European Society of Emergency Medicine position paper on the 1-hour sepsis bundle of the Surviving Sepsis Campaign: expression of concern

In 2018 the Surviving Sepsis Campaign issued new guidance with a revised version of their sepsis bundle. Instead of the 2016 3-hour sepsis bundle, the Surviving Sepsis Campaign now recommends that blood cultures, lactate measurement, broad-spectrum antibiotic therapy and 30 ml/kg crystalloid fluid a...

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Bibliographic Details
Published in:	European journal of emergency medicine Vol. 26; no. 4; pp. 232 - 233
Main Authors:	Freund, Yonathan, Khoury, Abdo, Möckel, Martin, Karamercan, Mehmet, Dodt, Christoph, Leach, Robert, Bloom, Ben, Garcia-Castrillo, Luis
Format:	Journal Article
Language:	English
Published:	England Copyright Wolters Kluwer Health, Inc. All rights reserved 01-08-2019 Lippincott, Williams & Wilkins
Subjects:	Blood Culture Emergency Medicine Fluid Therapy Humans Life Sciences Sepsis Triage
Online Access:	Get full text
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Summary:	In 2018 the Surviving Sepsis Campaign issued new guidance with a revised version of their sepsis bundle. Instead of the 2016 3-hour sepsis bundle, the Surviving Sepsis Campaign now recommends that blood cultures, lactate measurement, broad-spectrum antibiotic therapy and 30 ml/kg crystalloid fluid administration should be initiated within 1 hour after triage. The European Society of Emergency Medicine wishes to express its concerns regarding the low level of evidence that underlies this guidance, and the potential implications from an emergency physician point of view.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 ObjectType-Undefined-3
ISSN:	0969-9546 1473-5695 1473-5695
DOI:	10.1097/MEJ.0000000000000603