Sepsis management
The majority of research evidence on
sepsis is limited to severe sepsis and septic
shock – there is little on uncomplicated
sepsis. Patients with sepsis need immediate
intervention to determine severity
and prevent deterioration to severe sepsis.
The use of care bundles is recommended
by the SSC and other international
sepsis forums. Care bundles bring together
a small number of interventions that,
when undertaken together and reliably,
improve patient outcomes (Institute for
Healthcare Improvement, 2012). SSC guidance
presents two bundles for severe sepsis
and septic shock, with actions to be delivered
within three hours and six hours of
identification (previously known as the
“Resuscitation and Management bundles”)
(Dellinger et al, 2013). Daniels et al (2010)
note that, although the SSC bundles are
internationally recognised, they have elements
that require critical-care skills that
are not always available in emergency
departments
Sepsis managementThe majority of research evidence onsepsis is limited to severe sepsis and septicshock – there is little on uncomplicatedsepsis. Patients with sepsis need immediateintervention to determine severityand prevent deterioration to severe sepsis.The use of care bundles is recommendedby the SSC and other internationalsepsis forums. Care bundles bring togethera small number of interventions that,when undertaken together and reliably,improve patient outcomes (Institute forHealthcare Improvement, 2012). SCC guidancepresents two bundles for severe sepsisand septic shock, with actions to be deliveredwithin three hours and six hours ofidentification (previously known as the"Resuscitation and Management bundles")(Dellinger et al, 2013). Daniels et al (2010)note that, although the SSC bundles areinternationally recognised, they have elementsthat require critical-care skills thatare not always available in emergencydepartments
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