Sepsis – Adult: Difference between revisions
From Guide to YKHC Medical Practices
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*Sepsis is very common in our population, both adult and pediatric patients. As a consequence we have St. Johns Sepsis alerts in RAVEN (our EMR) and order sets for you to use when sepsis is suspected. Don’t hesitate to start antibiotics on a village-based patient who appears septic and is awaiting medevac. | *Sepsis is very common in our population, both adult and pediatric patients. As a consequence we have St. Johns Sepsis alerts in RAVEN (our EMR) and order sets for you to use when sepsis is suspected. Don’t hesitate to start antibiotics on a village-based patient who appears septic and is awaiting medevac. | ||
*We also have a very high rate of neonatal sepsis. Follow the guidelines on neonatal sepsis . ANY neonate <30 days requires an LP as part of the workup and MOST neonates <90 days also require an LP. In general, err on the side of a more conservative approach due to the high incidence of sepsis and the distance folks have to travel. | *We also have a very high rate of neonatal sepsis. Follow the guidelines on neonatal sepsis . ANY neonate <30 days requires an LP as part of the workup and MOST neonates <90 days also require an LP. In general, err on the side of a more conservative approach due to the high incidence of sepsis and the distance folks have to travel. | ||
===Resources/References=== | |||
*[[media:Sepsis_adult.pdf|Sepsis (Adult) YKHC Clinical Guideline]] | *[[media:Sepsis_adult.pdf|Sepsis (Adult) YKHC Clinical Guideline]] | ||
* [[media:Sepsis_meds_adult.pdf|Sepsis Medications (Adult)]] | * [[media:Sepsis_meds_adult.pdf|Sepsis Medications (Adult)]] | ||
*[[media:Sepsis_peds.pdf|Sepsis (Pediatric) YKHC Clinical Guideline]] | *[[media:Sepsis_peds.pdf|Sepsis (Pediatric) YKHC Clinical Guideline]] | ||
*[[Sepsis|Sepsis RMT Guide]] | |||
[[Sepsis|Sepsis RMT Guide]] | |||
[[:category:YKHC Guidelines]] | [[:category:YKHC Guidelines]] | ||
<br/>[[Practicing Medicine in Bush Alaska—Some ABCs|Common/Unique Medical Diagnoses]] | <br/>[[Practicing Medicine in Bush Alaska—Some ABCs|Common/Unique Medical Diagnoses]] | ||
Revision as of 04:56, 25 September 2020
- Sepsis is very common in our population, both adult and pediatric patients. As a consequence we have St. Johns Sepsis alerts in RAVEN (our EMR) and order sets for you to use when sepsis is suspected. Don’t hesitate to start antibiotics on a village-based patient who appears septic and is awaiting medevac.
- We also have a very high rate of neonatal sepsis. Follow the guidelines on neonatal sepsis . ANY neonate <30 days requires an LP as part of the workup and MOST neonates <90 days also require an LP. In general, err on the side of a more conservative approach due to the high incidence of sepsis and the distance folks have to travel.
