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Septic Pathway

Septic Pathway. UNIVERSITY HOSPITAL COVENTRY AND WARWICKSHIRE. Dr Gregg Eloundou. Sepsis Screening Toll. MEWS of >4 or if there is a suspicion of infection. ARE ANY TWO OF THE FOLLOWING SSI CRITERIA PRESENT?. - T emp <36 or >38.5 Respiratory Rate > 20/ mins Heart Rate >90bpm

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Septic Pathway

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  1. Septic Pathway UNIVERSITY HOSPITAL COVENTRY AND WARWICKSHIRE Dr Gregg Eloundou

  2. Sepsis Screening Toll • MEWS of >4 or if there is a suspicion of infection

  3. ARE ANY TWO OF THE FOLLOWING SSI CRITERIA PRESENT? • - Temp <36 or >38.5 • Respiratory Rate > 20/mins • Heart Rate >90bpm • WWC >12 or <4 • Acutely altered mental state • Hyperglycaemia in the absence of diabetes • Systolic BP <90mmHg or BP decreased by >40mmHg from the “normal If Yes, Patient has Signs and Symptoms of infection (SSI)

  4. DOES THE PATIENT HAVE A HISTORY OR SIGNS SUGGESTIVE OF NEW INFECTION? For Example Couph/sputum/chest pain Chills with rigor Abdo pain/distension/diarrhoea Headache with neck stiffness Line infection Cellulitis/wound infection Septic arthritis Possible UTI Endocarditis CRRS infection alert If yes, patient has Sepsis – contact F1/F2/SHO/Registrar for Review

  5. If yes, Make a SBAR call – START SEPSIS SIX and COMPLETE in 1 hour • Oxygen • Blood cultures • IV Antibiotics • IV Fluids • Measure Lactate (Arterial Blood Gas) • Accurate Urine Output Measurement Place Sepsis Sticker in Medical Notes

  6. On a Practical Level • Call for Help – Consultant Obstetrician and Anaesthesis, Senior Midwife, Microbiologist, porter • Admit into HDU • Start MEWS or HDU chart • IV antibiotics • 6hourly blood • Hourly Reviews

  7. Group work • Design Septic pathway for your health Centres Taking local parameters into consideration

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