• Emerg Med J · Jun 2007

    Management of severe sepsis and septic shock in the emergency department: a survey of current practice in emergency departments in England.

    • Narani Sivayoham.
    • Emergency Department, St George's Hospital, Blackshaw Road, London SW17 0QT, UK. narani.sivayoham@stgeorges.nhs.uk
    • Emerg Med J. 2007 Jun 1; 24 (6): 422.

    AimTo identify the extent to which emergency departments (EDs) in England are involved in the initiation of the pathway to early goal-directed therapy (EGDT) in patients with severe sepsis and septic shock.MethodA survey of 173 EDs in England was carried out over a 2-month period starting in March 2006.Results117 (67.6%) departments responded. 22 (18.8%) departments satisfied the following criteria: had a strategy to identify these patients, measured lactate, had a written protocol including EGDT and provided training for their staff. A further 10 (8.5%) EDs were working on initiating the pathway to EGDT.Conclusion18.8% of EDs in England are able to initiate the pathway to EGDT in patients with severe sepsis and septic shock.

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