Cgabryszek: Created page with "Purpose: * Sepsis is a life-threatening medical emergency caused by your body’s overwhelming response to an infection. It causes extensive inflammation throughout your body that can lead to tissue damage, organ failure and even death. * Goal of therapy is to recognize Sepsis early and perform interventions to assist with better patient outcomes. Notes: * '''Any patient requiring ACLS care should have an ALS intercept if logistically possible.''' '''''EMR/EMT - EMER..."

2025-09-25T22:16:11Z

Created page with "Purpose: * Sepsis is a life-threatening medical emergency caused by your body’s overwhelming response to an infection. It causes extensive inflammation throughout your body that can lead to tissue damage, organ failure and even death. * Goal of therapy is to recognize Sepsis early and perform interventions to assist with better patient outcomes. Notes: * '''Any patient requiring ACLS care should have an ALS intercept if logistically possible.''' '''''EMR/EMT - EMER..."

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Purpose:

* Sepsis is a life-threatening medical emergency caused by your body’s overwhelming response to an infection. It causes extensive inflammation throughout your body that can lead to tissue damage, organ failure and even death.
* Goal of therapy is to recognize Sepsis early and perform interventions to assist with better patient outcomes.

Notes:

* '''Any patient requiring ACLS care should have an ALS intercept if logistically possible.'''

'''''EMR/EMT - EMERGENCY MEDICAL RESPONDER'''''

# Provide routine medical care as indicated.
# Administer oxygen if indicated.
# Assist ventilations if RR < 8/min or > 35/min.
# Assess for hypotension/ shock (HR >130, cap refill > 2 seconds) & follow Medical Hypotension / Shock protocol.
# '''Call for ALS intercept'''

'''''EMT- EMERGENCY MEDICAL TECHNICIAN''''' ''PERFORM/CONFIRM ALL ABOVE INTERVENTIONS''

# Ensure ALS intercept is en route.
# Transport as early as possible
# Measure blood sugar if indicated, follow hypoglycemia protocol
# Reassess VS & lung sounds often during transport
# Apply EtCO2
# Recognize the Presence of Systemic Inflammatory Response Syndrome (SIRS):
## Heart rate > 90
## Respiratory rate > 20
## Temp > 100.4 F or < 96.8 F
# Apply ECG monitor & run strip (if trained, if time allows, and after all other interventions are completed).
# Perform 12-lead ECG (if trained) as indicated.
# '''Contact Medical Control.'''

'''''AEMT – ADVANCED EMERGENCY MEDICINE TECH PERFORM/CONFIRM ALL ABOVE INTERVENTIONS'''''

# Initiate IV (Do not delay transport).
# Administer '''NS fluid bolus''', TKO (Up to 1,000mL).
# Report Lung Sounds.

'''''INTERMEDIATE/PARAMEDIC PERFORM/CONFIRM ALL ABOVE INTERVENTIONS'''''

# Attach cardiac monitor if not already done,
# Administer '''NS fluid bolus''' up to a total of 1000 mL '''-IF-'''
## Symptomatic, no dysrhythmia & lungs are clear
# Reassess VS, lung sounds & rhythm frequently
# Consider Septic Shock when the following criteria are met:
## Presence of Systemic Inflammatory Response Syndrome (SIRS):
### Heart rate > 90
### Respiratory rate > 20
### Temp > 100.4 F or < 96.8 F
## Suspected infection
## Signs of hypoperfusion
### Including EtCO2 <26 on two consecutive readings 5 minutes apart
# If the criteria for Septic Shock are met, consider alerting receiving facility of the concern for aseptic patient. '''CONTACT MEDICAL CONTROL'''
# May administer additional '''NS fluid bolus''', as directed, after a total of 500 mL '''-IF'''
## Symptomatic, no dysrhythmia & lungs are clear.
# May administer '''Push Dose Epinephrine''' to maintain blood pressure / tissue perfusion.
## Push Dose Epi 5-20 mcg IV q5 PRN
## Epi Infusion 1-20mcg/min
# Consistent Hypotension consider 2nd liter of NS if not previously administered
# Confirm all above interventions were completed

2-25 SEPSIS - Revision history