Time zero usually is when the patient screens positive for sepsis. Hesham A. Hassaballa, MD, FCCP Program Medical Director Critical Care Rush-Copley Medical Center
Assistant Professor of Medicine Rush University Medical Center Phone: (331) 454-6572 > On Mar 11, 2014, at 7:57 AM, "Erin Tallon" <[email protected]> wrote: > > I would like to ask if anyone here can tell me how they determine the time > that should be used as Time Zero for those patients who are transferred to > the ICU from either the floor or an IMC unit. I understand that for septic > patients admitted through the ED, Time Zero is generally considered to be the > time of ED registration. However, I am asking here about those patients who > present with sepsis symptoms elsewhere in the hospital and need to be > transferred to the ICU. What time do you consider to be Time Zero? Is it > the time at which the onset of hypotension is first charted? Or do you use > some other indicator? Since hypotension is not always the first sign of > severe sepsis, it seems that the time of onset of hypotension (while perhaps > the "easiest" indicator to use) is not always the best time to use in > establishing a Time Zero. I am interested to know if hypotension onset or > some different criteria is thought to be best in establishing a Time Zero for > these patients. > > Also, for those working in the ED, what have your experiences been with using > ED registration time as Time Zero? Has doing so (rather than using, say, the > time of hypotension onset) helped to improve sepsis recognition/treatment > times? > > Thanks, > Erin Tallon, RN, BSN > Memorial Medical Center (Springfield, IL) > Critical Care Sepsis Team > > ________________________ _______________________ > Sepsisgroups mailing list > [email protected] > http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org This message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply email and destroy all copies of the original message.
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