Hello, My name is Luis Figueroa. Currently, Im an Intern (PGY-1) in an Internal Medicine Residency Program in Puerto Rico.
I was recently reading the new guidelines of the SSC and I come a cross with the great idea to apply the bundles and follow the recommendations of the guidelines in my institution considering that we have a good incidence of patients admitted with criteria the severe sepsis and/or septic shock to MICU and IM ward floor. I am really motivated to conduct a cohort/prospective study creating a checklist of the bundles to each patient with criteria of severe sepsis and do all the respective approaches such as measure lactate levels, IVF .9 30ml/kg etc, and monitor these patients for lactate clearance and procalcitonin levels related with Abx deescalation. And then look back retrospectively and analyze in record room charts of severe sepsis that did not follow the bundles and see the impact in mortality benefit! I proposed this idea to the chief resident, and told me "the idea is great, make a proposal and checklist and I will speak with an attending in critical care medicine to be your advisor." I would like to make a great impression to the advisor at the time of the presentation the proposal! Do you have any advice for me? Is there any member in this group doing something similar in any institution? I would deeply appreciate your time and support! Regards, Luis [email protected] _______________________________________________ Sepsisgroups mailing list [email protected] http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org
