Hi, Jane, There was a validated prehospital sepsis detection protocol published in the Journal of Emergency Medicine earlier this year ( http://www.jem-journal.com/article/PIIS0736467912014412/abstract?rss=yes). Note that this tool depends on point-of-care lactate measurement. I had been under the impression that this was the only validated tool in the literature, but the European Journal of Emergency Medicine just came out with a study a few days ago covering two older tools. I haven't gotten to read that study yet, but the abstract is here: http://www.ncbi.nlm.nih.gov/pubmed/24080997?dopt=Abstract.
I don't know of any full-fledged best practice guides for prehospital sepsis, and if you come across one I'd appreciate it if you let me know. Dalhousie University in Halifax, NS does have a brief evidence-based review of sepsis interventions available at https://emspep.cdha.nshealth.ca/LOE.aspx?VProtStr=Septic%20Shock&VProtID=207. There's also evidence to show that when prehospital providers recognize sepsis the time-to-EGDT is significantly reduced. Jason Merrill Primary Care Paramedic *Do you know the warning signs of a heart attack<http://www.heartandstroke.nf.ca/site/c.inKLKTOwHoE/b.3654523/k.C091/Heart_Disease__Warning_signs.htm#warningsignals>, stroke<http://www.heartandstroke.nf.ca/site/c.inKLKTOwHoE/b.3654543/k.760A/Stroke__Warning_Signs.htm>, or serious allergic reaction<http://www.anaphylaxis.ca/en/anaphylaxis101/the_basics.html> ?* * * *This e-mail is intended as a private communication with its intended recipient, and may contain confidential information which is protected by law. If you believe that you have received this e-mail in error, please delete it and notify the sender by replying to this e-mail address, or calling 1-877-661-4715 in North America or **+883-5100-01393793 elsewhere**. Nothing in this e-mail is intended as medical or paramedical advice.*
_______________________________________________ Sepsisgroups mailing list [email protected] http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org
