Sepsis 3.1

Sepsis 3.1 is a local (Lee County, FL) twist on the Third International Consensus Definitions for Sepsis and Septic Shock released in February 2016 by Singer, et al . Building on this latest evidence based medicine, we created a simplified process to improve early detection, treatment, and receiving facility alerting of critical sepsis patients. The Lee County Sepsis 3.1 flowchart summarizes the process:

sepsis3.1

In my presentation, SEPSIS 3.1 final, I provide rationale for transitioning away from SIRS – which was relied upon with Sepsis-2- and we explore the merits of qSOFA and ETCO2 for early prehospital detection of critical sepsis patients. I also briefly look at some local cases and elucidate the importance of coupling clinical judgment with assessment tools.

This is the first iteration of prehospital guidelines developed from Sepsis-3 literature. Accordingly, I presume that there will be some EBM amendments in the future. However, it’s exciting that we will soon have a sepsis alert system in place. There’s a lot more work to do, but I think we’ve made significant progress and are headed in the right direction.

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