Jayaprakash Namita, Sarani Nima, Nguyen H Bryant, Cannon Chad
Department of Emergency Medicine and Division of Pulmonary and Critical Care Medicine Henry Ford Hospital Detroit Michigan USA.
Department of Emergency Medicine Kansas University Medical Center Kansas City Kansas USA.
J Am Coll Emerg Physicians Open. 2024 Aug 12;5(4):e13264. doi: 10.1002/emp2.13264. eCollection 2024 Aug.
Sepsis impacts 1.7 million Americans annually. It is a life-threatening disruption of organ function because of the body's host response to infection. Sepsis remains a condition frequently encountered in emergency departments (ED) with an estimated 850,000 annual visits affected by sepsis each year in the United States. The pillars of managing sepsis remain timely identification, initiation of antimicrobials while aiming for source control and resuscitation with a goal of restoring tissue perfusion. The focus herein is current evidence and best practice recommendations for state-of-the-art sepsis care that begins in the ED.
脓毒症每年影响170万美国人。它是由于机体对感染的宿主反应而导致的危及生命的器官功能紊乱。脓毒症仍然是急诊科经常遇到的病症,在美国,估计每年有85万人次因脓毒症到急诊科就诊。脓毒症管理的关键仍然是及时识别、在进行源头控制的同时启动抗菌治疗以及进行复苏,目标是恢复组织灌注。本文重点关注始于急诊科的脓毒症最新治疗的当前证据和最佳实践建议。