Sepsis Unmasked: From Cells to Sirens (6.27.2025)-SSM Sepsis Protocol

SSM Sepsis Protocol

Pdf Summary

The document outlines protocols for Suspected Sepsis and Septic Shock, focusing on adult patients. It emphasizes the need for rapid identification and aggressive treatment to prevent progression to shock and possible death. The key symptoms include hyper/hypothermia, rash, chills, myalgia, decreased urine output, and altered mentation, alongside specific H.A.T. criteria: Hypotension (SBP <100 mmHg), Altered Mental Status, and Tachypnea (respiratory rate >22/min or EtCO2 <25 mmHg).<br /><br />Differential diagnoses include various types of shock, dehydration, hyperthyroidism, drug interactions, infections, allergic reactions, and toxicological emergencies. Important history factors are patient's age, duration of fever, past infections or recent surgical procedures, immunocompromised status, and presence of prosthetic devices.<br /><br />Protocols call for initial steps under the Universal Patient Care Protocol, including cardiac monitoring and maintaining SpO2 above 94%. Supplemental procedures involve temperature measurement, blood culture, and glucose analysis. In cases of suspected bacterial infection coupled with two positive H.A.T. criteria, treatment with Rocephin or Maxipime is advised, alongside fluid bolus management to stabilize blood pressure.<br /><br />For hypotensive patients, options include dopamine infusion, push dose epinephrine, or Levophed titration to maintain systolic BP of at least 100 mmHg. A Sepsis Alert should be declared to ensure rapid assessment and immediate transport to a hospital with intensive care facilities.<br /><br />Clinicians must continually reassess the patient and be prepared to halt fluid administration if signs of fluid overload occur or if H.A.T. criteria resolve. This protocol is specifically for individuals aged 18 and older.

Keywords

Sepsis

Septic Shock

Adult Patients

Rapid Identification

H.A.T. Criteria

Hypotension

Tachypnea

Rocephin

Dopamine Infusion

Sepsis Alert