I'd look first at the CDC report from Hall et al. On 1/25/13, Miller, Kevin - SFMH <[email protected]> wrote: > Hello, > We are writing to request information on the inclusion and exclusion > criteria is for Sepsis mortalities nationally (U.S.). Can you provide us > with that information, or steer us in the right direction of where to obtain > that information? > Thank you, > > > [cid:[email protected]] > > "Procrastination is the thief of time" > > Kevin P. Miller, RN, BSN > Senior Clinical Analyst > Quality Department > Saint Francis Memorial Hospital > Phone: (415) 353-6296 > Fax: (415) 353-6177 > Right Fax: (415) 591-6364 > [email protected] > [cid:[email protected]] > > > > Confidentiality Notice: This message and any attachments are for the sole > use of the intended recipient(s) and may contain information that is legally > privileged and/or confidential. This message may also contain confidential > health information. If you are not the intended recipient or a person > responsible for delivering this message to an intended recipient, you are > hereby notified that any review, dissemination, distribution, or copying of > this communication is strictly prohibited. If you are not the intended > recipient or a person responsible for delivering this message to an intended > recipient, please contact the sender immediately by reply email and destroy > all copies of the original message. Confidential health information is > protected by state and federal law, including but not limited to, the Health > Insurance Portability and Accountability Act (HIPAA) of 1996 and related > regulations. > > From: [email protected] > [mailto:[email protected]] On Behalf Of seyed > mohammad reza hashemian > Sent: Wednesday, January 23, 2013 4:40 AM > To: Jeffrey R Hanlon RN; [email protected]; [email protected] > Cc: [email protected]; [email protected] > Subject: [Sepsis Groups] New Sepsis Guideline > > Dear friends; > It was a great day for Sepsis campaign group for presentation of new sepsis > guideline here in SCCM congress ,if you like to read the new guideline and > more details please see the link: > > Seyed Mohammadreza Hashemian.MD.FCCM > Associate professor of NRITLD/SBMU > http://www.survivingsepsis.org/Guidelines/Pages/default.aspx > > From: Jeffrey R Hanlon RN <[email protected]> > To: [email protected]; [email protected] > Cc: [email protected]; [email protected] > Sent: Saturday, January 19, 2013 4:24 PM > Subject: Re: [Sepsis Groups] changing the sepsis screen for flu season > > Again I think we are making this more complicated than it needs to be. If > you are SIRS positive and have a confirmed or suspected source YOU ARE > SEPTIC by definition. Treat them or the mortality rate will continue to > rise. The evidence is there. > Jeffrey R Hanlon RN > Stamp Out Sepsis > > ---- Original Message ---- > From: Rich Levrault <[email protected]> > To: Ron Daniels <[email protected]> > Cc: sepsisgroups <[email protected]>; Sue Beswick > <[email protected]> > Sent: Sat, Jan 19, 2013 1:17 pm > Subject: Re: [Sepsis Groups] changing the sepsis screen for flu season > Do facilities screen all pts w sirs and source at triage?? Our Ed is > worried about over screening and the potential for sending labs on everyone. > There are pts who present w fever and tachycardia who routinely don't have > labs sent. What are other facilities doing? Sean or Mitchell can you > provide some backup for a former fellow who's pushing to cast a broad net > and is advising to screen everyone? Ron...another sepsis guru .. Advice? I > feel like I'm losing ground at our institution. > > Rich Levrault > > Sent from Rich's iPhone > > On Jan 8, 2013, at 9:46 AM, Ron Daniels > <[email protected]<mailto:[email protected]>> wrote: > If I could retweet this, I would!! > > The discussion is largely academic unless we have a viral PCR which is 100% > sensitive, 100% specific, and the results are available within the hour. In > a patient who clearly has evidence of impending or actual organ dysfunction, > I'd treat for both groups of pathogens until we know which is the culprit > (and even then we may not be convinced the virus is acting alone!) > > Ron > > On Mon, Jan 7, 2013 at 8:43 PM, Thomas Morris > <[email protected]<mailto:[email protected]>> wrote: > Dear Lisa > > Even though a virus, flu can also induce a cytokine storm, in fact this is > apparently the mechanism by which people who are dying of influenza die. > I'm sure 5 days of Antibiotics wouldn't cause much harm, indeed it would be > quite hard to tell in the most severe cases and we do know that flu > increases the chance of bacterial pneumonia > > Tom Morris > > Infectious Diseases SpR, Leicester > > > > On Sat, 5 Jan 2013 17:01:09 +0000 > "D'Amico, Lisa L" > <[email protected]<mailto:[email protected]>> wrote: > If the patient is identified as having the flu are you still using > antibiotics with the patient? Or are you using both antibiotic and > antiviral? > > Lisa > > > Lisa D'Amico, DNP, MSN, RN > Clinical Quality Consultant > Provider Engagement Performance Partnerships2 > Highmark, Inc. > Fifth Avenue Place > 120 Fifth Avenue, Suite 893 > Pittsburgh PA 15222-3099 > Office:412-544-6804 > Fax:412-544-8135 > [email protected]<mailto:[email protected]> > > > > From: > [email protected]<mailto:[email protected]> > [mailto:[email protected]<mailto:[email protected]>] > On Behalf Of Sara Valentine > Sent: Thursday, January 03, 2013 3:53 PM > To: 'Sue Beswick'; > [email protected]<mailto:[email protected]> > Subject: Re: [Sepsis Groups] changing the sepsis screen for flu season > > When assessing for severe sepsis, we adjust our treatment (appropriate > volume of fluid and early antibiotics) depending on both assessment and > symptoms. So, for instance, if the patient does test positive for flu, and > has SIRS plus elevated lactate (>2.2-4) and/or new organ dysfunction, then > they are treated for severe sepsis, regardless of infection. If the flu is > the cause, just because it is viral doesn’t mean that it isn’t sepsis. Labs > we run initially are the same as yours. Lactic acid is a good indicator of > hypoperfusion, but doesn’t pertain just to sepsis, as lactic acid can be > elevated for other physiologic reasons. But according to the SSC Guidelines, > severe sepsis is defined as sepsis-induced tissue hypoperfusion or organ > dysfunction OR Lactate 2.2-4 mg/dL. > > > Sara Valentine, BSN, RN, CNRN > Nurse Educator/Clinical Sepsis Coordinator > Medical Center Hospital > 500 West 4th Street > Odessa, Texas 79761 > ph: 432.640.1085 > fax:432.640.2885 > > From: > [email protected]<mailto:[email protected]><mailto:[email protected]<mailto:[email protected]>> > [mailto:[email protected]<mailto:[email protected]>] > On Behalf Of Sue Beswick > > Sent: Wednesday, January 02, 2013 2:21 PM > To: > '[email protected]<mailto:[email protected]>' > Subject: [Sepsis Groups] changing the sepsis screen for flu season > > Thank you all who responded. It was pretty clear that the majority do not > adjust your screen during the flu season. > > But related to that – exactly what is your screen. Our is that when sepsis > criteria is met – the RN gets a CBC with diff, serum lactate (we run on our > ABG machine), metabolic pane, the first bld culture, a UA/urine culture and > chest X-ray if resp symptoms. > > We are wondering if just the Lactate might be a good first step to rule out > severe sepsis and then treat the flu. Or do you do all the same tests/labs > that we do? > > 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? > > ________________________________ > CONFIDENTIALITY NOTICE: The documents accompanying this email transmission > contain confidential information belonging to the sender that is legally > privileged. This information is intended only for the use of the individual > or entity named above. The authorized recipient of this information is > prohibited from disclosing this information to any other party and is > required to destroy the information after its stated need has been > fulfilled. If you are not the intended recipient, you are hereby notified > that any disclosure, copying, distribution, or action taken in reliance on > the contents of these documents is strictly prohibited. If you have received > this email in error, please notify the sender immediately to arrange for > return of these documents. > > ________________________________ > > This e-mail and any attachments to it are confidential and are intended > solely for use of the individual or entity to whom they are addressed. If > you have received this e-mail in error, please notify the sender immediately > and then delete it. If you are not the intended recipient, you must not > keep, use, disclose, copy or distribute this e-mail without the author's > prior permission. The views expressed in this e-mail message do not > necessarily represent the views of Highmark Inc., its subsidiaries, or > affiliates. > _______________________________________________ > Sepsisgroups mailing list > [email protected]<mailto:[email protected]> > http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org > > > > -- > Dr Ron Daniels > > CEO: Global Sepsis Alliance > Chair: United Kingdom Sepsis Group > Principal Trustee: U.K Sepsis Trust > Founding Director: Survive Sepsis > Fellow: NHS Improvement Faculty > > > > Suspect Sepsis: save someone's life today. > Join us for World Sepsis Day on September > 13th<http://www.globalsepsisalliance.org/> > > Twitter: @sepsisuk > > _______________________________________________ > Sepsisgroups mailing list > [email protected]<mailto:[email protected]> > http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org > > _______________________________________________ > > Sepsisgroups mailing list > > [email protected]<mailto:[email protected]> > > http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org > > _______________________________________________ > Sepsisgroups mailing list > [email protected]<mailto:[email protected]> > http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org > >
-- Dr Ron Daniels CEO: Global Sepsis Alliance Chair: United Kingdom Sepsis Group Principal Trustee: U.K Sepsis Trust Founding Director: Survive Sepsis Fellow: NHS Improvement Faculty *Suspect Sepsis: save someone's life today. * *Join us for World Sepsis Day on September 13th<http://www.globalsepsisalliance.org/> Twitter: @sepsisuk * * * _______________________________________________ Sepsisgroups mailing list [email protected] http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org
