The patient has

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Severe Sepsis Screening Tool

• Are any 2 of the following present and new to the
  patient?
• Temperature gt38.3 or lt36 0C
• Heart rate gt90 min-1
• Respiratory rate gt20 min-1
• White cells lt4 or gt12 g/L
• Acutely altered mental status
• Hyperglycaemia (glucosegt6.6mmol/L) (unless
  diabetic)

If yes, patient has SSI

• Is the history suggestive of a new infection?
• Pneumonia
• UTI
• Abdo pain/ diarrhoea/ distension/ urgent
  laparotomy
• Meningitis
• Cellulitis/ septic arthritis/ fasciitis/ wound
  infection
• Endocarditis
• Catheter (incl central venous) infection

If yes, patient has SEPSIS

• Are any of the following present and new to the
  patient?
• Blood pressure systolic lt90 or mean lt65 mmhg
  New or increased O2 requirement to maintain
  SpO2gt90
• Creatinine gt177 mmol/l or UO lt0.5 ml/kg/hr for 2
  hrs
• Bilirubin gt34 mmol/l
• Platelets lt100
• Lactate gt2 mmol/l
• Coagulopathy INRgt1.5 or aPTTgt60s

If no treat for SEPSIS Oxygen IV
antibiotics Hourly MEWS Fluid therapy RE-assess
for SEVERE SEPSIS hourly
The patient has SEVERE SEPSIS Start Severe
Sepsis Care Pathway
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