Implementing capnography for lactate-enhanced qSOFA scores: Sepsis diagnosis in EMS settings

The benefits of capnography in EMS

qSOFA for Identifying Sepsis Among Patients With Infection.

The identificationofpatientswithpossible sepsis isvitally important because timely recognition and appropriate, effective treatment substantially improves survival. Unlike some other life-threatening conditions (such as myocardial infarction), forwhichhighlyaccurate diagnostic tests are available, no rapid diagnostic tests are currently available to accurately identify patients with sepsis (or ...

qSOFA should replace SIRS as the screening tool for sepsis

Vincent JL, Martin GS and Levy MM recently wrote an article in Critical Care entitled “qSOFA does not replace SIRS in the definition of sepsis” [1]. In this paper they specified that “the qSOFA is meant to be used to raise suspicion of sepsis and prompt further action but it is not a replacement for SIRS and is not part of the definition of sepsis”. One of the starting points that induced the S...

qSOFA does not replace SIRS in the definition of sepsis

The recently published consensus definitions for sepsis [1] have raised a lot of discussion and controversy. We had the privilege of being part of this consensus group and fully support the final definitions. We are pleased that a definition has been developed that closely reflects everyday clinical language, recognizing that sepsis is most simply described as a “bad infection” associated with ...

Lactate and Immunosuppression in Sepsis

Serum lactate levels are traditionally interpreted as a marker of tissue hypoxia and often used clinically as an indicator of severity and outcome of sepsis/septic shock. Interestingly, recent studies involving the effects of tumor-derived lactate suggest that lactate itself may have an immunosuppressive effect in its local environment. This finding adds to the recent advances in immunometaboli...