Sandbox

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Rim Halaby, M.D. [2]

Overview

Sepsis is a life threatening condition.

References

Characterize the symptoms: ❑ Diffuse bleeding ❑ Jaundice ❑ Dyspnea ❑ Delirium ❑ Coma Obtain medical history: ❑ Prior thromboses ❑ Known hypercoagulability ❑ Known hemostatic defect

Examine the patient: ❑ Digital ischemia ❑ Hypotension ❑ Fever ❑ Acral cyanosis ❑ Bleeding from wounds/puncture sites ❑ Petechiae ❑ Purpura ❑ Rash ❑ Ecchymosis ❑ Bedside Observations  :❑ Stroke  :❑ Acute MI  :❑ ARF  :❑ DVT  :❑ PE  :❑ Purpura fulminans

Order tests: ❑ Peripheral blood smear  :❑ ↓Platelet count  :❑ + Schistocytes ❑ Clotting screen ❑ ↑PT ❑ ↑aPTT ❑ ↓Fibrinogen ❑ ↓Haptoglobin ❑ +D-dimer ❑ Other Investigations