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The Pivotal Role of Dispatch in Sepsis Emergencies
February 6, 2019
Rommie L. Duckworth, LPFounder/Executive Director
New England Center for Rescue & Emergency Medicine, LLC
Today’s Objectives
Upon completion of this webinar, participants will be able to: ▪ Define sepsis and the symptoms and conditions in which
sepsis should be suspected▪ Describe why suspected sepsis is an emergency event▪ Ask the right questions of the caller to identify suspected
sepsis▪ Convey precise information to the ambulance team▪ Share/train other dispatchers in their unit to improve
response to sepsis
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The body’s overwhelming and life-threatening response
to infection which can lead to tissue damage, organ failure, and death.
EMS Transports 50%of patients with severe sepsis
arriving at the ED
Those patients tend to be older and sicker
EMS tends to be first medical contact since .
87%of sepsis cases begin in the community
prior to hospitalization
Cell damage from infection Chemical signal release • Vasodilation • Increase blood flow• Increased permeability• Increased metabolism
Inflammatory Response
SIRSCell damage from infection Chemical signal release Triggered inflammatory response
• Vasodilation• Increased permeability• Increased metabolism• Cellular damage• Hemorrhage• Clotting & DIC
SIRSTwo or more of the following in adults:
• Temperature > 38 C (100.4 F) or < 36 C (96.8 F)• Heart rate > 90 beats per minute• Respiratory rate > 20 breaths per minute or PaCO2 <32 mmHg• WBC > 12,000 cell/mm3, <4,000 cell/mm3, or >10% immature forms
0.00%
10.00%
20.00%
30.00%
40.00%
< 95 F 98.6 F - 100.9F
100.9 F - 103.1F
> 103.1 F
Patient Temp vs % Sepsis Mortality
Thank You for Attending
Please complete the evaluation provided at the end of the webinar.
Visit our website at:
Great Plains Quality Innovation Network
https://greatplainsqin.org/
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Great Plains QIN Sepsis Team
North Dakota: Nikki Medalen, MS, BSN, [email protected]
(701) 989-6236
South Dakota: Katy Burket, RN
[email protected](605) 680-1161
Nebraska: Krystal Hays, DNP, RN, [email protected]
(402) 476-1399; Ext. 522
Kansas: Kara Irey, BS, GBSS
[email protected](785) 273-2552; Ext 365
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