What follows are some of the summary tables and figures from the article. (1) It is important to review the Surviving Sepsis Campaign’s response document to the recently reported PROcESS and ARISE trials as these trials significantly impact the guidelines. (2)
Finally, the big challenge for front-line clinicians (office, urgent care, and emergency care physicians and for ward nurses) is diagnosing sepsis early and reliably. There aren’t any screening instruments mentioned in the article. But “The Surviving Sepsis Campaign provides a paper screening tool to assist when evaluating patients in the hospital emergency department, medical/surgical/telemetry wards, or in the ICU. This tool is called Evaluation for Severe Sepsis Screening Tool. (3)
So below is the Evaluation for Severe Sepsis Screening Tool.
Table 8 Recommendations: Other Supportive Therapy of Severe Sepsis on pp 602 and 603 summarizes a number of important care topics including ventilator settings but most would apply to the clinician managing the patient after the first hour.
Recommendations: Special Considerations in Pediatrics on pp 614 and 615 essentially follows the recommendations of the most recent edition of the Pediatric Advanced Life Support Manual.
(1) Surviving Sepsis Campaign: International Guidelines for Management of Severe Sepsis
and Septic Shock: 2012 [Full Text PDF]
(2) Surviving Sepsis Campaign Statement Regarding Hemodynamic and Oximetric Monitoring in Response to ProCESS and ARISE Trials – 1 October, 2014 [PDF]
(5) International Guidelines for Management of Severe Sepsis
and Septic Shock Pocket Guide, 2013. [PDF]