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ROADMAP TO SAFETY
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Sepsis in emergency medicine toolkit
Pediatric screening and treatment
Recommendation
Adopt and implement an evidence-based screening tool and treatment protocol for pediatric patients in emergency departments that treat children.
Rationale
More than 75,000 children are treated annually for sepsis in the US, with state mortality rates ranging from 10 to 20 percent.
Children with sepsis present differently from adults.
Most children go to general hospitals for emergency care.
Tools
Pediatric septic shock trigger tool
Pediatric septic shock guidelines
Empiric antimicrobial treatment recommendations for pediatric severe sepsis
Surviving Sepsis Campaign pediatric sepsis guidelines
Best practices
Implementing sepsis protocols for all patients regardless of age
(Emerson Hospital, Concord)
Implementing an EHR-embedded electronic pediatric sepsis screening algorithm
(Boston Children's Hospital, Boston)
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Sepsis care in emergency medicine