I agree with Jeffrey. A number of flu patients have secondary infection, some flu cases are life-threatening in their own right, and I'm aware of cases where delay in giving antibiotics because of presumed viral origin for severe sepsis symptoms resulted in a death, including in a case of meningococcaemia. Richard Beale King's Health Partners, London
________________________________ From: [email protected] [mailto:[email protected]] On Behalf Of Jeffrey R Hanlon RN Sent: 14 December 2012 04:08 To: [email protected]; [email protected] Subject: Re: [Sepsis Groups] Changing ED sepsis screen during flu season I don't think the process should change. I understand that you are looking at just the flu but a sick patient with an elevated heart rate, elevated respiratory rate, elevated white count etc., is still a sick patient and the bundle shouldn't change. If the patient meets criteria EGDT should be implemented regardless of what may be the cause. Jeffrey R Hanlon RN Stamp Out Sepsis ---- Original Message ---- From: Sue Beswick <[email protected]> To: '[email protected]' <[email protected]> Sent: Thu, Dec 13, 2012 2:18 pm Subject: [Sepsis Groups] Changing ED sepsis screen during flu season 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? _______________________________________________ Sepsisgroups mailing list [email protected] http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org ************************************************************************************* The information contained in this message and or attachments is intended only for the person or entity to which it is addressed and may contain confidential and/or privileged material. Unless otherwise specified, the opinions expressed herein do not necessarily represent those of Guy's and St Thomas' NHS Foundation Trust or any of its subsidiaries. The information contained in this e-mail may be subject to public disclosure under the Freedom of Information Act 2000. Unless the information is legally exempt from disclosure, the confidentiality of this e-mail and any replies cannot be guaranteed. Any review, retransmission,dissemination or other use of, or taking of any action in reliance upon, this information by persons or entities other than the intended recipient is prohibited. If you received this in error, please contact the sender and delete the material from any system and destroy any copies. We make every effort to keep our network free from viruses. However, it is your responsibility to ensure that this e-mail and any attachments are free of viruses as we can take no responsibility for any computer virus which might be transferred by way of this e-mail. *************************************************************************************
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