I would say yes. A lactate >/= 4 is automatically septic shock (as long as the
patient also meets criteria for severe sepsis, which it looks like they do).
YARA NIELSENSHULTZ, RN, BSN, MS
Clinical Quality Manager
EmCare, North Division
Direct: (215) 442-5122
Fax: (215) 957-2875
For CMS , you have to have severe sepsis before you have septic shock.
When you say no source identified, are you saying that there is no
documentation of a suspected infection within the 6 hr window criteria? If
that is the case, then you can't meet all the criteria components for severe
Potential shock pt:
If there is any documentation within the 6 hour timeframe to indicate lactate
elevation is due to an infectious process with unknown source--then I would say
yes.
Otherwise, if no indication of infectious source it would be excluded.
Marie Pierce MSN, RN, CCDS
Quality
We also need a source, or at least suspected source though……
From: Sepsisgroups [mailto:sepsisgroups-boun...@lists.sepsisgroups.org] On
Behalf Of Gibbs, Katie
Sent: Tuesday, March 21, 2017 10:46 AM
To: 'Davis, Diana' ;
'sepsisgroups@lists.sepsisgroups.org'
Dr. Marik spoke last week at the UW Medicine Pacific Northwest Sepsis
Conference on "The Cure for Sepsis" and "Fluid Management of Hemodynamic
Assessment." He gave very interesting and popular talks, and I'm
recommending to the planning committee that he come back for next year's
conference.