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Emerg Med Australas · Aug 2019
Can pre-hospital administration reduce time to initial antibiotic therapy in septic patients?
- Daniel Cudini, Karen Smith, Stephen Bernard, Michael Stephenson, Emily Andrew, Peter Cameron, Mark Lum, Andrew Udy, and ARISE Investigators.
- Clinical Operations, Ambulance Victoria, Melbourne, Victoria, Australia.
- Emerg Med Australas. 2019 Aug 1; 31 (4): 669-672.
ObjectiveTo quantify the potential time saved with pre-hospital antibiotic therapy in sepsis.MethodsStudy data for adult patients transported by Ambulance Victoria (AV), and enrolled into the Australasian Resuscitation In Sepsis Evaluation (ARISE), were linked with pre-hospital electronic records.ResultsAn AV record was identified for 240 of 341 ARISE patients. The pre-hospital case notes referred to potential infection in 165 patients. The median time to first antibiotic administration from loading the patient into the ambulance was 107 (74-160) min.ConclusionsARISE patients in Victoria were frequently identified pre-hospital. An opportunity exists to study the feasibility of pre-hospital antibiotic therapy.© 2019 Australasian College for Emergency Medicine.
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