates on sepsis & septic shock
Updates on sepsis & septic shock
 
Sepsis power point presentation
Sepsis power point presentationSepsis power point presentation
Sepsis power point presentation
 
The Science of Sepsis
The Science of SepsisThe Science of Sepsis
The Science of Sepsis
 
sepsis .pptx
sepsis .pptxsepsis .pptx
sepsis .pptx
 
Pericarditis in animals
Pericarditis in animalsPericarditis in animals
Pericarditis in animals
 
SEPSIS MANGEMENT IN THE EMERGENCIES.pptx
SEPSIS MANGEMENT IN THE  EMERGENCIES.pptxSEPSIS MANGEMENT IN THE  EMERGENCIES.pptx
SEPSIS MANGEMENT IN THE EMERGENCIES.pptx
 
Vasculitis Overview
Vasculitis OverviewVasculitis Overview
Vasculitis Overview
 

More from Dang Thanh Tuan

Sutherland chi dinh thuc hien crrt-vn
Sutherland   chi dinh thuc hien crrt-vnSutherland   chi dinh thuc hien crrt-vn
Sutherland chi dinh thuc hien crrt-vnDang Thanh Tuan
 
Smoyer dialysis va dich thay the crrt-vn
Smoyer   dialysis va dich thay the crrt-vnSmoyer   dialysis va dich thay the crrt-vn
Smoyer dialysis va dich thay the crrt-vnDang Thanh Tuan
 
Skippen chong dong crrt-vn
Skippen   chong dong crrt-vnSkippen   chong dong crrt-vn
Skippen chong dong crrt-vnDang Thanh Tuan
 
Internet tiep can mach mau crrt-vn
Internet   tiep can mach mau crrt-vnInternet   tiep can mach mau crrt-vn
Internet tiep can mach mau crrt-vnDang Thanh Tuan
 
Internet mang loc va dich loc crrt-vn
Internet   mang loc va dich loc crrt-vnInternet   mang loc va dich loc crrt-vn
Internet mang loc va dich loc crrt-vnDang Thanh Tuan
 
Internet dieu tri thay the than crrt-vn
Internet   dieu tri thay the than crrt-vnInternet   dieu tri thay the than crrt-vn
Internet dieu tri thay the than crrt-vnDang Thanh Tuan
 
Internet cac phuong thuc dieu tri thay the than crrt-vn
Internet   cac phuong thuc dieu tri thay the than crrt-vnInternet   cac phuong thuc dieu tri thay the than crrt-vn
Internet cac phuong thuc dieu tri thay the than crrt-vnDang Thanh Tuan
 
Goldstein crrt tre em - chi dinh - crrt-vn
Goldstein   crrt tre em - chi dinh - crrt-vnGoldstein   crrt tre em - chi dinh - crrt-vn
Goldstein crrt tre em - chi dinh - crrt-vnDang Thanh Tuan
 
Gambro dieu tri thay the than lien tuc crrt-vn
Gambro   dieu tri thay the than lien tuc crrt-vnGambro   dieu tri thay the than lien tuc crrt-vn
Gambro dieu tri thay the than lien tuc crrt-vnDang Thanh Tuan
 
07 capnography trends in procedural sedation
07 capnography trends in procedural sedation07 capnography trends in procedural sedation
07 capnography trends in procedural sedationDang Thanh Tuan
 
The evolution of pediatric mechanical ventilators
The evolution of pediatric mechanical ventilatorsThe evolution of pediatric mechanical ventilators
The evolution of pediatric mechanical ventilatorsDang Thanh Tuan
 
19 introduction of volumetric capnography
19 introduction of volumetric capnography19 introduction of volumetric capnography
19 introduction of volumetric capnographyDang Thanh Tuan
 
18 basics of pediatric airway anatomy, physiology and management
18 basics of pediatric airway anatomy, physiology and management18 basics of pediatric airway anatomy, physiology and management
18 basics of pediatric airway anatomy, physiology and managementDang Thanh Tuan
 
17 capnography part4 non-intubated
17 capnography part4 non-intubated17 capnography part4 non-intubated
17 capnography part4 non-intubatedDang Thanh Tuan
 
16 capnography part3 intubated
16 capnography part3 intubated16 capnography part3 intubated
16 capnography part3 intubatedDang Thanh Tuan
 
15 capnography part2 introduction
15 capnography part2 introduction15 capnography part2 introduction
15 capnography part2 introductionDang Thanh Tuan
 
14 capnography part1 overview
14 capnography part1 overview14 capnography part1 overview
14 capnography part1 overviewDang Thanh Tuan
 
13 icu monitoring standards and capnography
13 icu monitoring standards and capnography13 icu monitoring standards and capnography
13 icu monitoring standards and capnographyDang Thanh Tuan
 
12 mainstream sidestream capnpgraphy
12 mainstream   sidestream capnpgraphy12 mainstream   sidestream capnpgraphy
12 mainstream sidestream capnpgraphyDang Thanh Tuan
 

More from Dang Thanh Tuan (20)

Sutherland chi dinh thuc hien crrt-vn
Sutherland   chi dinh thuc hien crrt-vnSutherland   chi dinh thuc hien crrt-vn
Sutherland chi dinh thuc hien crrt-vn
 
Smoyer dialysis va dich thay the crrt-vn
Smoyer   dialysis va dich thay the crrt-vnSmoyer   dialysis va dich thay the crrt-vn
Smoyer dialysis va dich thay the crrt-vn
 
Skippen chong dong crrt-vn
Skippen   chong dong crrt-vnSkippen   chong dong crrt-vn
Skippen chong dong crrt-vn
 
Internet tiep can mach mau crrt-vn
Internet   tiep can mach mau crrt-vnInternet   tiep can mach mau crrt-vn
Internet tiep can mach mau crrt-vn
 
Internet mang loc va dich loc crrt-vn
Internet   mang loc va dich loc crrt-vnInternet   mang loc va dich loc crrt-vn
Internet mang loc va dich loc crrt-vn
 
Internet dieu tri thay the than crrt-vn
Internet   dieu tri thay the than crrt-vnInternet   dieu tri thay the than crrt-vn
Internet dieu tri thay the than crrt-vn
 
Internet cac phuong thuc dieu tri thay the than crrt-vn
Internet   cac phuong thuc dieu tri thay the than crrt-vnInternet   cac phuong thuc dieu tri thay the than crrt-vn
Internet cac phuong thuc dieu tri thay the than crrt-vn
 
Goldstein crrt tre em - chi dinh - crrt-vn
Goldstein   crrt tre em - chi dinh - crrt-vnGoldstein   crrt tre em - chi dinh - crrt-vn
Goldstein crrt tre em - chi dinh - crrt-vn
 
Gambro dieu tri thay the than lien tuc crrt-vn
Gambro   dieu tri thay the than lien tuc crrt-vnGambro   dieu tri thay the than lien tuc crrt-vn
Gambro dieu tri thay the than lien tuc crrt-vn
 
07 capnography trends in procedural sedation
07 capnography trends in procedural sedation07 capnography trends in procedural sedation
07 capnography trends in procedural sedation
 
The evolution of pediatric mechanical ventilators
The evolution of pediatric mechanical ventilatorsThe evolution of pediatric mechanical ventilators
The evolution of pediatric mechanical ventilators
 
20 patient monitoring
20 patient monitoring20 patient monitoring
20 patient monitoring
 
19 introduction of volumetric capnography
19 introduction of volumetric capnography19 introduction of volumetric capnography
19 introduction of volumetric capnography
 
18 basics of pediatric airway anatomy, physiology and management
18 basics of pediatric airway anatomy, physiology and management18 basics of pediatric airway anatomy, physiology and management
18 basics of pediatric airway anatomy, physiology and management
 
17 capnography part4 non-intubated
17 capnography part4 non-intubated17 capnography part4 non-intubated
17 capnography part4 non-intubated
 
16 capnography part3 intubated
16 capnography part3 intubated16 capnography part3 intubated
16 capnography part3 intubated
 
15 capnography part2 introduction
15 capnography part2 introduction15 capnography part2 introduction
15 capnography part2 introduction
 
14 capnography part1 overview
14 capnography part1 overview14 capnography part1 overview
14 capnography part1 overview
 
13 icu monitoring standards and capnography
13 icu monitoring standards and capnography13 icu monitoring standards and capnography
13 icu monitoring standards and capnography
 
12 mainstream sidestream capnpgraphy
12 mainstream   sidestream capnpgraphy12 mainstream   sidestream capnpgraphy
12 mainstream sidestream capnpgraphy
 

Recently uploaded

College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...Miss joya
 
Mumbai Call Girls Service 9910780858 Real Russian Girls Looking Models
Mumbai Call Girls Service 9910780858 Real Russian Girls Looking ModelsMumbai Call Girls Service 9910780858 Real Russian Girls Looking Models
Mumbai Call Girls Service 9910780858 Real Russian Girls Looking Modelssonalikaur4
 
Call Girls Hebbal Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hebbal Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Hebbal Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hebbal Just Call 7001305949 Top Class Call Girl Service Availablenarwatsonia7
 
Russian Call Girls Chickpet - 7001305949 Booking and charges genuine rate for...
Russian Call Girls Chickpet - 7001305949 Booking and charges genuine rate for...Russian Call Girls Chickpet - 7001305949 Booking and charges genuine rate for...
Russian Call Girls Chickpet - 7001305949 Booking and charges genuine rate for...narwatsonia7
 
Housewife Call Girls Bangalore - Call 7001305949 Rs-3500 with A/C Room Cash o...
Housewife Call Girls Bangalore - Call 7001305949 Rs-3500 with A/C Room Cash o...Housewife Call Girls Bangalore - Call 7001305949 Rs-3500 with A/C Room Cash o...
Housewife Call Girls Bangalore - Call 7001305949 Rs-3500 with A/C Room Cash o...narwatsonia7
 
Call Girl Service Bidadi - For 7001305949 Cheap & Best with original Photos
Call Girl Service Bidadi - For 7001305949 Cheap & Best with original PhotosCall Girl Service Bidadi - For 7001305949 Cheap & Best with original Photos
Call Girl Service Bidadi - For 7001305949 Cheap & Best with original Photosnarwatsonia7
 
Call Girls Thane Just Call 9910780858 Get High Class Call Girls Service
Call Girls Thane Just Call 9910780858 Get High Class Call Girls ServiceCall Girls Thane Just Call 9910780858 Get High Class Call Girls Service
Call Girls Thane Just Call 9910780858 Get High Class Call Girls Servicesonalikaur4
 
Book Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbers
Book Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbersBook Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbers
Book Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbersnarwatsonia7
 
Asthma Review - GINA guidelines summary 2024
Asthma Review - GINA guidelines summary 2024Asthma Review - GINA guidelines summary 2024
Asthma Review - GINA guidelines summary 2024Gabriel Guevara MD
 
Glomerular Filtration and determinants of glomerular filtration .pptx
Glomerular Filtration and  determinants of glomerular filtration .pptxGlomerular Filtration and  determinants of glomerular filtration .pptx
Glomerular Filtration and determinants of glomerular filtration .pptxDr.Nusrat Tariq
 
Bangalore Call Girls Marathahalli 📞 9907093804 High Profile Service 100% Safe
Bangalore Call Girls Marathahalli 📞 9907093804 High Profile Service 100% SafeBangalore Call Girls Marathahalli 📞 9907093804 High Profile Service 100% Safe
Bangalore Call Girls Marathahalli 📞 9907093804 High Profile Service 100% Safenarwatsonia7
 
Housewife Call Girls Hsr Layout - Call 7001305949 Rs-3500 with A/C Room Cash ...
Housewife Call Girls Hsr Layout - Call 7001305949 Rs-3500 with A/C Room Cash ...Housewife Call Girls Hsr Layout - Call 7001305949 Rs-3500 with A/C Room Cash ...
Housewife Call Girls Hsr Layout - Call 7001305949 Rs-3500 with A/C Room Cash ...narwatsonia7
 
Call Girls Hosur Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hosur Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Hosur Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hosur Just Call 7001305949 Top Class Call Girl Service Availablenarwatsonia7
 
VIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service Mumbai
VIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service MumbaiVIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service Mumbai
VIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service Mumbaisonalikaur4
 
Call Girls Service Noida Maya 9711199012 Independent Escort Service Noida
Call Girls Service Noida Maya 9711199012 Independent Escort Service NoidaCall Girls Service Noida Maya 9711199012 Independent Escort Service Noida
Call Girls Service Noida Maya 9711199012 Independent Escort Service NoidaPooja Gupta
 
Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...
Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...
Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...Miss joya
 
Low Rate Call Girls Mumbai Suman 9910780858 Independent Escort Service Mumbai
Low Rate Call Girls Mumbai Suman 9910780858 Independent Escort Service MumbaiLow Rate Call Girls Mumbai Suman 9910780858 Independent Escort Service Mumbai
Low Rate Call Girls Mumbai Suman 9910780858 Independent Escort Service Mumbaisonalikaur4
 
call girls in Connaught Place DELHI 🔝 >༒9540349809 🔝 genuine Escort Service ...
call girls in Connaught Place  DELHI 🔝 >༒9540349809 🔝 genuine Escort Service ...call girls in Connaught Place  DELHI 🔝 >༒9540349809 🔝 genuine Escort Service ...
call girls in Connaught Place DELHI 🔝 >༒9540349809 🔝 genuine Escort Service ...saminamagar
 
Glomerular Filtration rate and its determinants.pptx
Glomerular Filtration rate and its determinants.pptxGlomerular Filtration rate and its determinants.pptx
Glomerular Filtration rate and its determinants.pptxDr.Nusrat Tariq
 
Call Girls Jayanagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jayanagar Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Jayanagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jayanagar Just Call 7001305949 Top Class Call Girl Service Availablenarwatsonia7
 

Recently uploaded (20)

College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
 
Mumbai Call Girls Service 9910780858 Real Russian Girls Looking Models
Mumbai Call Girls Service 9910780858 Real Russian Girls Looking ModelsMumbai Call Girls Service 9910780858 Real Russian Girls Looking Models
Mumbai Call Girls Service 9910780858 Real Russian Girls Looking Models
 
Call Girls Hebbal Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hebbal Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Hebbal Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hebbal Just Call 7001305949 Top Class Call Girl Service Available
 
Russian Call Girls Chickpet - 7001305949 Booking and charges genuine rate for...
Russian Call Girls Chickpet - 7001305949 Booking and charges genuine rate for...Russian Call Girls Chickpet - 7001305949 Booking and charges genuine rate for...
Russian Call Girls Chickpet - 7001305949 Booking and charges genuine rate for...
 
Housewife Call Girls Bangalore - Call 7001305949 Rs-3500 with A/C Room Cash o...
Housewife Call Girls Bangalore - Call 7001305949 Rs-3500 with A/C Room Cash o...Housewife Call Girls Bangalore - Call 7001305949 Rs-3500 with A/C Room Cash o...
Housewife Call Girls Bangalore - Call 7001305949 Rs-3500 with A/C Room Cash o...
 
Call Girl Service Bidadi - For 7001305949 Cheap & Best with original Photos
Call Girl Service Bidadi - For 7001305949 Cheap & Best with original PhotosCall Girl Service Bidadi - For 7001305949 Cheap & Best with original Photos
Call Girl Service Bidadi - For 7001305949 Cheap & Best with original Photos
 
Call Girls Thane Just Call 9910780858 Get High Class Call Girls Service
Call Girls Thane Just Call 9910780858 Get High Class Call Girls ServiceCall Girls Thane Just Call 9910780858 Get High Class Call Girls Service
Call Girls Thane Just Call 9910780858 Get High Class Call Girls Service
 
Book Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbers
Book Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbersBook Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbers
Book Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbers
 
Asthma Review - GINA guidelines summary 2024
Asthma Review - GINA guidelines summary 2024Asthma Review - GINA guidelines summary 2024
Asthma Review - GINA guidelines summary 2024
 
Glomerular Filtration and determinants of glomerular filtration .pptx
Glomerular Filtration and  determinants of glomerular filtration .pptxGlomerular Filtration and  determinants of glomerular filtration .pptx
Glomerular Filtration and determinants of glomerular filtration .pptx
 
Bangalore Call Girls Marathahalli 📞 9907093804 High Profile Service 100% Safe
Bangalore Call Girls Marathahalli 📞 9907093804 High Profile Service 100% SafeBangalore Call Girls Marathahalli 📞 9907093804 High Profile Service 100% Safe
Bangalore Call Girls Marathahalli 📞 9907093804 High Profile Service 100% Safe
 
Housewife Call Girls Hsr Layout - Call 7001305949 Rs-3500 with A/C Room Cash ...
Housewife Call Girls Hsr Layout - Call 7001305949 Rs-3500 with A/C Room Cash ...Housewife Call Girls Hsr Layout - Call 7001305949 Rs-3500 with A/C Room Cash ...
Housewife Call Girls Hsr Layout - Call 7001305949 Rs-3500 with A/C Room Cash ...
 
Call Girls Hosur Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hosur Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Hosur Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hosur Just Call 7001305949 Top Class Call Girl Service Available
 
VIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service Mumbai
VIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service MumbaiVIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service Mumbai
VIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service Mumbai
 
Call Girls Service Noida Maya 9711199012 Independent Escort Service Noida
Call Girls Service Noida Maya 9711199012 Independent Escort Service NoidaCall Girls Service Noida Maya 9711199012 Independent Escort Service Noida
Call Girls Service Noida Maya 9711199012 Independent Escort Service Noida
 
Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...
Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...
Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...
 
Low Rate Call Girls Mumbai Suman 9910780858 Independent Escort Service Mumbai
Low Rate Call Girls Mumbai Suman 9910780858 Independent Escort Service MumbaiLow Rate Call Girls Mumbai Suman 9910780858 Independent Escort Service Mumbai
Low Rate Call Girls Mumbai Suman 9910780858 Independent Escort Service Mumbai
 
call girls in Connaught Place DELHI 🔝 >༒9540349809 🔝 genuine Escort Service ...
call girls in Connaught Place  DELHI 🔝 >༒9540349809 🔝 genuine Escort Service ...call girls in Connaught Place  DELHI 🔝 >༒9540349809 🔝 genuine Escort Service ...
call girls in Connaught Place DELHI 🔝 >༒9540349809 🔝 genuine Escort Service ...
 
Glomerular Filtration rate and its determinants.pptx
Glomerular Filtration rate and its determinants.pptxGlomerular Filtration rate and its determinants.pptx
Glomerular Filtration rate and its determinants.pptx
 
Call Girls Jayanagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jayanagar Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Jayanagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jayanagar Just Call 7001305949 Top Class Call Girl Service Available
 

Sepsis

  • 1. Sepsis Syndrome Cynthia L. Gibert, M.D. Washington VA Medical Center Georgetown University Medical Center
  • 2.
  • 3. Mortality Percentage 0 10 20 30 40 50 60 UVA Hospital Johns Hopkins UVA newborn ICU UVA Enterococcus UIHC CNS UIHC Candida UIHC SICU
  • 4.
  • 5.
  • 6.  
  • 7.  
  • 8.
  • 9.
  • 10. Organisms Responsible for Septic Shock in Relation to Host Factors
  • 11.  
  • 12.
  • 13.
  • 14.
  • 15.
  • 16.
  • 17.
  • 18.
  • 19.
  • 20.
  • 21.
  • 22.
  • 23.
  • 24.
  • 25.
  • 26.
  • 27.
  • 28.
  • 29.
  • 30.
  • 31.