In 2015, Centers for Medicare & Medicaid (CMS) published their sepsis core measure (SEP-1). This represented a nationally mandated sepsis management strategy presented in the form of a 3 and 6-hour bundle. Since its publication, the Surviving Sepsis Campaign (SSC) released their own 1-hour bundle (1), adding even more urgency to an already frenetic effort […]
EM Nerd-The Case of the Temporal Fallacy
Inadvertent catastrophes are often hidden just beneath good intentions. Such is the case with the most recent iteration of the Surviving Sepsis Campaign’s treatment bundle. Published in Intensive Care Medicine by Levy et al, this special editorial includes the Surviving Sepsis Campaign’s most recent recommendations for the early and aggressive treatment of sepsis (1). Most […]
iSepsis – A 30ml/kg bolus: Yes or No
The Surviving Sepsis Campaign recommends a 30ml/kg fluid bolus in qualifying patients. We surveyed all the physicians on this committee to determine whether they agree with this statement.
iSepsis – Death by Fluids, Part 1.5 – The Danger of Protocols
A Blog by Dr Wong (professor of Surgery) highlighting the stupidity of the mindless adoption of Surviving Sepsis Campaign Guidelines