Septic Pathway at University Hospital Coventry and Warwickshire
This information outlines the sepsis screening process, criteria for signs and symptoms of infection, patient history assessment for new infections, and the protocol for managing sepsis cases. It emphasizes the importance of quick actions such as initiating the SEPSIS SIX protocol within an hour if sepsis is suspected. The guidance also includes practical steps like calling for specialist consultations, admitting the patient into the High Dependency Unit (HDU), and starting necessary treatments promptly.
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Presentation Transcript
Septic Pathway UNIVERSITY HOSPITAL COVENTRY AND WARWICKSHIRE Dr Gregg Eloundou
Sepsis Screening Toll MEWS of >4 or if there is a suspicion of infection
ARE ANY TWO OF THE FOLLOWING SSI CRITERIA PRESENT? - Temp <36 or >38.5 - Respiratory Rate > 20/mins - Heart Rate >90bpm - WWC >12 or <4 - Acutely altered mental state - Hyperglycaemia in the absence of diabetes - Systolic BP <90mmHg or BP decreased by >40mmHg from the normal If Yes, Patient has Signs and Symptoms of infection (SSI)
DOES THE PATIENT HAVE A HISTORY OR SIGNS SUGGESTIVE OF NEW INFECTION? For Example Couph/sputum/chest pain Chills with rigor Abdo pain/distension/diarrhoea Headache with neck stiffness Line infection Cellulitis/wound infection Septic arthritis Possible UTI Endocarditis CRRS infection alert If yes, patient has Sepsis contact F1/F2/SHO/Registrar for Review
If yes, Make a SBAR call START SEPSIS SIX and COMPLETE in 1 hour 1. Oxygen 2. Blood cultures 3. IV Antibiotics 4. IV Fluids 5. Measure Lactate (Arterial Blood Gas) 6. Accurate Urine Output Measurement Place Sepsis Sticker in Medical Notes
On a Practical Level Call for Help Consultant Obstetrician and Anaesthesis, Senior Midwife, Microbiologist, porter Admit into HDU Start MEWS or HDU chart IV antibiotics 6hourly blood Hourly Reviews
Group work Design Septic pathway for your health Centres Taking local parameters into consideration
