ED teaching 23 October 19

Our sepsis redux extravaganza was a great success.

Case based discussions:
Will MacDonald kicked off the morning with a case discussion involving an unexpected finding of severe anaemia in a frequently presenting person whose usual phenotype was an atypical pain syndrome.

Elise presented a pneumonia case with a twist -> pH 7.50, hyponatraemia, and a mild hepatitis. This led to a discussion about manifestations of atypical pathogens.

Credit to Dr Caitlin Young - ACEM advanced trainee - for her infographic

Credit to Dr Caitlin Young - ACEM advanced trainee - for her infographic

Tom talked about volume of distributions and how we should give big generous doses of first-dose antibiotics in the septic patient.

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Sinead takes out the prize for best slide deck with her awesome presentation on fluid management in sepsis.

Sinead takes out the prize for best slide deck with her awesome presentation on fluid management in sepsis.

Simulation involved a patient with a dental abscess gone wrong, with a pH <6.8, severe hyperK, and altered mental status. The case was extremely challenging and we all agree in the value of sweating in training to make real resus’ just a bit easier.

Tom gives himself the prize for best dressed.

Tom gives himself the prize for best dressed.

Thomas Brough