Interventions for rapid recognition and treatment of sepsis in the emergency department: a narrative review

BackgroundSepsis is a major cause of morbidity and mortality worldwide. Early recognition treatment sepsis associated with improved outcome. The emergency department (ED) the where patients seek care. However, in ED remains difficult. Different alert triage systems, screening scores intervention strategies have been developed to assist clinicians early optimize management.ObjectivesThis narrative review describes currently applied interventions or we can start using today, such as scores, (automated) teams clinical pathways care; it summarizes evidence for effect implementation these on patient management outcomes.SourcesA systematic literature search was conducted PubMed, resulting 39 eligible studies.ContentThe main are pathways, most integrative being pathway. Implementation any care will generally lead increased protocol adherence. Presumably adherence guidelines bundles better outcomes, but level support this improvement low, whereas often complex costly. No studies comparing different were identified. Two essential factors success obtaining from all professionals providing ongoing education. vulnerability lies lack accurate tools identify sepsis; diagnosing ultimately still relies assessments. A specificity alerts may fatigue and/or overtreatment.ImplicationsThe severity poor outcome well frequency its presentation EDs make structured, protocol-based approach towards essential, preferably part