Abstract

The Surviving Sepsis Campaign (SSC) guidelines were established to improve outcomes for patients with severe sepsis. Early goal-directed therapy (EGDT) forms a key part of the SSC guidelines and has been shown to reduce mortality rates in septic shock. However, implementation of EGDT requires specific knowledge and skills. Provision of optimal emergency care for patients with severe sepsis necessitates provision of these skills in the emergency department (ED). In the United Kingdom, all patients must be treated in the ED and discharged or admitted within a 4-hour time target.

Highlights

  • The aim of this study was to elucidate the impact of ICU-acquired infection on ICU and hospital mortality

  • The goal from this study is to evaluate weaning predictor indexes in patients during weaning from mechanical ventilation (MV)

  • Mortality was not significantly different with dopexamine treatment (RR = 0.61, 95% cardiac index (CI) = 0.32–1.18; P = 0.14)

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Summary

Introduction

The aim of this study was to elucidate the impact of ICU-acquired infection on ICU and hospital mortality. Methods A total of 48 community patients (36 men, 11 women, age 50.17 ± 17.974 years, APACHE II score 13.51 ± 6.153) who were expected to stay in the ICU for >5 days were included in this study. Specific examples of feedback are as follows: ‘good update of management plan reinforces need for taking into account concurrent medication when resuscitating patients’, ‘nice simple messages with good starting points for trying to deal with these complicated patients’, ‘useful data on risk of recurrence as this is a question often asked by patients’ This feedback was encouraging as it showed how the primary care professionals planned to change their practice to improve patient outcomes as a result of the learning. The course was considered excellent by 63% of the participants and good by 36%

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