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Strategies for the Improving Treatment of Sepsis Patients

Source: www.marylandpatientsafety.org
Topic: Sepsis
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Sort Desciption: In order to provide collaborative teams with expertise and resources needed to tackle this initiative, we hosted a sepsis workgroup call in May 2006. Nathan Shapiro, MD, an emergency physician at Beth Israel Deaconess Medical Center, was the guest speaker on ...

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Strategies for the Improving Treatment of Sepsis Patients Strategies for the Improving Treatment of Sepsis Patients Guest Speaker: Nathan Shapiro MD, Beth Israel Deaconess Medical Center The sepsis bundle has become one of the highly selected areas of focus in the collaborative. In order to provide collaborative teams with expertise and resources needed to tackle this initiative, we hosted a sepsis workgroup call in May 2006. Nathan Shapiro, MD, an emergency physician at Beth Israel Deaconess Medical Center, was the guest speaker on the call. Dr. Shapiros research focuses on the early detection and treatment of Emergency Department patients with sepsis. Dr. Shapiro is also responsible for the creation of the Multiple Urgent Sepsis Therapies protocol, a comprehensive treatment algorithm designed to improve the care of Emergency Department patients with sepsis. The table below summarizes the questions and responses that Dr Shapiro answered during the call. Questions Information and Tips for Successful Implementation What are the major planning components of this initiative? Form a dedicated team Define the patient flow process including specific aspects such as how to identify patients, who places the line in the ED, who makes the decision for steroids and activated protein C, etc. Select a few specific measures for evaluation of progress (see below) On which topics should education be focused? Educate staff on the definition and importance of sepsis, the theory behind goal directed therapy, specific interventions, and how to perform and measure CVP Post the sepsis protocol in the ED and ICU What mechanisms are available for measuring lactate? Options for Measuring Lactate Venous draw in a green top; reading complete in 10 to 15 minutes; not the most accurate method (temperature change falsely elevates lactate reading) Venous draw in a grey top on ice; analysis takes an hour; more accurate method Bedside lactate machine; returns lactate in approximately 2 minutes Bro ...

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