Initial Emergency Department Diagnosis and Management of Adult Patients with Severe Sepsis and Septic Shock

<p>Abstract</p> <p>Severe sepsis is a medical emergency affecting up to 18 million individuals world wide, with an annual incidence of 750,000 in North America alone. Mortality ranges between 28-50% of those individuals stricken by severe sepsis. Sepsis is a time critical illness,...

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Bibliographic Details
Main Authors: Perman Sarah M, Goyal Munish, Gaieski David F
Format: Article
Language:English
Published: BMC 2012-06-01
Series:Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
Subjects:
Online Access:http://www.sjtrem.com/content/20/1/41
Description
Summary:<p>Abstract</p> <p>Severe sepsis is a medical emergency affecting up to 18 million individuals world wide, with an annual incidence of 750,000 in North America alone. Mortality ranges between 28-50% of those individuals stricken by severe sepsis. Sepsis is a time critical illness, requiring early identification and prompt intervention in order to improve outcomes. This observation has led to increased awareness and education in the field of Emergency Medicine; it has also led to the implementation of critical interventions early in the course of patient management, specifically Early-Goal Directed Therapy, and rapid administration of appropriate antimicrobials. This review begins with a brief summary of the pathophysiology of sepsis, and then addresses the fundamental clinical aspects of ED identification and resuscitation of the septic patient.</p>
ISSN:1757-7241