Focus on sepsis and intensive care.
The Surviving Sepsis Campaign (SSC) Guidelines collate the evidence for managing sepsis. Most of the interventions suggested by the SSC guidelines are very relevant to military critical care, including rapid microbiologic investigation, early antibiotic administration and many aspects of early goal directed therapy. Other interventions may be more difficult to provide in remote theatres of operation where resources may be limited. This article discusses the application of the SSC guidelines to deployed military hospitals, with suggestions as to which interventions are feasible, and which may not be indicated.
Johnston
A McD
AM
Department of Military Medicine, Institute of Research & Development, West Wing, Birmingham Research Park, Vincent Drive, Edgbaston. amcdj@doctors.org.uk
D055826:Afghan Campaign 2001-; D000346:Afghanistan; D000552:Ambulances; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D006801:Humans; D007362:Intensive Care Units; D008887:Military Medicine; D017410:Practice Guidelines as Topic; D018805:Sepsis / Q000175:diagnosis* / Q000517:prevention & control; D006113:United Kingdom
D000900:Anti-Bacterial Agents