Abstract

Due to the need for rapid recognition and treatment of sepsis to positively impact outcomes in patients with the condition, guidelines to assist clinicians in management of the condition place emphasis on early recognition and intervention. The Sepsis CMS core measure (SEP-1) requires measuring of serum lactate, obtaining blood cultures prior to antibiotics, and administering antibiotics within 3-hours of presentation for those presenting with severe sepsis. In order to meet this measure, ED physicians often must intervene before adequate, objective diagnostic and prognostic data are available, resulting in a ‘one size fits all’ strategy for all those presenting that are suspected of sepsis.

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