Pre-hospital Sepsis Screening Tool Use for all adult (>16 years) patients who are not pregnant If life is clearly immediately threatened, transport urgently with interventions en route

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Pre-hospital Sepsis Screening ToolUse for all
adult (gt16 years) patients who are not
pregnantIf life is clearly immediately
threatened, transport urgently with interventions
en route
WOULD YOU HAVE GIVEN Co-amoxiclav (IV)1.2
grammes 3-4 min Levofloxacin 250mg 30min
or 500mg 60min
Incident No.. 1.Could this be a severe
infection? For example Pneumonia UTI Abdominal
pain or distension Meningitis Indwelling medical
device Cellulitis/ septic arthritis/ infected
wound Chemotherapy lt6 weeks Recent organ
transplant
Discontinue form. Apply standard protocols
NO
YES
2. Are any 2 of the following present? Temperatu
re gt 38.30C or lt 360C Respiratory rate gt 20 per
minute Heart rate gt 90 per minute Acutely
confusion/ reduced conscious level Glucose gt 7.7
mmol/l (unless DM)
NO
Transfer using lights and sirens to nearest
receiving Emergency Department Pre-alert, SBAR -
SEWS SUSPECTED SEPTIC SHOCK
3. Are ANY of the following present ?
Mottled/ cold peripheries Central capillary
refill 3 sec Systolic B.P lt 90 mmHg or MAP lt 60
mmHg Purpuric rash Absent radial pulse Lactate gt
2 mmol/l
NO
YES
SASUKPHSG. 22/11/12