Remind 15 min
this key will be a
The window reappears if:
a previously fulfilled criteria is again fulfilled
a new HR or RR criteria is fulfilled,
the HR or RR value which previously fulfilled the criteria now triggers a
alarm or a
after 8 hours (configurable to 12 hours) if at least one infection sign is still present.
Two Or More Infection Signs Or Symptoms Confirmed
If you have confirmed two or more infection signs in the first Severe Sepsis Screening window, a new
pop-up window appears asking
If you select
If you select
in the situations described in Changing Conditions above.
To enter the Lactate value, select the
is automatically checked.
If Lactate is > 4 mmol/l: the value meets the criteria for severe sepsis and a window appears
recommending authorized clinician review before entering the Sepsis Resuscitation Bundle.
If Lactate is ≤ 4 mmol/l: a further window appears requiring your input to determine on the
basis of blood pressure values whether the patient meets the criteria for severe sepsis.
If the Lactate value was not above 4 mmol/l, the next window asks whether the patient has persistent
The protocol defines Hypotension as:
SBP < 90mmHg (12.0kPa), or
MAP < 65mmHg (9.0kPa), or
SBP decrease > 40mmHg (5.0kPa) below baseline.
You can see this definition in the window by selecting
If the patient has persistent hypotension as defined, select
meets the criteria for severe sepsis and a final window appears recommending authorized clinician
review before entering the Sepsis Resuscitation Bundle.
If the patient does not have persistent hypotension, select
the previously acknowledged infection still present?
when the check boxes reflect the current patient status.
if you want to delay filling out this screen. (When you enter the screen manually
key, as no action is required in this case.)
***TACHY xxx > yy
Is the patient history suggestive of a new infection?
, the next screen appears requesting a lactate measurement.
, the screening phase continues and the first Severe Sepsis Screening window reappears
when a value has been entered. What follows depends on the Lactate value:
key. If the value entered is > 4 mmol/l the check box
. This acknowledges that the patient
. After an hour a screen appears asking
** RR HIGH
** HR HIGH