https://doi.org/10.4081/scenario.2021.475
The management of sepsis in emergencies. Retrospective observational study in the emergency department of Grosseto hospital
Submitted: 26 July 2021
Accepted: 26 July 2021
Published: 26 July 2021
Accepted: 26 July 2021
Abstract Views: 868
PDF (Italiano): 359
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
Sepsis is a frequent, difficult-to-manage clinical condition associated with very high mortality when accompanied by organ failure or a state of shock. Sepsis and septic shock represent a medical emergency. The Golden Hour concept already expressed for other time-dependent diseases applies to sepsis and septic shock. The identification of patients with sepsis and the timely initiation of appropriate treatment have a significant impact on survival and associated morbidity. Since 2016, the Region of Tuscany has undertaken a process of comprehensive and participatory redesign of its emergency room set-ups that aims to integrate the assessment of priority and complexity in order to direct the patient to the most appropriate pathway.
Percorso Sepsi. Gestione della Sepsi e dello Shock Settico, Identificazione e Trattamento - Percorso Diagnostico Terapeutico Assistenziale (PDTA). GRC - Centro Gestione Rischio Clinico e Sicurezza del Paziente, Regione Toscana, 2016. Disponibile presso: https://www.regione.toscana.it/documents/10180/601731/PERCORSO+SEPSI+GRC+TOSCANA_2016.pdf/b8884eca-a4bf-4850-a60e-0f7bacf60912
M. Singer, C. S. Deutschman, C. Warren Seymour. The Third International Consensus Definitionsfor Sepsis and Septic Shock (Sepsis-3). JAMA 2016; 315:801-810
Accorgi D, Alti E, Barnini S. Lotta alla sepsi > call to action . Documento di indirizzo gruppo tecnico programma regionale di lotta alla sepsi regione Toscana, 2019. Disponibile presso: https://www.ars.toscana.it/lotta-alla-sepsi/lottaAllaSepsi_callToAction
J M Kahn , B S Davis , J G Yabes . Association Between State-Mandated Protocolized Sepsis Care and In-hospital Mortality Among Adults With Sepsis. JAMA 2019 Jul 16; 322:240-250
B Andrews, M W. Semler, L Muchemwa. Effect of an Early Resuscitation Protocol on In-hospital Mortality Among Adults With Sepsis and Hypotension. A Randomized Clinical Trial. JAMA 2017; 318:1233-1240
M. Ruggeri, Vanni S, Paolini D. Manuale di Formazione del sistema triage toscano (STT). 1 ed. Formas, 2019.
Surviving Sepsis Campaign Responds to Sepsis-3. Disponibile presso: http://www.survivingsepsis.org/News/Pages/Surviving-Sepsis-Campaign-Responds-to-Sepsis-3.aspx. Accesso il 15/07/2020
Modello organizzativo per percorsi omogenei in Pronto Soccorso. Linee di Indirizzo. Regione Toscana. Delibera n. 806 del 24-07-2017.
A Shetty , S Pj Macdonald , G Keijzers. Review article: Sepsis in the emergency department – Part 2: Investigations and monitoring. Emerg Med Australas 2018; 30:4-12
Linee di indirizzo nazionali sul triage intraospedaliero. Ministero della salute, 2019
T Shah , E Sterk , M A Rech. Emergency department sepsis screening tool decreases time to antibiotics in patients with sepsis. Am J Emerg Med 2018; 36:1745-1748
I Martin-Loeches , J F Timsit , M Leone. Clinical controversies in abdominal sepsis. Insights for critical care settings. J Crit Care 2019; 53:53-58
S P Macdonald , J M Williams, A Shetty . Review article: Sepsis in the emergency department - Part 1: Definitions and outcomes. Emerg Med Australas 2017; 9:619-625
Giornata mondiale per la lotta alla sepsi. Disponibile presso: https://www.salute.gov.it/portale/news/p3_2_1_1_1.jsp?lingua=italiano&menu=notizie&p=dalministero&id=5038. Accesso il 13/06/21
Rudd K E, Johnson S C, Agesa K M. Global, regional, and national sepsis incidence and mortality, 1990-2017: analysis for the Global Burden of Disease Study. Lancet 2020; 395:200-211
Ortega R N, Rosin C, Bingisser R. Clinical Scores and Formal Triage for Screening of Sepsis and Adverse Outcomes on Arrival in an Emergency Department All-Comer Cohort. J Emerg Med 2019; 57:453-460
Romero B , Fry M , Roche M. The impact of evidence-based sepsis guidelines on emergency department clinical practice: a pre-post medical record audit. J Clin Nurs 2017; 26:3588-3596
Hayden G E, Tuuri R E, Scott R. Triage sepsis alert and sepsis protocol lower times to fluids and antibiotics in the ED. Am J Emerg Med 2016; 34:1-9
Gatewood M O , Wemple M, Sheryl Greco S. A quality improvement project to improve early sepsis care in the emergency department. BMJ Qual Saf 2015; 24:787-95
Torsvik M , Gustad L T, Mehl A. Early identification of sepsis in hospital inpatients by ward nurses increases 30-day servival. Crit Care 2016; 20:244
H R Bruce , J Maiden , P F Fedullo. Impact of nurse-initiated ED sepsis protocol on compliance with sepsis bundles, time to initial antibiotic administration, and in-hospital mortality. J Emerg Nurs 2015; 41(2):130-7
Nevill A, Kuhn L, Thompson. The influence of nurse allocated triage category on the care of patients with sepsis in the emergency department: A retrospective review. Australas Emerg Care 2021; 24:121-126
Chamberlain D J, Willis E, Clark R. Identification of the severe sepsis patient at triage: a prospective analysis of the Australasian Triage Scale. Emerg Med J Published Online First 2014; 0:1–8
Triage e sepsi 2015. Un anno di attività del sistema di triage regionale del Friuli Venezia Giulia. Disponibile presso. www.simeu.it/w/congresso2016/presentazioni/view/262. Accesso il 20/7/2018
Supporting Agencies
How to Cite
Nykieforuk, S., Pontrandolfo, S., Peri, S., & Ronchese, F. (2021). The management of sepsis in emergencies. Retrospective observational study in the emergency department of Grosseto hospital. Scenario® - Il Nursing Nella Sopravvivenza, 38(2), 13–19. https://doi.org/10.4081/scenario.2021.475
Copyright (c) 2021 Scenario
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Aniarti has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.