This list serve has been very helpful for those of us working on sepsis and the CMS core measure. The SCCM guidelines state that 30ml/kg is to be given for severe sepsis (organ dysfunction and 2 SIRS due to a suspected or documented infection) at a rate of 30ml/kg. See table page 596 of the SCCM guidelines. If hypotension persists or LA >4, the SCCM defines this as septic shock. This is where I am confused. On page 1-15 of the CMS rules, our team is interpreting that that fluids 30ml/kg are given after presentation of septic shock. This seems to contradict the SCCM new bundle guidelines.
How is CMS defining septic shock? Any other thoughts? Jeanie Bollinger RN,MSN,ACCNS-AG, CCRN Sepsis Clinical Nurse Specialist Center For Nursing Excellence Mission Health Asheville, NC. Phone 828-213-7171 Pager 207-2363 ---------------------------------------------------------------------------------------------------- This message and its attachments may contain confidential and/or legally-sensitive information that is intended for the sole use of the addressee(s). Any unauthorized review, use, disclosure, or distribution of the information contained in this message and its attachments is prohibited. If you have received this message or any of its attachments in error, please destroy all originals and copies of the same and notify the sender immediately.
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