Narani Sivayoham1. 1. Emergency Department, St George's Hospital, Blackshaw Road, London SW17 0QT, UK. narani.sivayoham@stgeorges.nhs.uk
Abstract
AIM: To identify the extent to which emergency departments (EDs) in England are involved in the initiation of the pathway to early goal-directed therapy (EGDT) in patients with severe sepsis and septic shock. METHOD: A survey of 173 EDs in England was carried out over a 2-month period starting in March 2006. RESULTS: 117 (67.6%) departments responded. 22 (18.8%) departments satisfied the following criteria: had a strategy to identify these patients, measured lactate, had a written protocol including EGDT and provided training for their staff. A further 10 (8.5%) EDs were working on initiating the pathway to EGDT. CONCLUSION: 18.8% of EDs in England are able to initiate the pathway to EGDT in patients with severe sepsis and septic shock.
AIM: To identify the extent to which emergency departments (EDs) in England are involved in the initiation of the pathway to early goal-directed therapy (EGDT) in patients with severe sepsis and septic shock. METHOD: A survey of 173 EDs in England was carried out over a 2-month period starting in March 2006. RESULTS: 117 (67.6%) departments responded. 22 (18.8%) departments satisfied the following criteria: had a strategy to identify these patients, measured lactate, had a written protocol including EGDT and provided training for their staff. A further 10 (8.5%) EDs were working on initiating the pathway to EGDT. CONCLUSION: 18.8% of EDs in England are able to initiate the pathway to EGDT in patients with severe sepsis and septic shock.
Authors: E Rivers; B Nguyen; S Havstad; J Ressler; A Muzzin; B Knoblich; E Peterson; M Tomlanovich Journal: N Engl J Med Date: 2001-11-08 Impact factor: 91.245
Authors: Scott T Micek; Nareg Roubinian; Tim Heuring; Meghan Bode; Jennifer Williams; Courtney Harrison; Theresa Murphy; Donna Prentice; Brent E Ruoff; Marin H Kollef Journal: Crit Care Med Date: 2006-11 Impact factor: 7.598
Authors: Ronny M Otero; H Bryant Nguyen; David T Huang; David F Gaieski; Munish Goyal; Kyle J Gunnerson; Stephen Trzeciak; Robert Sherwin; Christopher V Holthaus; Tiffany Osborn; Emanuel P Rivers Journal: Chest Date: 2006-11 Impact factor: 9.410
Authors: R Phillip Dellinger; Jean M Carlet; Henry Masur; Herwig Gerlach; Thierry Calandra; Jonathan Cohen; Juan Gea-Banacloche; Didier Keh; John C Marshall; Margaret M Parker; Graham Ramsay; Janice L Zimmerman; Jean-Louis Vincent; Mitchell M Levy Journal: Crit Care Med Date: 2004-03 Impact factor: 7.598
Authors: Brian Casserly; Michael Baram; Patricia Walsh; Andrew Sucov; Nicholas S Ward; Mitchell M Levy Journal: Lung Date: 2010-11-16 Impact factor: 2.584
Authors: David T Huang; Derek C Angus; Amber Barnato; Scott R Gunn; John A Kellum; Diana K Stapleton; Lisa A Weissfeld; Donald M Yealy; Sandra L Peake; Anthony Delaney; Rinaldo Bellomo; Peter Cameron; Alisa Higgins; Anna Holdgate; Belinda Howe; Steven A Webb; Patricia Williams; Tiffany M Osborn; Paul R Mouncey; David A Harrison; Sheila E Harvey; Kathryn M Rowan Journal: Intensive Care Med Date: 2013-08-30 Impact factor: 17.440
Authors: Johan Herlitz; Angela Bång; Birgitta Wireklint-Sundström; Christer Axelsson; Anders Bremer; Magnus Hagiwara; Anders Jonsson; Lars Lundberg; Björn-Ove Suserud; Lars Ljungström Journal: Scand J Trauma Resusc Emerg Med Date: 2012-06-27 Impact factor: 2.953