A local EMS is planning a protocol to screen for Severe Sepsis in the field 
pre-hospital.  Based upon the screening results (which do not include a 
lactate), they will be administering crystalloid fluids, drawing blood cultures 
and giving a broad spectrum antibiotic.  While I can find literature to support 
the fluid administration, I have been unable to find any support for the 
antibiotic administration.
Are you familiar with this practice, is it happening in your area, or are you 
familiar with any literature to support/not-support.
Thank you in advance.

Anne Helsley MS, RN, CPHQ
Health Informatics Specialist | Quality Management
St. Mary's Health
3700 Washington Avenue
Evansville, IN 47750
812.485.7925 TEL | 812.485.7862 FAX
[email protected] <mailto:[email protected]%20>  | 
www.stmarys.org<http://www.stmarys.org>

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