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...
What is "Day Light Saving Time"? The idea of this was proposed by George Hudson in 1895. The first nationwide implementation was organized by German Empire and Austria-Hungary. Many countries have used and have been using this method since 1970 energy crisis. TimeZonesBoy DST is setting clock time one hour forward or backward according to length of day/night darkness during transition between winter and summer. for example during spring clock is set one hour forward which is called "spring forward" and it's set back by one hour during autumn called as "fall back". that means we get one 23-hour day during early spring/late winter and one 25-hour day during autumn. Daniel FR, Plenz | Public Domain The areas near equator generally do not observe day light saving time (DST) because here time for sunrise and sunset don't show much difference. for example countries like Asia and Africa don't observe ...