Document Detail


Management of severe sepsis and septic shock in the emergency department: a survey of current practice in emergency departments in England.
MedLine Citation:
PMID:  17513540     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIM: To identify the extent to which emergency departments (EDs) in England are involved in the initiation of the pathway to early goal-directed therapy (EGDT) in patients with severe sepsis and septic shock. METHOD: A survey of 173 EDs in England was carried out over a 2-month period starting in March 2006. RESULTS: 117 (67.6%) departments responded. 22 (18.8%) departments satisfied the following criteria: had a strategy to identify these patients, measured lactate, had a written protocol including EGDT and provided training for their staff. A further 10 (8.5%) EDs were working on initiating the pathway to EGDT. CONCLUSION: 18.8% of EDs in England are able to initiate the pathway to EGDT in patients with severe sepsis and septic shock.
Authors:
Narani Sivayoham
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Emergency medicine journal : EMJ     Volume:  24     ISSN:  1472-0213     ISO Abbreviation:  Emerg Med J     Publication Date:  2007 Jun 
Date Detail:
Created Date:  2007-05-21     Completed Date:  2007-07-02     Revised Date:  2010-09-15    
Medline Journal Info:
Nlm Unique ID:  100963089     Medline TA:  Emerg Med J     Country:  England    
Other Details:
Languages:  eng     Pagination:  422     Citation Subset:  IM    
Affiliation:
Emergency Department, St George's Hospital, Blackshaw Road, London SW17 0QT, UK. narani.sivayoham@stgeorges.nhs.uk
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MeSH Terms
Descriptor/Qualifier:
Anti-Bacterial Agents / therapeutic use
Clinical Protocols
Emergency Medicine / methods*
Emergency Service, Hospital / statistics & numerical data*
England
Fluid Therapy / utilization
Health Care Surveys
Humans
Lactic Acid / metabolism
Physician's Practice Patterns / statistics & numerical data*
Sepsis / diagnosis*,  metabolism,  therapy*
Shock, Septic / diagnosis,  metabolism,  therapy
Chemical
Reg. No./Substance:
0/Anti-Bacterial Agents; 50-21-5/Lactic Acid
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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