Does anyone have concerns that we will be giving fluids unnecessarily based on the EMS protocols? What will dictate when fluids are to be given per protocol by ems? I am assuming the only parameter they will have to go by is hypotension since they will not be diagnosing a suspected infection and they will not have labs to use a lactate as an indication for fluids. I have heard that ALL septic patients will get 20-30ml/kg per EMS standing orders. I am sure this will vary greatly based on which department they operate from. Thanks.
On Mon, Apr 3, 2017 at 12:28 PM, Helsley, Anne <[email protected]> wrote: > 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 <(812)%20485-7925> TEL | 812.485.7862 <(812)%20485-7862> FAX > > [email protected] <[email protected]%20> | www.stmarys.org > > > > [image: cid:[email protected]] > > *T**h**e Magnet Recognition Program®, ANCC Magnet Recognition® , Magnet® > names and logos are registered trademarks of the American Nurses > Credentialing Center. All rights reserved* > > > > CONFIDENTIALITY NOTICE: > > This email message and any accompanying data or files is confidential and > may contain privileged information intended only for the named > recipient(s). If you are not the intended recipient(s), you are hereby > notified that the dissemination, distribution, and or copying of this > message is strictly prohibited. If you receive this message in error, or > are not the named recipient(s), please notify the sender at the email > address above, delete this email from your computer, and destroy any copies > in any form immediately. Receipt by anyone other than the named > recipient(s) is not a waiver of any attorney-client, work product, or other > applicable privilege. > > _______________________________________________ > Sepsisgroups mailing list > [email protected] > http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org > >
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