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Showing posts from August, 2020

Shock vs Sepsis vs SIRS: Key Differentiators

​ 1. Definitions: Systemic Inflammatory Response Syndrome (SIRS) SIRS describes a non-specific systemic inflammatory state, triggered by infectious or non-infectious insults. SIRS Criteria (Traditional) Presence of ≥2 of: Temperature >38°C or <36°C Heart rate >90/min Respiratory rate >20/min or PaCO₂ <32 mmHg WBC >12,000 or <4,000 or >10% bands SIRS can occur in: Trauma Burns Pancreatitis Post-operative states Infections SIRS is not equivalent to infection. Sepsis (Sepsis-3 Definition) According to the Surviving Sepsis Campaign and consensus definitions: Sepsis is life-threatening organ dysfunction caused by a dysregulated host response to infection. Operationalized as: Suspected/confirmed infection Increase in SOFA score ≥2 Septic Shock A subset of sepsis characterized by: Persistent hypotension requiring vasopressors Serum lactate >2 mmol/L despite adequate fluid resuscitation This carries a mortality >40%. Sho...

Reminder Of The Memories

Hi guys, This is Myr and welcome back to my stories. while scrolling through moments i found this beautiful picture and thought to refresh your memories. Read the lines written on it.  "And you'll make it through what comes along your life can be what you want it to persist, have courage, stay strong your dreams are waiting to be realized" Does it remind something to you? from the first day of landing at Shenyang Airport to the last day going back suddenly without knowing if we would be able to go back once or not, we eagerly wanted to finish and go back home. All had that thought in our mind while walking down the streets of Shenyang, counting the years left to graduate that whatever it come through we're going to face it together. From first day encouraging and helping eachother and saying we'll make it through, all this difficulty going to be worth it and we'll get what we all have struggled here for, we came so far this journey. this streets...