Initial resuscitation of the septic patient

Access to this tutorial is restricted. If you believe that you should have access to this resource, please email the StratOG team (stratog@rcog.org.uk).

When you have completed this tutorial you will be able to:

• understand the pathophysiological changes caused by sepsis
• understand the common causes of sepsis and organisms involved in obstetrics and gynaecology
• identify signs and symptoms of the sepsis spectrum based on pathophysiological changes, and to differentiate from the diseases mimicking the clinical picture
• recognise progression of infection towards severe sepsis and septic shock through available tools, such as the modified early obstetric warning systems (MEOWS), and instigate preventative measures
• lead resuscitation for patients with septic shock, including fluid therapy and other hemodynamic support
• start appropriate management in line with international guidelines for treating severe sepsis and septic shock including antibiotics and a review of the evidence base
• understand the role of multidisciplinary team working and effective communication to optimise the patient outcome.