CoROM cast. Wilderness, Austere, Remote and Resource-limited Medicine. 175-Sepsis Discussion from the JTS CPG
Dec 26, 2025
Join a riveting discussion on managing sepsis in remote care. The hosts dive into assessing septic patients with focused history and trending vitals. Learn about the importance of early warning systems like QSOFA and NEWS2. They explore the critical role of point-of-care ultrasound and monitoring techniques, including MAP and urine output. Antibiotic strategies in austere settings are highlighted, alongside malaria treatment protocols. The episode wraps up with innovative care methods like telemedicine consultations and the FLASH mnemonic for risk assessment.
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Test With A Purpose
- Only run tests you will act upon; avoid chasing incidental lab abnormalities.
- Choose diagnostics based on how results will change management in resource-limited settings.
Make qSOFA Fast And Practical
- Use qSOFA for rapid bedside risk assessment and substitute AVPU for GCS if needed.
- Keep a simple cheat sheet for quick scoring in the field.
Touch Reveals Perfusion Changes Early
- Peripheral temperature and tactile assessment can reveal perfusion changes before formal numbers.
- Clinicians reported warm core with cold extremities or shifting warmth as markers of severity and recovery.