Gram Positive – Staph aureus, Group A Beta haemolytic streptococcus, Group B streptococcus, Enterococcus, Listeria monocytogenes, Clostridium, Peptostreptococuss
Applying the SIRS criteria to pregnancy can be problematic as there is normally:
increased body temperature (during pregnancy and labour)
tachycardia and tachypnoea are seen during normal labour
already have a hyperdynamic circulation – warm and well perfused, high cardiac output, increased blood volume, relative increase in HR – these normal change in pregnancy also are present in sepsis.
can compensate well and then quickly decompensate (like the paediatric patient)
altered signs – appendicitis is more difficult to diagnose clinically due to gravid uterus displacement — UTI’s may be asymptomatic — pneumonia/LRTI’s masked as a degree of breathlessness in normal in late pregnancy
After finishing his medical degree at the University of Auckland, he continued post-graduate training in New Zealand as well as Australia’s Northern Territory, Perth and Melbourne. He has completed fellowship training in both intensive care medicine and emergency medicine, as well as post-graduate training in biochemistry, clinical toxicology, clinical epidemiology, and health professional education.
He is actively involved in in using translational simulation to improve patient care and the design of processes and systems at Alfred Health. He coordinates the Alfred ICU’s education and simulation programmes and runs the unit’s education website, INTENSIVE. He created the ‘Critically Ill Airway’ course and teaches on numerous courses around the world. He is one of the founders of the FOAM movement (Free Open-Access Medical education) and is co-creator of litfl.com, the RAGE podcast, the Resuscitology course, and the SMACC conference.
His one great achievement is being the father of two amazing children.
Necessary cookies are absolutely essential for the website to function properly. This category only includes cookies that ensures basic functionalities and security features of the website. These cookies do not store any personal information.
Any cookies that may not be particularly necessary for the website to function and is used specifically to collect user personal data via analytics, ads, other embedded contents are termed as non-necessary cookies. It is mandatory to procure user consent prior to running these cookies on your website.