Open AccessEuropean Society of Emergency Medicine position paper on the 1-hour sepsis bundle of the Surviving Sepsis Campaign: expression of concern
Author(s) -
Yonathan Freund,
Abdo Khoury,
Martin Möckel,
Mehmet Akif Karamercan,
Christoph Dodt,
Robert Leach,
Ben Bloom,
Luis Garcı́a-Castrillo
Publication year - 2019
Publication title -
european journal of emergency medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.716
H-Index - 45
eISSN - 1473-5695
pISSN - 0969-9546
DOI - 10.1097/mej.0000000000000603
Subject(s) - sepsis , surviving sepsis campaign , triage , medicine , intensive care medicine , emergency medicine , emergency physician , antibiotics , bundle , medical emergency , emergency department , severe sepsis , nursing , microbiology and biotechnology , septic shock , materials science , composite material , biology
In 2018 the Surviving Sepsis Campaign issued new guidance with a revised version of their sepsis bundle. Instead of the 2016 3-hour sepsis bundle, the Surviving Sepsis Campaign now recommends that blood cultures, lactate measurement, broad-spectrum antibiotic therapy and 30 ml/kg crystalloid fluid administration should be initiated within 1 hour after triage. The European Society of Emergency Medicine wishes to express its concerns regarding the low level of evidence that underlies this guidance, and the potential implications from an emergency physician point of view.