It has traditionally been a criteria for SIRS, (see SSC Sepsis Guidelines) and 
is not in the organ failure section. Many of us do regard it as an organ 
dysfunction but we still stay with the guideline criteria for severe sepsis.

Terry P. Clemmer, MD
Director: Critical Care Medicine
LDS Hospital
Professor of Medicine
University of Utah School of Medicine
Salt Lake City, Utan 84143

Work Phone: 801-408-3661
Work Fax: 801-408-1668

From: [email protected] 
[mailto:[email protected]] On Behalf Of Carlson, 
Barbara A. (Lincoln, NE)
Sent: Thursday, February 27, 2014 10:50 AM
To: [email protected]
Subject: [Sepsis Groups] Altered mental status SIRS criteria vs organ failure

Clarification please:


I have seen altered mental status it in both SIRS and organ dysfunction 
criteria.



1.       Should altered mental status be in the SIRS criteria or organ failure?


Barbara Carlson RN
Performance Improvement
St Elizabeth Regional Medical Center
P 402-219-7332
F 402-219-8992
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