Septic Pathway
UNIVERSITY HOSPITAL
COVENTRY AND WARWICKSHIRE
Dr Gregg Eloundou
Sepsis Screening Toll
• MEWS of >4 or if there is a suspicion of infection
ARE ANY TWO OF THE FOLLOWING SSI
CRITERIA PRESENT?
- Temp <36 or >38.5
- Respiratory Rate > 20/mins
- Heart Rate >90bpm
- WWC >12 or <4
- Acutely altered mental state
- Hyperglycaemia in the absence of diabetes
- Systolic BP <90mmHg or BP decreased by >40mmHg
from the “normal
If Yes, Patient has Signs and Symptoms of infection (SSI)
DOES THE PATIENT HAVE A HISTORY OR
SIGNS SUGGESTIVE OF NEW INFECTION?
For Example
Couph/sputum/chest pain
Chills with rigor
Abdo pain/distension/diarrhoea
Headache with neck stiffness
Line infection
Cellulitis/wound infection
Septic arthritis
Possible UTI
Endocarditis
CRRS infection alert
If yes, patient has Sepsis – contact F1/F2/SHO/Registrar for Review
If yes, Make a SBAR call – START
SEPSIS SIX and COMPLETE in 1 hour
1.
2.
3.
4.
5.
6.
Oxygen
Blood cultures
IV Antibiotics
IV Fluids
Measure Lactate (Arterial Blood Gas)
Accurate Urine Output Measurement
Place Sepsis Sticker in Medical Notes
On a Practical Level
• Call for Help – Consultant Obstetrician and
Anaesthesis, Senior Midwife, Microbiologist,
porter
• Admit into HDU
• Start MEWS or HDU chart
• IV antibiotics
• 6hourly blood
• Hourly Reviews
Group work
• Design Septic pathway for your health Centres
Taking local parameters into consideration