Disaster Medicine: Sepsis
Training Module Description:
Populations affected by disasters are exposed to a variety of health hazards such as trauma, burns, poor sanitation, and mass sheltering, all of which place them at increased risk of infection and sepsis. Under the austere, resource-limited conditions typical of disaster zones, the clinical identification and management of sepsis can be more challenging compared to normal operating conditions in conventional health care settings. This training module will provide guidance on how to recognize, assess, and evacuate patients with or at risk of sepsis in the context of a disaster response.
Target Audience
This activity has been designed to meet the educational needs of emergency responders, disaster medicine teams, including within U.S. Government, emergency planners, facility managers, occupational health and safety personnel, nurses, physicians, pharmacists, and other healthcare staff.
Learning Objectives
After completing this activity, the participant should be better able to:
- Understand the fundamentals of sepsis, including its definition and basic pathophysiology
- Recognize sepsis in the field
- Identify, assess, and prioritize at-risk patients as they arrive in the triage tent
- Promote, during a disaster event, the immediate intervention and stabilization of sepsis patients and those at highest risk of developing sepsis
- Describe the preparation and process for rapidly stabilizing and evacuating the highest priority patients under austere conditions
Runa Gokhale, MD, MPH
Medical Officer, Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention
Runa Hatti Gokhale is a team lead in CDC’s Division of Healthcare Quality Promotion where she oversees invasive Staphylococcus aureus surveillance and serves as science lead for Agency sepsis activities. She is a Commander in the Commissioned Corps of the US Public Health Service. Runa is board certified in Internal Medicine and Preventive Medicine, and before joining CDC worked as a hospitalist at the Atlanta VA Medical Center, where she continues to attend on the inpatient medicine service. Runa received a BA from Brown University, an MD from Jefferson Medical College, and an MPH from Emory University’s Rollins School of Public Health.
Richard Catherina, MD
Senior Medical Officer, National Disaster Medical System, Assistant Secretary for Preparedness and Response, U.S. Department of Health and Human Services
Richard A. Catherina, M.D., is the Senior Medical Officer of the National Disaster Medical System (NDMS), under the Office of the Assistant Secretary for Preparedness and Response (ASPR) at the U.S. Department of Health and Human Services (HHS). In this role Dr. Catherina is the principal medical consultant to the NDMS Director and serves as subject matter expert for multiple programs within the NDMS portfolio, including force health protection, operational medicine, aeromedical evacuation, infection control, credentialing and privileging, and clinical quality management. A graduate of Muhlenberg College, he is a former Naval Aviator who transitioned to the U.S. Navy Medical Corps, where he practiced primary care, occupational, and hospital medicine before retiring from active duty as a Senior Medical Officer with the U.S. Marine Corps Chemical Biological Incident Response Force. Dr. Catherina received his medical doctorate from the Uniformed Services University F. Edward Hébert School of Medicine and is board certified by the American Board of Internal Medicine.
Timothy G. Buchman, PhD, MD, FACS, FCCP, MCCM
Senior Advisor, IPA to BARDA DRIVe
Professor of Surgery, Professor of Anesthesiology, Professor of Biomedical Informatics, Emory University School of Medicine
Timothy G. Buchman, PhD, MD, FACS, FCCP, MCCM has four decades of bedside experience caring for septic patients. A general surgeon, intensive care doctor and virologist, he is currently Senior Advisor, IPA to the Division of Research, Innovation, and Ventures (DRIVe), Biomedical Advanced Research and Development Authority (BARDA), Office of Assistant Secretary for Preparedness and Response (ASPR), US Department of Health and Human Services (HHS). Dr. Buchman’s other current roles include Professor of Surgery, Anesthesiology, and Biomedical Informatics at Emory University, where he founded the Emory Critical Care Center. Dr. Buchman is past president of the Shock Society, of the Society for Complex Acute Illness and of the Society of Critical Care Medicine, the latter being the largest organization of critical care professionals in the world. He is Editor-in-Chief of Critical Care Medicine (www.ccmjournal.org) and Critical Care Explorations (www.ccejournal.org). He is a member of the External Faculty of the Santa Fe Institute. He also serves as site director of the military-civilian partnership, Surgical Critical Care Institute (www.sc2i.org).
Robert D. McLeroy, MD
MAJ, MC, USA
Medical ICU Director, Walter Reed National Military Medical Center
Robert Dustin McLeroy is a medical intensivist in the U.S. Army and currently serves as the Medical ICU Director at Walter Reed National Military Medical Center where he is also core faculty for the Pulmonary and Critical Care Fellowship Program. His scholarly interests include critical care delivered in remote and austere environments. He is also a Director for the Fundamentals of Critical Care Support – Resource Limited course. Robert’s medical career started as a volunteer EMT in rural Colorado. He then received a BA from the University of Colorado Denver and an MD from the University of Colorado School of Medicine.
Medical Education Resources ensures balance, independence, objectivity, and scientific rigor in all our educational activities. In accordance with this policy, MER identifies conflicts of interest with its instructors, content managers, and other individuals who are in a position to control the content of an activity. Conflicts are resolved by MER to ensure that all scientific research referred to, reported, or used in a continuing education activity conforms to the generally accepted standards of experimental design, data collection, and analysis. MER is committed to providing its learners with high-quality activities that promote improvements or quality in health care and not the business interest of a commercial interest.
The faculty reported the following financial relationships with commercial interests whose products or services may be mentioned in this activity:
Name of Faculty | Reported Financial Relationship |
Timothy Buchman | No financial relationships to disclose |
Richard Catherina | No financial relationships to disclose |
Robert McLeroy | No financial relationships to disclose |
Runa Gokhale | No financial relationships to disclose |
The content managers reported the following financial relationships with commercial interests whose products or services may be mentioned in this activity:
Name of Content Manager | Reported Financial Relationship |
Sepsis Alliance Institute Planners | No financial relationships to disclose |
MER content managers | No financial relationships to disclose |
The content and views presented in this educational activity are those of the authors and do not necessarily reflect those of Medical Education Resources or Sepsis Alliance. The authors have disclosed if there is any discussion of published and/or investigational uses of agents that are not indicated by the FDA in their presentations. Before prescribing any medicine, primary references and full prescribing information should be consulted. Any procedures, medications, or other courses of diagnosis or treatment discussed or suggested in this activity should not be used by clinicians without evaluation of their patient’s conditions and possible contraindications on dangers in use, review of any applicable manufacturer’s product information, and comparison with recommendations of other authorities. The information presented in this activity is not meant to serve as a guideline for patient management.
In support of improving patient care, this activity has been planned and implemented by Medical Education Resources (MER) and Sepsis Alliance. MER is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team
Physician Credit
Medical Education Resources designates this live activity for a maximum of 1.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. To contact MER: info@cmepartner.org
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Nurse and Participation Credit
Sepsis Alliance is a provider approved by the California Board of Registered Nursing, Provider Number CEP17068 for 1.9 contact hours.This activity is jointly provided by Medical Education Resources and Sepsis Alliance.
Other healthcare providers will receive a certificate of attendance for 1.5 contact hours.
Medical Disclaimer
The information on or available through this site is intended for educational purposes only. Sepsis Alliance does not represent or guarantee that information on or available through this site is applicable to any specific patient’s care or treatment. The educational content on or available through this site does not constitute medical advice from a physician and is not to be used as a substitute for treatment or advice from a practicing physician or other healthcare provider. Sepsis Alliance recommends users consult their physician or healthcare provider regarding any questions about whether the information on or available through this site might apply to their individual treatment or care.
Available Credit
- 1.50 AMA PRA Category 1 Credit™This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the Children’s Hospital Alliance and the Sepsis Alliance. The Children’s Hospital Alliance is accredited by the ACCME to provide continuing medical education for physicians.
- 1.50 Participation
- 1.90 RN CE Contact HoursProvider approved by the California Board of Registered Nursing, Provider Number CEP17068.