We have incorporated a simplified version of Sepsis-3 into our operational definition for sepsis within our Emergency Department.
We do not require a SOFA score be calculated however, but rather define the specific thresholds for organ failure that prompt a "Sepsis Alert". Within these thresholds, we do include the qSOFA components as altered mental status and hypotension are both independent measures of end-organ dysfunction. We did this because despite the CMS recommendations, the diagnosis of sepsis does not require SIRS criteria to be met, which is a practice inline with both Sepsis-3 and the Surviving Sepsis Campaign guidelines. Happy to share our protocol and process with any interested. Ryan Arnold, MD Department of Emergency Medicine Christiana Care Health System Newark, Delaware. [email protected]<mailto:[email protected]> Sent from my iPad On Sep 12, 2017, at 7:28 PM, Sims, Chadrick L <[email protected]<mailto:[email protected]>> wrote: Hello All: Would love to get a sense of who has adopted the sepsis-3 definition and who has stayed with sepsis-2? I know this has been asked before, just trying to prepare for the future. Chadrick Sims, BSN, RN, CFRN, SCRN Sepsis and Rescue Coordinator UT Medical Center PerfectServe: Sepsis Care Coordinator [email protected]<mailto:[email protected]> Office: (865)305-6497 Cell: (865)705-9996 Fax: (865) 305-6544 <image001.png> <image002.png> _______________________________________________ Sepsisgroups mailing list [email protected]<mailto:[email protected]> http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org
_______________________________________________ Sepsisgroups mailing list [email protected] http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org
