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Sepsis Recognition and Management

Recognize sepsis early, including atypical presentations, and drive time-sensitive workup and treatment decisions with clinical confidence.

What this track covers

This track covers rapid identification of sepsis across typical and subtle presentations, risk stratification using qSOFA and SOFA, and the sequencing of workup and treatment in the first hours of care. It also addresses escalation decisions when a patient does not respond to initial fluid resuscitation.

What you will practice

  • Spot early sepsis in elderly, immunocompromised, and young patients
  • Interpret vital sign trends and mental status changes as early warning signs
  • Apply qSOFA and SOFA to risk-stratify an undifferentiated patient
  • Sequence lactate, cultures, antibiotics, and fluids in the first hour
  • Decide when to escalate to vasopressors in fluid-refractory shock

Simulator scenario

An elderly patient presents with vague confusion and normal vital signs, requiring the clinician to recognize occult sepsis and initiate the appropriate workup before overt decompensation.

Board question topics

  • qSOFA versus SOFA scoring criteria
  • Sequencing of hour-1 bundle components
  • Recognizing atypical and cryptic septic shock
  • Choosing vasopressor support after fluid resuscitation

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