Sepsis and the qSOFA Score
This month we are excited to be joined by our Pediatric EM colleagues. We are also excited to be hosting a private event at Sky Zone Trampoline Park which came highly recommended by our residents (thanks Jessica & Lindsey!). April’s JC topic met with little fanfare as it seems that many of us feel “beat down” by the ever changing sepsis terminology and treatment recommendations that have been published in both the adult and pediatric literature. In 1992, the first consensus definition of sepsis was published. Since then, there have been a host of revisions and the recent publication of the 2016 Surviving Sepsis Guidelines. Interestingly, the 2016 update did not include a pediatric section which was last revised in 2012. We will be looking the new sepsis recommendations, the qSOFA score, and whether taking a protocolized approach the recognition and management of pediatric sepsis is associated with better outcomes. Also attached is an interesting editorial worth reviewing.
Seymour, C. W., et al. (2016). "Assessment of Clinical Criteria for Sepsis: For the Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3)." JAMA 315(8): 762-774. Appraisal
Balamuth, F., et al. (2016). "Protocolized Treatment Is Associated With Decreased Organ Dysfunction in Pediatric Severe Sepsis." Pediatr Crit Care Med 17(9): 817-822. Appraisal
Balamuth, F., et al. (2015). "Comparison of Two Sepsis Recognition Methods in a Pediatric Emergency Department." Acad Emerg Med 22(11): 1298-1306. Appraisal
Simpson, S. Q. (2016). "New Sepsis Criteria: A Change We Should Not Make." Chest 149(5): 1117-1118.