Pitfalls in the Treatment of Sepsis - 12/12/18

Doi : 10.1016/j.emc.2016.09.008

Lars-Kristofer N. Peterson, MD ^a,^b,^⁎ , Karin Chase, MD ^c,^d
^a Department of Medicine, Cooper Medical School of Rowan University, Camden, NJ, USA
^b Department of Emergency Medicine, Cooper Medical School of Rowan University, Camden, NJ, USA
^c Pulmonary and Critical Care Medicine Division, Department of Medicine, University of Rochester Medical Center, 601 Elmwood Avenue, Rochester, NY 14642, USA
^d Department of Emergency Medicine, University of Rochester Medical Center, 601 Elmwood Avenue, Rochester, NY 14642, USA

^∗Corresponding author. Cooper University Hospital, One Cooper Plaza, Camden, NJ 08103.Cooper University HospitalOne Cooper PlazaCamdenNJ08103

Résumé

Sepsis is a challenging, dynamic, pathophysiology requiring expertise in diagnosis and management. Controversy exists as to the most sensitive early indicators of sepsis and sepsis severity. Patients presenting to the emergency department often lack complete history or clinical data that would point to optimal management. Awareness of these potential knowledge gaps is important for the emergency provider managing the septic patient. Specific areas of management including the initiation and management of mechanical ventilation, the appropriate disposition of the patient, and consideration of transfer to higher levels of care are reviewed.

Le texte complet de cet article est disponible en PDF.

Keywords : Sepsis, SIRS, qSOFA, Medical errors, Emergency medicine, Critical care