Emergency Department Crowding Delayed Antibiotics but Did Not Increased Mortality for Sepsis?

Emergency Department Sepsis Protocol does not Impact Time to Antibiotics

Background: Early goal directed therapy (EGDT) can reduce mortality in an Intensive Care Unit (ICU) population with severe sepsis. It is not clear whether EGDT can be effectively implemented in an Emergency Department (ED) with existing resources to achieve the same goals. Objectives: To assess the impact of EGDT in our ED with existing resources on time to antibiotics (ABX) and patient outcome...

A Computerized Alert Screening for Severe Sepsis in Emergency Department Patients Increases Lactate Testing but does not Improve Inpatient Mortality.

OBJECTIVE This study tested the hypothesis that lactate testing in ED sepsis patients could be increased using a computer alert that automatically recognizes systemic inflammatory response syndrome (SIRS) criteria and recommends lactate testing in cases of sepsis defined as ≥2 SIRS criteria plus physician suspicion of infection. Secondary outcomes included the effect of the alert on lactate tes...

Ten Solutions for Emergency Department Crowding

intrOdUctiOn Over the past decade, emergency department (ED) crowding has occurred and progressed. It has become a major topic of discussion at emergency medicine (EM) conferences, such as those held annually by the Society for Academic Emergency Medicine and the American College of Emergency Physicians. There has been much recent media coverage, such as the Newsweek article, “Code Blue for the...

Delayed Second Dose Antibiotics for Patients Admitted From the Emergency Department With Sepsis: Prevalence, Risk Factors, and Outcomes.

OBJECTIVE 1) Determine frequency and magnitude of delays in second antibiotic administration among patients admitted with sepsis; 2) Identify risk factors for these delays; and 3) Exploratory: determine association between delays and patient-centered outcomes (mortality and mechanical ventilation after second dose). DESIGN Retrospective, consecutive sample sepsis cohort over 10 months. SETT...

universal factors affecting emergency department crowding