The STOP Sepsis Bundle Toolkit Strategies to Timely Obviate the Progression of Sepsis in the Emergency Department

1. STOP Sepsis 6-hour Strategies to Timely Obviate the Progression of Sepsis 6-hour STOP Bundle summarized by sun yaicheng http://decode-medicine.blogspot.com/

2. Early Goal-Directed Therapy in the Treatment of Severe Sepsis and Septic Shock Rivers E. N Engl J Med 2001;345:1368-77.

7. HR > 90

8. RR > 20 or PCO2 < 32

9. WBC < 4K or > 12K or bands > 10%Bone et al. Chest 1992;101:1644

10. SIRS Severe Sepsis Septic Shock Sepsis SIRS with Infection Bone et al. Chest 1992;101:1644

12. Elevated INR (DIC)

13. Altered Mental Status (GCS <12)

14. Elevated Lactate (>4)

15. Hypotension that responds to fluidBone et al. Chest 1992;101:1644

18. Lactate > 4 mmol/L

19. Organ dysfunctionSTOP SEPSIS SCCM 34th Critical Care Congress: Abstract 44. Presented Jan. 17,2005.

21. Broad spectrum antibiotics administered within 4 hours

22. EGDT achieved at 6 hours, including CVP ≧ 8 mmHg, MAP ≧65 mmHg, ScvO2≧70%

28. Fever, general malaise, poor appetite for days DM, HTN 70/40 mmHg, 39 ° C

30. Diagnosis Liver Abscess with Septic Shock Next ?

31. What‘s the key point ? summarized by sun yaicheng http://decode-medicine.blogspot.com/