SlideShare una empresa de Scribd logo
1 de 79
Dr. Najm-us-saqib Department of Anaesthesia and intensive care Combined Military Hospital Rawalpindi The sepsis resuscitation and management bundles
Sepsis:   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Sepsis SIRS Infection / Trauma Severe Sepsis
[object Object],[object Object],Infection / Trauma SIRS Sepsis Severe Sepsis Sepsis:
Septic shock ,[object Object],[object Object],[object Object],[object Object]
Common symptoms ,[object Object],[object Object],[object Object]
[object Object],[object Object]
Sepsis treatment bundles ,[object Object],[object Object]
[object Object]
Resuscitation bundle  during the first 6 hours ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
Hypotension despite fluid resuscitation ,[object Object],[object Object],[object Object],[object Object],[object Object]
The sepsis management bundle,  during the first 24 hours   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Management ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
Diagnosis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Imaging studies  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Antibiotic Therapy ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
In Noninfectious cause ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Source Control ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
Fluid Therapy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Central venous pressure ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Fluid challenge ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
fluid resuscitation end point ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Reduce  Rate of fluid administration   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Vasopressors ,[object Object],[object Object],[object Object],[object Object]
First choice vasopressor agent ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Low dose dopamine ,[object Object],[object Object],[object Object],[object Object]
Arterial line ,[object Object],[object Object],[object Object],[object Object]
Inotropic Therapy ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
Corticosteroids ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Steroids ,[object Object],[object Object],[object Object],[object Object]
Steroids ,[object Object],[object Object],[object Object],[object Object],[object Object]
Steroids ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Steroids ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
Recombinant Human Activated Protein C (rhAPC) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Blood Product Administration ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
Fresh frozen plasma ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
Platelet transfusion ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Mechanical Ventilation  Sepsis-Induced ALI/ARDS ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
Non invasive ventilation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Sedation, Analgesia ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Neuromuscular Blockade in Sepsis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Glucose Control ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Renal Replacement ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Bicarbonate Therapy ,[object Object],[object Object],[object Object],[object Object],[object Object]
Deep Vein Thrombosis Prophylaxis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Stress Ulcer Prophylaxis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Selective Digest Tract Decontamination (SDD) ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object]
[object Object]

Más contenido relacionado

La actualidad más candente

Sepsis and septic shock guidelines 2021. part 1
Sepsis and septic shock guidelines 2021. part 1Sepsis and septic shock guidelines 2021. part 1
Sepsis and septic shock guidelines 2021. part 1MEEQAT HOSPITAL
 
RCEM Paediatric Sepsis Talk
RCEM Paediatric Sepsis TalkRCEM Paediatric Sepsis Talk
RCEM Paediatric Sepsis TalkJeremy Tong
 
Septic shock management (1)
Septic shock management (1)Septic shock management (1)
Septic shock management (1)shashank agrawal
 
Sepsis and septic shock
Sepsis and septic shockSepsis and septic shock
Sepsis and septic shockmahadev deuja
 
Severe sepsis and septic shock :evaluation and management
Severe sepsis and septic shock :evaluation and managementSevere sepsis and septic shock :evaluation and management
Severe sepsis and septic shock :evaluation and managementMd Shahid Iqubal
 
The STOP Sepsis Bundle
The STOP Sepsis BundleThe STOP Sepsis Bundle
The STOP Sepsis BundleSun Yai-Cheng
 
Sepsis In critical care 2019 final
Sepsis In critical care 2019 finalSepsis In critical care 2019 final
Sepsis In critical care 2019 finalFadel Omar
 
Hyponatremia gulidelines
Hyponatremia  gulidelinesHyponatremia  gulidelines
Hyponatremia gulidelinesViquas Saim
 
Acute pancreatitis
Acute pancreatitisAcute pancreatitis
Acute pancreatitisAnkit Pandey
 
Sepsis & septic shock an updated management
Sepsis & septic shock an updated managementSepsis & septic shock an updated management
Sepsis & septic shock an updated managementahad80a
 
Guidelines Sepsis(Power Point)
Guidelines Sepsis(Power Point)Guidelines Sepsis(Power Point)
Guidelines Sepsis(Power Point)gatotaji
 

La actualidad más candente (20)

Sepsis and septic shock guidelines 2021. part 1
Sepsis and septic shock guidelines 2021. part 1Sepsis and septic shock guidelines 2021. part 1
Sepsis and septic shock guidelines 2021. part 1
 
Septic shock management
Septic shock managementSeptic shock management
Septic shock management
 
sepsis lecture
sepsis lecturesepsis lecture
sepsis lecture
 
What is new in sepsis
What is new in sepsisWhat is new in sepsis
What is new in sepsis
 
RCEM Paediatric Sepsis Talk
RCEM Paediatric Sepsis TalkRCEM Paediatric Sepsis Talk
RCEM Paediatric Sepsis Talk
 
Sepsis guideline 2021.pptx
Sepsis guideline 2021.pptxSepsis guideline 2021.pptx
Sepsis guideline 2021.pptx
 
Septic shock management (1)
Septic shock management (1)Septic shock management (1)
Septic shock management (1)
 
Sepsis update 2021
Sepsis update 2021Sepsis update 2021
Sepsis update 2021
 
Sepsis and septic shock
Sepsis and septic shockSepsis and septic shock
Sepsis and septic shock
 
Sepsis And Septic Shock
Sepsis And Septic ShockSepsis And Septic Shock
Sepsis And Septic Shock
 
Severe sepsis and septic shock :evaluation and management
Severe sepsis and septic shock :evaluation and managementSevere sepsis and septic shock :evaluation and management
Severe sepsis and septic shock :evaluation and management
 
The STOP Sepsis Bundle
The STOP Sepsis BundleThe STOP Sepsis Bundle
The STOP Sepsis Bundle
 
Sepsis In critical care 2019 final
Sepsis In critical care 2019 finalSepsis In critical care 2019 final
Sepsis In critical care 2019 final
 
Hyponatremia gulidelines
Hyponatremia  gulidelinesHyponatremia  gulidelines
Hyponatremia gulidelines
 
Management of Sepsis
Management of SepsisManagement of Sepsis
Management of Sepsis
 
hypernatremia
hypernatremiahypernatremia
hypernatremia
 
Acute pancreatitis
Acute pancreatitisAcute pancreatitis
Acute pancreatitis
 
Sepsis & septic shock an updated management
Sepsis & septic shock an updated managementSepsis & septic shock an updated management
Sepsis & septic shock an updated management
 
Septic shock
Septic shockSeptic shock
Septic shock
 
Guidelines Sepsis(Power Point)
Guidelines Sepsis(Power Point)Guidelines Sepsis(Power Point)
Guidelines Sepsis(Power Point)
 

Similar a The Sepsis Resuscitation And Management Bundles

Copy (2) of sepsis present เซกา revised
Copy (2) of sepsis present เซกา revisedCopy (2) of sepsis present เซกา revised
Copy (2) of sepsis present เซกา revisedKit GenSx
 
Sepsis power point presentation
Sepsis power point presentationSepsis power point presentation
Sepsis power point presentationdlecolst
 
20201118 sepsis and septic shock
20201118 sepsis and septic shock20201118 sepsis and septic shock
20201118 sepsis and septic shockGBKwak
 
Surviving Sepsis
Surviving SepsisSurviving Sepsis
Surviving SepsisMax Kyi
 
Surviving Sepsis Guidelines 2012
Surviving Sepsis Guidelines 2012Surviving Sepsis Guidelines 2012
Surviving Sepsis Guidelines 2012Sun Yai-Cheng
 
IV%20FLUIDS.pptx
IV%20FLUIDS.pptxIV%20FLUIDS.pptx
IV%20FLUIDS.pptxArunHM3
 
International guidelines for management of severs sepsis & Septic Shock 2012
International guidelines for management of severs sepsis & Septic Shock 2012International guidelines for management of severs sepsis & Septic Shock 2012
International guidelines for management of severs sepsis & Septic Shock 2012Suneth Weerarathna
 
Optimzing sepsis management
Optimzing sepsis managementOptimzing sepsis management
Optimzing sepsis managementEM OMSB
 
Current Strategy in Management of Severe Sepsis.pptx
Current Strategy in Management of Severe Sepsis.pptxCurrent Strategy in Management of Severe Sepsis.pptx
Current Strategy in Management of Severe Sepsis.pptxHoKimWah
 
Management of severe sepsis & septic shock f
Management of severe sepsis & septic shock  fManagement of severe sepsis & septic shock  f
Management of severe sepsis & septic shock fDMCH
 
Dengue Fever - Rational Management
Dengue Fever - Rational ManagementDengue Fever - Rational Management
Dengue Fever - Rational ManagementShashikiran Umakanth
 
Septicemia international management guideline
Septicemia international management guidelineSepticemia international management guideline
Septicemia international management guidelineNeurologyKota
 
sepsis 2019.pdf
sepsis 2019.pdfsepsis 2019.pdf
sepsis 2019.pdfzahid aziz
 

Similar a The Sepsis Resuscitation And Management Bundles (20)

Copy (2) of sepsis present เซกา revised
Copy (2) of sepsis present เซกา revisedCopy (2) of sepsis present เซกา revised
Copy (2) of sepsis present เซกา revised
 
Sepsis power point presentation
Sepsis power point presentationSepsis power point presentation
Sepsis power point presentation
 
Sepsis
SepsisSepsis
Sepsis
 
20201118 sepsis and septic shock
20201118 sepsis and septic shock20201118 sepsis and septic shock
20201118 sepsis and septic shock
 
Surviving Sepsis
Surviving SepsisSurviving Sepsis
Surviving Sepsis
 
Minisepsis
MinisepsisMinisepsis
Minisepsis
 
Sepsis powerpoints
Sepsis powerpointsSepsis powerpoints
Sepsis powerpoints
 
Sepsis guidelines
Sepsis guidelinesSepsis guidelines
Sepsis guidelines
 
Surviving Sepsis Guidelines 2012
Surviving Sepsis Guidelines 2012Surviving Sepsis Guidelines 2012
Surviving Sepsis Guidelines 2012
 
Bundle of sepsis
Bundle of sepsisBundle of sepsis
Bundle of sepsis
 
IV%20FLUIDS.pptx
IV%20FLUIDS.pptxIV%20FLUIDS.pptx
IV%20FLUIDS.pptx
 
International guidelines for management of severs sepsis & Septic Shock 2012
International guidelines for management of severs sepsis & Septic Shock 2012International guidelines for management of severs sepsis & Septic Shock 2012
International guidelines for management of severs sepsis & Septic Shock 2012
 
Optimzing sepsis management
Optimzing sepsis managementOptimzing sepsis management
Optimzing sepsis management
 
Sepsis
SepsisSepsis
Sepsis
 
Current Strategy in Management of Severe Sepsis.pptx
Current Strategy in Management of Severe Sepsis.pptxCurrent Strategy in Management of Severe Sepsis.pptx
Current Strategy in Management of Severe Sepsis.pptx
 
Management of severe sepsis & septic shock f
Management of severe sepsis & septic shock  fManagement of severe sepsis & septic shock  f
Management of severe sepsis & septic shock f
 
Sepsis 9-2015
Sepsis  9-2015Sepsis  9-2015
Sepsis 9-2015
 
Dengue Fever - Rational Management
Dengue Fever - Rational ManagementDengue Fever - Rational Management
Dengue Fever - Rational Management
 
Septicemia international management guideline
Septicemia international management guidelineSepticemia international management guideline
Septicemia international management guideline
 
sepsis 2019.pdf
sepsis 2019.pdfsepsis 2019.pdf
sepsis 2019.pdf
 

Último

Call 8250092165 Patna Call Girls ₹4.5k Cash Payment With Room Delivery
Call 8250092165 Patna Call Girls ₹4.5k Cash Payment With Room DeliveryCall 8250092165 Patna Call Girls ₹4.5k Cash Payment With Room Delivery
Call 8250092165 Patna Call Girls ₹4.5k Cash Payment With Room DeliveryJyoti singh
 
❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...
❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...
❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...Sheetaleventcompany
 
Intramuscular & Intravenous Injection.pptx
Intramuscular & Intravenous Injection.pptxIntramuscular & Intravenous Injection.pptx
Intramuscular & Intravenous Injection.pptxsaranpratha12
 
Kolkata Call Girls Shobhabazar 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Gir...
Kolkata Call Girls Shobhabazar  💯Call Us 🔝 8005736733 🔝 💃  Top Class Call Gir...Kolkata Call Girls Shobhabazar  💯Call Us 🔝 8005736733 🔝 💃  Top Class Call Gir...
Kolkata Call Girls Shobhabazar 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Gir...Namrata Singh
 
Bandra East [ best call girls in Mumbai Get 50% Off On VIP Escorts Service 90...
Bandra East [ best call girls in Mumbai Get 50% Off On VIP Escorts Service 90...Bandra East [ best call girls in Mumbai Get 50% Off On VIP Escorts Service 90...
Bandra East [ best call girls in Mumbai Get 50% Off On VIP Escorts Service 90...Angel
 
👉Chandigarh Call Girl Service📲Niamh 8868886958 📲Book 24hours Now📲👉Sexy Call G...
👉Chandigarh Call Girl Service📲Niamh 8868886958 📲Book 24hours Now📲👉Sexy Call G...👉Chandigarh Call Girl Service📲Niamh 8868886958 📲Book 24hours Now📲👉Sexy Call G...
👉Chandigarh Call Girl Service📲Niamh 8868886958 📲Book 24hours Now📲👉Sexy Call G...Sheetaleventcompany
 
Call Girls Mussoorie Just Call 8854095900 Top Class Call Girl Service Available
Call Girls Mussoorie Just Call 8854095900 Top Class Call Girl Service AvailableCall Girls Mussoorie Just Call 8854095900 Top Class Call Girl Service Available
Call Girls Mussoorie Just Call 8854095900 Top Class Call Girl Service AvailableJanvi Singh
 
ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptxANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptxSwetaba Besh
 
Jual Obat Aborsi Di Dubai UAE Wa 0838-4800-7379 Obat Penggugur Kandungan Cytotec
Jual Obat Aborsi Di Dubai UAE Wa 0838-4800-7379 Obat Penggugur Kandungan CytotecJual Obat Aborsi Di Dubai UAE Wa 0838-4800-7379 Obat Penggugur Kandungan Cytotec
Jual Obat Aborsi Di Dubai UAE Wa 0838-4800-7379 Obat Penggugur Kandungan Cytotecjualobat34
 
Cardiac Output, Venous Return, and Their Regulation
Cardiac Output, Venous Return, and Their RegulationCardiac Output, Venous Return, and Their Regulation
Cardiac Output, Venous Return, and Their RegulationMedicoseAcademics
 
💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...
💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...
💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...gragneelam30
 
Call Girls Bangalore - 450+ Call Girl Cash Payment 💯Call Us 🔝 6378878445 🔝 💃 ...
Call Girls Bangalore - 450+ Call Girl Cash Payment 💯Call Us 🔝 6378878445 🔝 💃 ...Call Girls Bangalore - 450+ Call Girl Cash Payment 💯Call Us 🔝 6378878445 🔝 💃 ...
Call Girls Bangalore - 450+ Call Girl Cash Payment 💯Call Us 🔝 6378878445 🔝 💃 ...gragneelam30
 
💚Chandigarh Call Girls 💯Riya 📲🔝8868886958🔝Call Girls In Chandigarh No💰Advance...
💚Chandigarh Call Girls 💯Riya 📲🔝8868886958🔝Call Girls In Chandigarh No💰Advance...💚Chandigarh Call Girls 💯Riya 📲🔝8868886958🔝Call Girls In Chandigarh No💰Advance...
💚Chandigarh Call Girls 💯Riya 📲🔝8868886958🔝Call Girls In Chandigarh No💰Advance...Sheetaleventcompany
 
❤️Chandigarh Escorts Service☎️9814379184☎️ Call Girl service in Chandigarh☎️ ...
❤️Chandigarh Escorts Service☎️9814379184☎️ Call Girl service in Chandigarh☎️ ...❤️Chandigarh Escorts Service☎️9814379184☎️ Call Girl service in Chandigarh☎️ ...
❤️Chandigarh Escorts Service☎️9814379184☎️ Call Girl service in Chandigarh☎️ ...Sheetaleventcompany
 
VIP Hyderabad Call Girls KPHB 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls KPHB 7877925207 ₹5000 To 25K With AC Room 💚😋VIP Hyderabad Call Girls KPHB 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls KPHB 7877925207 ₹5000 To 25K With AC Room 💚😋mahima pandey
 
Premium Call Girls Nagpur {9xx000xx09} ❤️VVIP POOJA Call Girls in Nagpur Maha...
Premium Call Girls Nagpur {9xx000xx09} ❤️VVIP POOJA Call Girls in Nagpur Maha...Premium Call Girls Nagpur {9xx000xx09} ❤️VVIP POOJA Call Girls in Nagpur Maha...
Premium Call Girls Nagpur {9xx000xx09} ❤️VVIP POOJA Call Girls in Nagpur Maha...Sheetaleventcompany
 
Most Beautiful Call Girl in Chennai 7427069034 Contact on WhatsApp
Most Beautiful Call Girl in Chennai 7427069034 Contact on WhatsAppMost Beautiful Call Girl in Chennai 7427069034 Contact on WhatsApp
Most Beautiful Call Girl in Chennai 7427069034 Contact on WhatsAppjimmihoslasi
 
Shazia Iqbal 2024 - Bioorganic Chemistry.pdf
Shazia Iqbal 2024 - Bioorganic Chemistry.pdfShazia Iqbal 2024 - Bioorganic Chemistry.pdf
Shazia Iqbal 2024 - Bioorganic Chemistry.pdfTrustlife
 
Control of Local Blood Flow: acute and chronic
Control of Local Blood Flow: acute and chronicControl of Local Blood Flow: acute and chronic
Control of Local Blood Flow: acute and chronicMedicoseAcademics
 
Gastric Cancer: Сlinical Implementation of Artificial Intelligence, Synergeti...
Gastric Cancer: Сlinical Implementation of Artificial Intelligence, Synergeti...Gastric Cancer: Сlinical Implementation of Artificial Intelligence, Synergeti...
Gastric Cancer: Сlinical Implementation of Artificial Intelligence, Synergeti...Oleg Kshivets
 

Último (20)

Call 8250092165 Patna Call Girls ₹4.5k Cash Payment With Room Delivery
Call 8250092165 Patna Call Girls ₹4.5k Cash Payment With Room DeliveryCall 8250092165 Patna Call Girls ₹4.5k Cash Payment With Room Delivery
Call 8250092165 Patna Call Girls ₹4.5k Cash Payment With Room Delivery
 
❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...
❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...
❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...
 
Intramuscular & Intravenous Injection.pptx
Intramuscular & Intravenous Injection.pptxIntramuscular & Intravenous Injection.pptx
Intramuscular & Intravenous Injection.pptx
 
Kolkata Call Girls Shobhabazar 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Gir...
Kolkata Call Girls Shobhabazar  💯Call Us 🔝 8005736733 🔝 💃  Top Class Call Gir...Kolkata Call Girls Shobhabazar  💯Call Us 🔝 8005736733 🔝 💃  Top Class Call Gir...
Kolkata Call Girls Shobhabazar 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Gir...
 
Bandra East [ best call girls in Mumbai Get 50% Off On VIP Escorts Service 90...
Bandra East [ best call girls in Mumbai Get 50% Off On VIP Escorts Service 90...Bandra East [ best call girls in Mumbai Get 50% Off On VIP Escorts Service 90...
Bandra East [ best call girls in Mumbai Get 50% Off On VIP Escorts Service 90...
 
👉Chandigarh Call Girl Service📲Niamh 8868886958 📲Book 24hours Now📲👉Sexy Call G...
👉Chandigarh Call Girl Service📲Niamh 8868886958 📲Book 24hours Now📲👉Sexy Call G...👉Chandigarh Call Girl Service📲Niamh 8868886958 📲Book 24hours Now📲👉Sexy Call G...
👉Chandigarh Call Girl Service📲Niamh 8868886958 📲Book 24hours Now📲👉Sexy Call G...
 
Call Girls Mussoorie Just Call 8854095900 Top Class Call Girl Service Available
Call Girls Mussoorie Just Call 8854095900 Top Class Call Girl Service AvailableCall Girls Mussoorie Just Call 8854095900 Top Class Call Girl Service Available
Call Girls Mussoorie Just Call 8854095900 Top Class Call Girl Service Available
 
ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptxANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptx
 
Jual Obat Aborsi Di Dubai UAE Wa 0838-4800-7379 Obat Penggugur Kandungan Cytotec
Jual Obat Aborsi Di Dubai UAE Wa 0838-4800-7379 Obat Penggugur Kandungan CytotecJual Obat Aborsi Di Dubai UAE Wa 0838-4800-7379 Obat Penggugur Kandungan Cytotec
Jual Obat Aborsi Di Dubai UAE Wa 0838-4800-7379 Obat Penggugur Kandungan Cytotec
 
Cardiac Output, Venous Return, and Their Regulation
Cardiac Output, Venous Return, and Their RegulationCardiac Output, Venous Return, and Their Regulation
Cardiac Output, Venous Return, and Their Regulation
 
💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...
💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...
💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...
 
Call Girls Bangalore - 450+ Call Girl Cash Payment 💯Call Us 🔝 6378878445 🔝 💃 ...
Call Girls Bangalore - 450+ Call Girl Cash Payment 💯Call Us 🔝 6378878445 🔝 💃 ...Call Girls Bangalore - 450+ Call Girl Cash Payment 💯Call Us 🔝 6378878445 🔝 💃 ...
Call Girls Bangalore - 450+ Call Girl Cash Payment 💯Call Us 🔝 6378878445 🔝 💃 ...
 
💚Chandigarh Call Girls 💯Riya 📲🔝8868886958🔝Call Girls In Chandigarh No💰Advance...
💚Chandigarh Call Girls 💯Riya 📲🔝8868886958🔝Call Girls In Chandigarh No💰Advance...💚Chandigarh Call Girls 💯Riya 📲🔝8868886958🔝Call Girls In Chandigarh No💰Advance...
💚Chandigarh Call Girls 💯Riya 📲🔝8868886958🔝Call Girls In Chandigarh No💰Advance...
 
❤️Chandigarh Escorts Service☎️9814379184☎️ Call Girl service in Chandigarh☎️ ...
❤️Chandigarh Escorts Service☎️9814379184☎️ Call Girl service in Chandigarh☎️ ...❤️Chandigarh Escorts Service☎️9814379184☎️ Call Girl service in Chandigarh☎️ ...
❤️Chandigarh Escorts Service☎️9814379184☎️ Call Girl service in Chandigarh☎️ ...
 
VIP Hyderabad Call Girls KPHB 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls KPHB 7877925207 ₹5000 To 25K With AC Room 💚😋VIP Hyderabad Call Girls KPHB 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls KPHB 7877925207 ₹5000 To 25K With AC Room 💚😋
 
Premium Call Girls Nagpur {9xx000xx09} ❤️VVIP POOJA Call Girls in Nagpur Maha...
Premium Call Girls Nagpur {9xx000xx09} ❤️VVIP POOJA Call Girls in Nagpur Maha...Premium Call Girls Nagpur {9xx000xx09} ❤️VVIP POOJA Call Girls in Nagpur Maha...
Premium Call Girls Nagpur {9xx000xx09} ❤️VVIP POOJA Call Girls in Nagpur Maha...
 
Most Beautiful Call Girl in Chennai 7427069034 Contact on WhatsApp
Most Beautiful Call Girl in Chennai 7427069034 Contact on WhatsAppMost Beautiful Call Girl in Chennai 7427069034 Contact on WhatsApp
Most Beautiful Call Girl in Chennai 7427069034 Contact on WhatsApp
 
Shazia Iqbal 2024 - Bioorganic Chemistry.pdf
Shazia Iqbal 2024 - Bioorganic Chemistry.pdfShazia Iqbal 2024 - Bioorganic Chemistry.pdf
Shazia Iqbal 2024 - Bioorganic Chemistry.pdf
 
Control of Local Blood Flow: acute and chronic
Control of Local Blood Flow: acute and chronicControl of Local Blood Flow: acute and chronic
Control of Local Blood Flow: acute and chronic
 
Gastric Cancer: Сlinical Implementation of Artificial Intelligence, Synergeti...
Gastric Cancer: Сlinical Implementation of Artificial Intelligence, Synergeti...Gastric Cancer: Сlinical Implementation of Artificial Intelligence, Synergeti...
Gastric Cancer: Сlinical Implementation of Artificial Intelligence, Synergeti...
 

The Sepsis Resuscitation And Management Bundles

  • 1. Dr. Najm-us-saqib Department of Anaesthesia and intensive care Combined Military Hospital Rawalpindi The sepsis resuscitation and management bundles
  • 2.
  • 3.
  • 4.
  • 5.
  • 6.
  • 7.
  • 8.
  • 9.
  • 10.
  • 11.
  • 12.
  • 13.
  • 14.
  • 15.
  • 16.
  • 17.
  • 18.
  • 19.
  • 20.
  • 21.
  • 22.
  • 23.
  • 24.
  • 25.
  • 26.
  • 27.
  • 28.
  • 29.
  • 30.
  • 31.
  • 32.
  • 33.
  • 34.
  • 35.
  • 36.
  • 37.
  • 38.
  • 39.
  • 40.
  • 41.
  • 42.
  • 43.
  • 44.
  • 45.
  • 46.
  • 47.
  • 48.
  • 49.
  • 50.
  • 51.
  • 52.
  • 53.
  • 54.
  • 55.
  • 56.
  • 57.
  • 58.
  • 59.
  • 60.
  • 61.
  • 62.
  • 63.
  • 64.
  • 65.
  • 66.
  • 67.
  • 68.
  • 69.
  • 70.
  • 71.
  • 72.
  • 73.
  • 74.
  • 75.
  • 76.
  • 77.
  • 78.
  • 79.