The Patient with Multi-System Failure – Dr. Paul Langlois

The patient admitted with Multi-System Failure requires an “all hands on deck” approach. In this session, Dr. Langlois answers the critical questions:

• What Do We Do First?
• Which IV Fluids & How Much?
• Which Antibiotic & Why or Why Not?
• What are the First Vasopressors to Consider?
• What Complications are the Most Concerning?

Objectives

1. Identify and treat patients with multi-system failures
2. Recognize which patients are at risk for developing chronic kidney disease (CKD) and acute renal failure (ARF)

Outline

• Multi-System Organ Failure
  • Initial Approach
  • MODs Scoring
• Oxygenation
  • Calculating Tidal Volume
  • Respiratory Rate
  • Positive End-Expiratory Pressure
  • Mechanical Ventilation
  • ARDS
    • Pathophysiology
    • Ventilation
    • Adjunctive Strategies
    • Pharmalogical Interventions
• Fluids, Vasopressors, and Blood Products
  • Resuscitation
  • Vasoactive Agents
  • Platelets
  • Managing DIC
• Cardiovascular Support
  • Hemodynamics of the IABP
  • ECMO
• Acute Kidney Injury
  • Prevalence of AKI
  • Methods to Assess AKI
• Neurologic
  • Delirium
• Sepsis
  • Diagnosis
  • Initial Antimicrobial Therapy
• Gastrointestinal and Endocrine
  • Glucose Control
  • Nutrition