Sepsis Gets an Upgrade
Conclusion
“These updated definitions and clinical criteria should clarify long-used descriptors and facilitate earlier recognition and more timely management of patients with sepsis or at risk of developing it. This process, however, remains a work in progress. As is done with software and other coding updates, the task force recommends that the new definition be designated Sepsis-3. With the 1991 and 2001 iterations being recognized as Sepsis-1 and Sepsis-2, respectively, to emphasize the need for future iterations.”
Clinical Take Home Points
Sepsis = Life-threatening organ dysfunction caused by a dysregulated host response to infection
Septic Shock = Need for Vasopressors AND Lactate >2 mmol/L
Severe Sepsis is OUT
SIRS is OUT and qSOFA/SOFA are IN
Tweetable: In Sepsis 3.0, ‘Severe Sepsis’ is OUT and so is SIRS. qSOFA/SOFA are IN
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Source: EPMonthly.com - Category: Emergency Medicine Authors: Matt McGahen Tags: Uncategorized Source Type: news