Description
Where sepsis becomes a cardiac problem
Sepsis guidance is written largely by intensivists for intensivists, and it assumes a heart that responds normally to a fluid challenge. A substantial share of septic patients do not have one — they have pre-existing cardiac disease, or they develop septic cardiomyopathy, and the standard resuscitation makes them worse.
This volume covers sepsis with that cardiovascular detail made explicit rather than assumed.
Why the Academy stocks it
Because members are repeatedly asked to advise on the septic patient who is not responding, usually by an intensivist who has already given several litres. Answering that call well requires understanding both the sepsis pathway and the failing ventricle, and most texts supply only one.
The cardiac chapters
Septic cardiomyopathy — recognition, reversibility and prognosis, including why the ejection fraction can be misleading in vasodilated states. Fluid responsiveness assessment and the point at which further fluid causes harm. Vasopressor and inotrope selection when the heart is already impaired. Sepsis in patients with existing heart failure, valve disease or a device. Troponin elevation in sepsis and how to distinguish demand ischaemia from an acute coronary event.
The general sepsis material
Recognition and scoring, source control, antimicrobial timing, lactate interpretation and de-escalation — covered properly, since the cardiac chapters assume it.
Placement
Acute and critical care track, and recommended to members who cover general intake or who advise on inpatient referrals.
PDF, lifetime access, from CardiologyBooks.com.
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