Management of sepsis and septic shock in the emergency department.
Francesco GavelliLuigi Mario CastelloGian Carlo AvanziPublished in: Internal and emergency medicine (2021)
Early management of sepsis and septic shock is crucial for patients' prognosis. As the Emergency Department (ED) is the place where the first medical contact for septic patients is likely to occur, emergency physicians play an essential role in the early phases of patient management, which consists of accurate initial diagnosis, resuscitation, and early antibiotic treatment. Since the issuing of the Surviving Sepsis Campaign guidelines in 2016, several studies have been published on different aspects of sepsis management, adding a substantial amount of new information on the pathophysiology and treatment of sepsis and septic shock. In light of this emerging evidence, the present narrative review provides a comprehensive account of the recent advances in septic patient management in the ED.
Keyphrases
- septic shock
- emergency department
- end stage renal disease
- acute kidney injury
- ejection fraction
- newly diagnosed
- chronic kidney disease
- healthcare
- primary care
- peritoneal dialysis
- intensive care unit
- case report
- prognostic factors
- randomized controlled trial
- mass spectrometry
- patient reported outcomes
- systematic review
- smoking cessation
- cardiopulmonary resuscitation
- case control