Identification of adult septic patients in the prehospital setting: A comparison of two screening tools and clinical judgment

European Journal of Emergency Medicine

Volumn 21, Issue 4, 2014, Pages 260-265

  Wallgren, Ulrika M ^a,b   Castrén, Maaret ^a   Svensson, Alexandra E V ^a   Kurland, Lisa ^a  

^a STOCKHOLM SÖDER HOSPITAL   (Sweden)

^b Section of Emergency Medicine ^*  (Sweden)

Author keywords

emergency medical services; prehospital care; sepsis

Indexed keywords

GLUCOSE;

ADULT; AGED; ARTICLE; BODY TEMPERATURE; BREATHING RATE; CLINICAL DECISION MAKING; COMPARATIVE STUDY; CROSS-SECTIONAL STUDY; EMERGENCY HEALTH SERVICE; FEMALE; GLUCOSE BLOOD LEVEL; HEART RATE; HOSPITAL DISCHARGE; HUMAN; MAJOR CLINICAL STUDY; MALE; MEDICAL DOCUMENTATION; MEDICAL HISTORY; MENTAL HEALTH; OXYGEN SATURATION; PATIENT IDENTIFICATION; PATIENT SELECTION; PRIORITY JOURNAL; RESCUE PERSONNEL; RETROSPECTIVE STUDY; SCREENING; SEPSIS; SYSTOLIC BLOOD PRESSURE; DECISION SUPPORT SYSTEM; PATHOPHYSIOLOGY; PHYSIOLOGY; PROCEDURES; SENSITIVITY AND SPECIFICITY; VITAL SIGN;

AGED; CROSS-SECTIONAL STUDIES; DECISION SUPPORT TECHNIQUES; EMERGENCY MEDICAL SERVICES; FEMALE; HUMANS; MALE; RETROSPECTIVE STUDIES; SENSITIVITY AND SPECIFICITY; SEPSIS; VITAL SIGNS;

EID: 84903816349     PISSN: 09699546     EISSN: 14735695     Source Type: Journal    
DOI: 10.1097/MEJ.0000000000000084     Document Type: Article

References (31)

1. Swedish Society of Infectious Disease. Guidelines for treatment of severe sepsis and septic shock-early recognition and initial management; 2012 . Available at: www.infektion.net/vardprogram. [Accessed 19 September 2013].
2. Martin GS, Mannino DM, Eaton S, Moss M. The epidemiology of sepsis in the United States from 1979 through 2000. N Engl J Med 2003; 348:1546-1554. (Pubitemid 36437931)
3. Rezende E, Silva JM Jr, Isola AM, Campos EV, Amendola CP, Almeida SL. Epidemiology of severe sepsis in the emergency department and difficulties in the initial a ssistance. Clinics (Sao Paulo) 2008; 63:457-464.
4. Dombrovskiy VY, Martin AA, Sunderram J, Paz HL. Rapid increase in hospitalization and mortality rates for severe sepsis in the United States: a trend analysis from 1993 to 2003. Crit Care Med 2007; 35:1244-1250. (Pubitemid 46642649)
5. Rangel-Frausto MS, Pittet D, Costigan M, Hwang T, Davis CS, Wenzel RP. The natural history of the systemic inflammato ry response syndrome (SIRS). A prospective study. JAMA 1995; 273:117-123.
6. Angus DC, Linde-Zwirble WT, Lidicker J, Clermont G, Carcillo J, Pinsky MR. Epidemiology of severe sepsis in the United States: analysis of incidence, outcome, and associated costs of care. Crit Care Med 2001; 29:1303-1310. (Pubitemid 32641789)
7. Rivers E, Nguyen B, Havstad S, Ressler J, Muzzin A, Knoblich B, et al. Early goal-directed therapy in the treatment of severe sepsis and septic shock. N Engl J Med 2001; 345:1368-1377.
8. Shapiro N, Howell MD, Bates DW, Angus DC, Ngo L, Talmor D. The associ ation of sepsis syndrome and organ dysfunction with mortality in emergency department patients with suspected infection. Ann Emerg Med 2006; 48:583- 590, 590.e1.
9. Brun-Buisson C. The epidemiology of the systemic inflammatory response. Intensive Care Med 2000; 26 (Suppl 1):S64-S74. (Pubitemid 30184495)
10. Gaieski DF, Mikkelsen ME, Band RA, Pines JM, Massone R, Furia FF, et al. Impact of time to ant ibiotics on survival in patients with severe sepsis or septic shock in whom early goal-directed therapy was initiated in the emergency department. Crit Care Med 2010; 38:1045-1053.
11. Harbarth S, Garbino J, Pugin J, Romand JA, Lew D, Pittet D. Inappropriate initial antimicrobial therapy and its effect on survival in a clinical trial of immunomodulating therapy for severe sepsis. Am J Med 2003; 115:529-535. (Pubitemid 37352798)
12. Valles J, Rello J, Ochagavia A, Garnacho J, Alcala MA. Community-acquired bloodstream infection in critically ill adult patients: impact of shock and inappropriate antibiotic therapy on survival. Chest 2003; 123:1615-1624. (Pubitemid 36549784)
13. Kumar A, Roberts D,Wood KE, Light B, Parrillo JE, Sharma S, et al. Duration of hypotension before initiation of effective antimicrobial therapy is the critical determinant of survival in human septic shock. Crit Care Med 2006; 34:1589-1596. (Pubitemid 43810035)
14. Dellinger RP, Carlet JM, Masur H, Gerlach H, Calandra T, Cohen J, et al. S urviving Sepsis Campaign guidelines for management of severe sepsis and septic shock. Intensive Care Med 2004; 30:536-555. (Pubitemid 38541501)
15. Dellinger RP, Levy MM, Carlet JM, Bion J, Parker MM, Jaeschke R, et al. Surviving Sepsis Campaign: international guidelines for management of severe sepsis and septic shock: 2008. Crit Care Med 2008; 36:296-327.
16. De Miguel-Yanes JM, Andueza-Lillo JA, Gonzalez -Ramallo VJ, Pastor L, Munoz J. Failure to implement evidence-based clinical guidelines for sepsis at the ED. Am J Emerg Med 2006; 24:553-559. (Pubitemid 44287257)
17. Sivayoham N, Management of severe sepsis and septic shock in the emergency department: a survey of current practice in emergency departments in England, Emerg Med J, 2007, 24,422. (Pubitemid 46860828)
18. Jones AE, Kline JA. Use of goal-directed therapy for severe sepsis and septic shock in academic emergency departments. Crit Care Med 2005; 33:1888 -1889, author reply, 1889-1890.
19. Seymour CW, Cooke CR, Mikkelsen ME, Hylton J, Rea TD, Goss CH, et al. Out-of-hospital fluid in severe sepsis: effect on early resuscitation in the emergency department. Prehosp Emerg Care 2010; 14:145-152.
20. Wang HE, Weaver MD, Shapiro NI, Yealy DM. Opportunities for emergency medical services care of sepsis. Resuscitation 2010; 81:193-197.
21. Studnek JR, Artho MR, Garner CL Jr., Jones AE. The impact of emergency medical services on the ED care of severe sepsis. Am J Emerg Med 2012; 30:51-56.
22. Robson W, Nutbeam T, Daniels R. Sepsis: a need for prehospital intervention? Emerg Med J 2009; 26:535-538.
23. Blomberg TJL, Ahlstedt B. Treatment guidelines SLAS 2011. Available at: www.flisa.nu [Accessed 19 September 2013].
24. Stockholm City Council. Medical guidelines for the Ambulance Services in Stockholm; 2012. Available at: http://www.webbhotell.sll.se/Global/prehospitala/ dokument/Medicinska%20riktlinjer/Nyheter%20i% 20Ambulanssjukv%C3%A5rdens%20behandlingsriktlinjer% 202012.pdf [Accessed 19 September 2013].
25. Ljungstrom L. A challenge to doctors of infectious disease: make the management of patients with acute severe bacterial infection as good as the management of acute coronary syndromes; 2005. Available at: http://www. mediahuset.se/Infektionslakaren/il405/e n-utmaning.htm [Accessed 19 September 2013].
26. Gardlund B, Cronqvist J, Follin P, Furebring M, Gille-Johnson P, Sjolin J. Severe sepsis and septic shock require immediate care. Lakartidningen 2011; 108:271-275.
27. Swedish National Board of Health and Welfare. Healthcare related infection, definition according to the terminology bank of the Swedish National Board of Health and Welfare; 2011. Available at: http://app.socialstyrelsen.se/ termbank/ViewTerm.aspx-TermID=4570 [Accessed 19 September 2013].
28. Chenkin J, Gladstone DJ, Verbeek PR, Lindsay P, Fang J, Black SE, et al. Predictive value of the Ontario p rehospital stroke screening tool for the identification of patients with acute stroke. Prehosp Emerg Care 2009; 13:153-159.
29. Kidwell CS, Starkman S, Eckstein M,Weems K, Saver JL. Identifying st roke in the field. Prospective validation of the Los Angeles prehospital stroke screen (LAPSS). Stroke 2000; 31:71-76. (Pubitemid 30035755)
30. Federation of Leaders in Swedish Ambulance and Emergency Services (FLISA). Treatment guidelines 2005; 2005. Available at: www.flisa.nu [Accessed 19 September 2013].
31. Seymour CW, Rea TD, Kahn JM, Walkey AJ, Yealy DM, Angus DC. Severe sepsis in pre-hospital emergency care: analysis of incidence, care, and outcome. Am J Respir Crit Care Med 2012; 186:1264- 1271.