Recognition of Sepsis in the Primary Care Setting

This lecture will provide a concise overview of sepsis, a life-threatening condition arising from a dysregulated host response to infection. Beginning with a historical perspective, tracing the understanding of sepsis from prior to Early Goal-Directed Therapy to the modern definition of organ dysfunction, the session will highlight key milestones in sepsis research and awareness.

The core of the lecture will focus on the crucial role of early recognition in primary care for both adult and pediatric patients. Given that many patients initially present to their primary care physicians with infections, the ability to identify subtle signs and symptoms indicative of early sepsis is paramount for timely intervention and improved patient outcomes. We will discuss practical strategies and tools for recognizing early sepsis, including key clinical indicators, vital sign abnormalities, and risk factors that should raise suspicion. Emphasis will be placed on differentiating sepsis from uncomplicated infections and understanding when to escalate care.

Finally, the lecture will address current updates in the management of sepsis and septic shock. While the primary focus is on recognition, understanding the principles of current treatment, including timely antibiotic administration, fluid resuscitation, and the management of organ dysfunction, provides crucial context for the urgency of early identification. The lecture will also touch upon the Surviving Sepsis Campaign guidelines and recent advancements in therapeutic approaches. This session aims to empower primary care clinicians with the knowledge and tools necessary to recognize sepsis early, facilitating prompt and appropriate management that can significantly impact patient survival.