Sepsis recognition, assessment and early management : final version

The guideline outlines the immediate actions required for those with suspicion of sepsis and who are at highest risk of morbidity and mortality from sepsis. It provides a framework for risk assessment, treatment and follow-up or "safety-netting" of people not requiring immediate resuscitat...

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Bibliographic Details
Corporate Authors: National Guideline Centre (Great Britain), National Institute for Health and Care Excellence (Great Britain), Royal College of Physicians of London
Format: eBook
Language:English
Published: London National Institute for Health and Care Excellence 2016, July 2016
Series:NICE guideline
Subjects:
Online Access:
Collection: National Center for Biotechnology Information - Collection details see MPG.ReNa
Description
Summary:The guideline outlines the immediate actions required for those with suspicion of sepsis and who are at highest risk of morbidity and mortality from sepsis. It provides a framework for risk assessment, treatment and follow-up or "safety-netting" of people not requiring immediate resuscitation
The signs and symptoms of sepsis are usually very non-specific and can be missed if clinicians do not think "could this be sepsis?". In the same way that healthcare professionals consider "could this pain be cardiac in origin?" when presented with someone of any age with chest pain, this guideline aims to make "could this be sepsis?" the first consideration for anyone presenting with a possible infection. Detailed guidelines exist for the management of sepsis in adult and paediatric intensive care units, and by intensive care clinicians called to other settings. To reduce avoidable deaths, people with sepsis need to be recognised early and treatment initiated. This guideline aims to ensure healthcare systems in all clinical settings consider sepsis as an immediate life-threatening condition that should be recognised and treated as an emergency.
Sepsis is a clinical syndrome caused by the body's immune and coagulation systems being switched on by an infection. Sepsis with shock is a life-threatening condition that is characterised by low blood pressure despite adequate fluid replacement, and organ dysfunction or failure. Sepsis is an important cause of death in people of all ages. Both a UK Parliamentary and Health Service Ombudsman enquiry (2013) and UK National Confidential Enquiry into Patient Outcome and Death (NCEPOD, 2015) have recently highlighted sepsis as being a leading cause of avoidable death that kills more people than breast, bowel and prostate cancer combined. Clinicians and healthcare professionals of all kinds, at all levels of seniority and in all clinical settings often find sepsis difficult to diagnose with certainty. Although people with sepsis may have a history of infection, fever is not present in all cases.
Physical Description:1 PDF file (583 pages) illustrations
ISBN:9781473119987