Warrnambool Clinical School, School of Medicine, Deakin University, Geelong, Victoria, Australia.
Emerg Med Australas. 2021 Oct;33(5):941-943. doi: 10.1111/1742-6723.13838. Epub 2021 Aug 3.
Surviving Sepsis Campaign guidelines have progressively moved towards faster time-based treatment targets over recent years despite international data consistently showing low protocol adherence. A key stakeholder in Australian healthcare remains overlooked in sepsis research: the under-resourced rural ED. The journey of the rural patient markedly differs to that of the metropolitan patient, involving greater reliance upon patient transfers, reduced staffing and resource inaccessibility, directly impacting on sepsis protocol adherence and patient outcomes. Greater representation of rural patients and EDs in Australian sepsis research is paramount in guiding future sepsis treatment protocols. This perspective piece explores current international sepsis literature, recognising significant barriers to sepsis protocol adherence specific to rural Australian EDs.
尽管国际数据显示协议遵守率较低，但近年来，存活脓毒症运动指南逐渐朝着更快的基于时间的治疗目标发展。在脓毒症研究中，澳大利亚医疗保健的一个关键利益相关者仍然被忽视：资源不足的农村急诊部。农村患者的就医过程与城市患者明显不同，他们更依赖于患者转院，医护人员和资源的可及性降低，这直接影响了脓毒症协议的遵守和患者的治疗结果。在指导未来的脓毒症治疗方案方面，增加澳大利亚农村患者和急诊科在脓毒症研究中的代表性至关重要。这篇观点文章探讨了当前国际脓毒症文献，认识到澳大利亚农村急诊科特定的脓毒症协议遵守障碍。
