Ann,

Kumar has shown that every hour of delay in appropriate antibiotics increases 
mortality.
https://www.ncbi.nlm.nih.gov/m/pubmed/19696123/

Hope this helps!

Sent from my iPhone (pardon typos)

Reba Umberger, PhD, RN, CCRN-K
Assistant Professor of Nursing
The University of Tennessee-Knoxville
865-974-6416


On Apr 13, 2017, at 6:47 PM, 
"[email protected]<mailto:[email protected]>"
 
<[email protected]<mailto:[email protected]>>
 wrote:

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Today's Topics:

  1. Re: EMS pre-hospital treatment for sepsis (Sprague, Amy L.)


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Message: 1
Date: Wed, 5 Apr 2017 13:09:43 +0000
From: "Sprague, Amy L." <[email protected]<mailto:[email protected]>>
To: "Helsley, Anne" <[email protected]<mailto:[email protected]>>,
   
"[email protected]<mailto:[email protected]>"
   
<[email protected]<mailto:[email protected]>>
Subject: Re: [Sepsis Groups] EMS pre-hospital treatment for sepsis
Message-ID:
   
<42f2a2d2f9ec8940bd465762c5e75dee201f5...@vapnsmsgd51s11.vha.med.va.gov<mailto:42f2a2d2f9ec8940bd465762c5e75dee201f5...@vapnsmsgd51s11.vha.med.va.gov>>

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Anne,
Will you please share with me any information you receive on this?
Thank you,
Amy

Amy L. Sprague DNP, RN, ACNS-BC, CCRN
Patient Safety Manager
Richard L. Roudebush VA Medical Center
1481 West 10th Street
Indianapolis, IN 46202
Office 317-988-3547

"Our lives begin to end the day we become silent about things that matter."
Martin Luther King, Jr.






From: Sepsisgroups [mailto:[email protected]] On 
Behalf Of Helsley, Anne
Sent: Monday, April 03, 2017 3:29 PM
To: 
[email protected]<mailto:[email protected]>
Subject: [EXTERNAL] [Sepsis Groups] EMS pre-hospital treatment for sepsis

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]> 
<mailto:[email protected]%20>  | 
www.stmarys.org<http://www.stmarys.org><http://www.stmarys.org>

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