Septic peritonitis diagnosis and initial management
Course Description
Septic peritonitis is a critical emergency caused by factors like NSAID use in dehydrated patients or patients priorly exhibiting GI signs, ruptured GI tract due to neoplastic processes or penetrating trauma. Early diagnosis through abdominal POCUS or diagnostic peritoneal lavage is crucial. Fluid analysis in combination with measuring glucose and lactate concentrations in both effusion and serum may increase our suspicion of a septic process. Administer systemic antibiotics promptly after performing a culture of the peritoneal fluid.Stabilize the patient before surgery and access the overall condition of organ systems.
Tailor treatment to the individual patient. Prognosis varies, so following guidelines improves outcomes.
Course Content
- Most common causes of septic peritonitis.
- Essential Steps in the Initial Management of Septic Peritonitis.
- Perform abdominal POCUS in all unstable patients!
- Aspirate and Analyze Fluid for Diagnostic Insights.
- Timely Administration of Antibiotics for Septic Peritonitis.
- Prioritize Stabilization Before Surgical Intervention.
- Rule of 20: Assessing All Organ Systems
Course Content
Kris Gommeren
⦁ Kris Gommeren graduated and performed an internship and a residency in internal medicine at Ghent University, where he helped in the development of the ECC-service and blood bank.
⦁ He worked briefly in a referral practice in the Netherlands, before obtaining his diplomacy in internal medicine and moving to Liège University.
⦁ Since 2008 he is in charge of the ECC-service at Liège University, where he finished a PhD on systemic inflammation and the the cardiovascular system.
⦁ He became a diplomate in emergency and critical care, although he remains actively involved in the internship and resident training program in internal medicine.
⦁ Besides his work in a university setting, he is a consultant for an international veterinary company for the development of emergency and critical care facilities and the training of emergency and critical care personnel.
⦁ Over the past years Kris has become involved in the EVECCS society, of which he actually is past-president.