The National Institute for Health and Care Excellence (NICE) recently published “Sepsis: recognition, diagnosis and early management – guidance” (NG51). This presents recommendations on the identification and assessment people with suspected sepsis; risk factors and risk stratification; and the management of suspected sepsis in acute hospitals and out of hospital. There are different algorithms, organised by four different age groups, and by treatment location (acute hospitals or community).
Sepsis: recognition, diagnosis and early management: guidance [NG51]. London: National Institute for Health and Care Excellence, July 13th 2016.
There is an associated “map of medicine” style NICE Pathways online version.
There is also a much longer version of the guidelines available:
National Guideline Centre UK (2016). Sepsis: Recognition, Assessment and Early Management. London: National Institute for Health and Care Excellence (UK); July 2016.
Possibly of interest:
Gallagher, J. (2017). The biggest killer you’ve never heard of. London: BBC Health News, March 10th 2017.
RCEM’s National Audit
The Royal College of Emergency Medicine’s audit of 13,129 adults at 196 emergency departments indicates that 44% of patients with sepsis receive antibiotics within one hour of arrival. The RCEM makes recommendations to sepsis leads for continuing improvement.
Severe Sepsis and Septic Shock – National Clinical Audit 2016/17. London: Royal College of Emergency Medicine (RCEM), May 2017.