** ordering blood cultures should trigger you to use this pathway **

Sepsis Pathways: adult, paediatric, maternal or newborn pathway available at ECI

Recognise

  • Risk factor signs or symptoms
  • Vital signs & lactate (collect a VBG)

Respond and Escalate

  • Urgent senior review
  • Targeted history and exam
  • 2 sets of blood cultures and other relevant source investigations

Resuscitate

  • Fluids – min 5-10ml/kg stat, up to 30ml/kg in first hour
  • IV antibiotics within 60 minutes as per eTG
    • Febrile neutropenia guideline here

Reassess

  • response to therapy: BP, U/O, sats, LOC, lactate
  • consider vasopressors

Refer

  • Source control
  • Anticipate need for ICU, transfer or retrieval (ph 1800 650 004)

References

ACI Adult Sepsis PathwayDownload

Other ACI sepsis tools are also available