Septic Pathway UNIVERSITY HOSPITAL COVENTRY AND WARWICKSHIRE Dr
- Slides: 7
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? - Temp <36 or >38. 5 - Respiratory Rate > 20/mins - Heart Rate >90 bpm - WWC >12 or <4 - Acutely altered mental state - Hyperglycaemia in the absence of diabetes - Systolic BP <90 mm. Hg or BP decreased by >40 mm. Hg from the “normal If Yes, Patient has Signs and Symptoms of infection (SSI)
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 F 1/F 2/SHO/Registrar for Review
If yes, Make a SBAR call – START SEPSIS SIX and COMPLETE in 1 hour 1. 2. 3. 4. 5. 6. Oxygen Blood cultures IV Antibiotics IV Fluids Measure Lactate (Arterial Blood Gas) Accurate Urine Output Measurement Place Sepsis Sticker in Medical Notes
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 • 6 hourly blood • Hourly Reviews
Group work • Design Septic pathway for your health Centres Taking local parameters into consideration
