One must not forget that the sepsis syndrome can be triggered by viral, fungal, 
bacterial, parasitic, etc. organisms. Systemic inflammation is not immune to 
the influenza viruses. I concur that if two SIRS criteria and infection 
together are present, sepsis should always be considered, screened for, and 
appropriate tests and interventions provided.

Jamie

Jamie K. Roney, RN, BSN, BSHCM, CCRN
CHS Sepsis Coordinator
806-725-4689 tel
806-773-1914 cell

"Be a yardstick of quality. Some people aren't used to an environment where 
excellence is expected."
~Steve Jobs

From: [email protected] 
[mailto:[email protected]] On Behalf Of Karin
Sent: Thursday, December 13, 2012 2:07 PM
To: Sue Beswick
Cc: [email protected]
Subject: Re: [Sepsis Groups] Changing ED sepsis screen during flu season

Flu kills more people per year than MVCs, so warrant labs and lactate.  
Elevated lactate regardless of cause associated with increased mortality.
Karin

Sent from my iPhone

On Dec 13, 2012, at 6:28 AM, Sue Beswick 
<[email protected]<mailto:[email protected]>> wrote:
There are some concerns that we will be doing extra/unnecessary testing (blood 
culture, Lactate, etc) with all of the flu patients who have a temp and 
increased heart rate during the flu season.

Do any of your facilities, modify your sepsis screen in ED for flu?   Do you 
look at the known or suspected infection and say probable flu so does not meet 
sepsis screen?

Thanks
Sue

Sue Beswick RN, MS, CCNS, CCRN
Clinical Nurse Specialist - MSICU
Greenville Hosptial System
University Medical Center
Greenville, SC
Office:  864-455-4884

AACN Theme "Dare To"  What are you going to dare to do this year?

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