title: Pitfalls in the Treatment of Sepsis.
abstract: Sepsis is a challenging, dynamic, pathophysiology requiring expertise in diagnosis and management. Controversy exists as to the most sensitive early indicators of sepsis and sepsis severity. Patients presenting to the emergency department often lack complete history or clinical data that would point to optimal management. Awareness of these potential knowledge gaps is important for the emergency provider managing the septic patient. Specific areas of management including the initiation and management of mechanical ventilation, the appropriate disposition of the patient, and consideration of transfer to higher levels of care are reviewed.
authors.affiliation: Department of Medicine, Cooper Medical School of Rowan University, Camden, NJ, USA; Department of Emergency Medicine, Cooper Medical School of Rowan University, Camden, NJ, USA. Electronic address: peterson-lars@cooperhealth.edu.
authors.forename: Lars-Kristofer N
authors.initials: LN
authors.lastname: Peterson
authors.affiliation: Pulmonary and Critical Care Medicine Division, Department of Medicine, University of Rochester Medical Center, 601 Elmwood Avenue, Rochester, NY 14642, USA; Department of Emergency Medicine, University of Rochester Medical Center, 601 Elmwood Avenue, Rochester, NY 14642, USA.
authors.forename: Karin
authors.initials: K
authors.lastname: Chase
mesh_terms: D003951:Diagnostic Errors / Q000517:prevention & control; D004636:Emergency Service, Hospital; D006801:Humans; D019300:Medical Errors / Q000517:prevention & control; D063305:Organ Dysfunction Scores; D064872:Patient Care Bundles; D018805:Sepsis / Q000175:diagnosis* / Q000628:therapy; D017211:Treatment Failure
keywords: Critical care; Emergency medicine; Medical errors; SIRS; Sepsis; qSOFA