Morning all I am responding to a number of recent posts I have seen on this forum so touch on a few topics here.
We as an ambulance trust are introducing MEWS scoring into our pre-hospital observations so the comment on the lack of sensitivity and specificity for sepsis without WCC is interesting. Sepsis is not the only focus of this introduction but it is one of the conditions we hope to increase detection of. This leads onto a question we have recently raised about our sepsis screening tool, which is based on the hospital tool and therefore includes WCC and lactate, and the validity, sensitivity and specificity of the tool in the absence of these factors. Is anybody else looking into this at present? Also we have just presented some work showing a 3 fold increase in sepsis reporting from paramedics to the receiving hospital due to the introduction of the screening tool. We haven't been able to link this up to in-hospital results and outcome yet, to show any difference down the patient journey but just from speaking to staff in receiving departments they are noticing a difference. Regards Graham McClelland Paramedic / Research Clinician North East Ambulance Service NHS Trust T +44 (0) 191 430 2244 | M +44 (0) 7813 013 476 | Bernicia House | Goldcrest Way | Newburn Riverside | Newcastle Upon Tyne | NE15 8NY [Description: Description: Description: \\neas.northy.nhs.uk\Home$\Home\BalbachT\Desktop\NHS_FluFighterBanner_468x60_v1.gif]
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