ABG Acid vs Sepsis Clinical Guide

ABG Acid-Base eval walks a clinician through a stepwise approach to analyse ABG's and electrolytes in order to arrive at acid-base disorders and diagnostic ideas about ill patients. It is based mainly upon a worksheet developed by Dr. Erik Rupard from the medical literature. This tool not only yields answers, but just as importantly teaches the stepwise thinking process and the necessary concepts along the way. A clinician or learner will wind up with good information that assists patient care and should wind up a little smarter and more able to do it with less assistance the next time. It is a great support for those of us clinicians who use these tests only occasionally and don't have it memorized. The differential diagnoses include the classic mnemonics like MUDPILERS, CHAMPS, CLEVER PD, and HARDUPS, with explanations and examples. The app addresses such common questions as: * What are common causes of metabolic acidosis? respiratory alkalosis? * How do I calculate predicted pCO2? corrected bicarbonate? * What is the primary acid-base disorder? * Are additional acid-base disorders present, and if so, what are they? This app is written and intended for practicing clinicians like internists, family physicians, ER docs, cardiologists, pulmonologists, intensivists, and hospitalists; for resident physician trainees; for medical students; and of course for other clinician colleagues like NP's and PA's. As an educator and clinician, I am interested in feedback and I would be grateful for guidance on improving the tool. Notes of importance: - many thresholds and cutoffs are arbitrary and debatable, so you will have to use judgment to interpret which disorders are present and to what extent when suggested by the app - the app facilitates you to evaluate the data. If you make a mistake, the app will not argue with you. It will, at the end, offer to compare your work to the disorders that the app finds using the same algorithm - patients are more than the sums of their numbers and data, and they are often unique individuals. Use this information as a starting point in the evaluation of your patient and always do your own thinking!

Sepsis Clinical Guide now includes access the new ESCAVO Clinical Community, a forum where clinicians can exchange ideas, ask questions and collaborate on sepsis and other clinical topics. Sepsis is a serious systemic infection that can quickly lead to circulatory shock, organ failure and death if inappropriately treated. In 2017, over 2 million people were admitted to US hospitals for sepsis (#1 cause of index admissions) at a total aggregate cost to the US healthcare system of $38.2 billion dollars (#1 most expensive condition), according to an AHRQ report. Over 270,000 people die of sepsis in the US every year, more than from prostate cancer, breast cancer and AIDS combined. Despite its large toll on public health, public awareness of this condition is poor and the quality of treatment is highly variable often due to delayed recognition and treatment. In sepsis, time is of the essence. Successful treatment hinges on prompt recognition of symptoms, correct antibiotic administration, and hemodynamic stabilization. Lack of appropriate sepsis management knowledge at the bedside leads to delayed symptom recognition, serious complications, medical errors, increased treatment costs, and avoidable morbidity and mortality. For this reason, we created this app to provide busy health professionals with essential management information based on the latest practice guidelines in a format that is easily accessible at the point of care. The Sepsis app was developed on the ESCAVO mobile publishing platform created specifically for mobile publishing of scientific content. The platform features an intuitive user interface, search, annotation and bookmarking functions, and calculator support. All content is extensively referenced and footnoted where appropriate. Clinical topics covered in the Sepsis app include: - Updated with the latest definitions, diagnostic criteria, and management guidelines including the 2016 Sepsis-3 definitions and the latest Surviving Sepsis Campaign (SSC) guidelines - Epidemiology, risk factors and pathophysiology of sepsis and septic shock - Common differentials and etiology, guidelines on performing appropriate H&P and workups - Management of common causes including hospital-acquired pneumonia (HAP), ventilator-acquired pneumonia (VAP) and intra-abdominal infections - Sepsis management bundles, early goal-directed therapy, hemodynamic management, adjunctive therapies, mechanical ventilation of sepsis-induced ARDS, and other essential management guidelines from the SSC and the American Thoracic Society (ATS) - Antibiotic therapy including specific guidelines for the treatment of HAP from ATS and the Infectious Diseases Society of America (IDSA) - Guidance on the prevention, recognition and treatment of Clostridium difficile based on the latest IDSA guidelines - Information on the diagnosis and management of pediatric and neonatal sepsis including the management of pediatric fever, important differences from adult sepsis, management of sepsis-induced persistent pulmonary hypertension of the newborn (PPHN), empiric antibiotic treatment recommendations for GBS infections, interventions in pediatric septic shock, and other pediatric-specific information - Important score calculators including the Sequential Organ Failure Assessment (SOFA), quick-SOFA, SIRS, APACHE II, Multiple Organ Dysfunction Score (MODS), the Simplified Acute Physiology Score (SAPS) II, National Early Warning Score (NEWS), the Clinical Pulmonary Infection (CPI) score, the Inferior Vena Cava Collapsibility Index, and others - Drug administration information for the management of sepsis including antibacterial and antifungal antibiotics, the latest drugs for emerging multi-drug resistant organisms, adrenergic and other vasoactive agents, corticosteroids and diuretics - Relevant COVID-19 management information Recommended by: - HealthTap.com - MDLinx.com - imedicalapps.com - The ED Trauma Critical Care Blog (edtcc.com)