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Erschienen in: Notfall + Rettungsmedizin 6/2019

18.09.2018 | Originalien

If you don’t take a temperature, you can’t find a fever

Awareness in out-of-hospital vital signs in cases of suspected sepsis

verfasst von: MD, MHBA Dr. med. S. Casu, J. Blau, B. Schempf, D. Häske

Erschienen in: Notfall + Rettungsmedizin | Ausgabe 6/2019

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Abstract

Background

Sepsis and septic shock are common diseases with high mortality rates and a survival rate that decreases with every hour of delayed therapy. While definitions are valid and published, even the best sepsis score is not helpful if the criteria are not measured regularly in case of suspected sepsis.

Objectives and Methods

The objective of this retrospective study was to evaluate the documentation addressing vital signs in case of severe infection, which can be measured by emergency medical services (EMS) to detect suspected sepsis or septic shock during prehospital management. We screened 68,798 prehospital operation protocols of a German EMS district from January 1, 2013, to December 31, 2014. Tracer diagnoses were prehospital diagnoses of pneumonia, meningitis or septic shock.

Results

Those protocols (n = 1390) with severe infections as the leading diagnosis were identified. Respiratory rate was documented in 31.5% and temperature in 26.2%. The best documentation was found for heart rate (97.2%). There were significant differences in the documentation of vital signs between the different diagnoses (p < 0.001).

Conclusions

The results show a lack of documentation in patients with infection. This finding is obvious from the data on respiratory rate and temperature. Considering that defined vital signs are among the criteria to diagnose sepsis, EMS personnel should be trained to measure and document fundamental vital signs and to search for signs of impending sepsis.

Editors Pick: Free Access

This article was selected as “Editors pick” and is therefore available as Free Access.
Literatur
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Zurück zum Zitat Bone RC, Balk RA, Cerra FB et al (1992) Definitions for sepsis and organ failure and guidelines for the use of innovative therapies in sepsis. Chest 101:1644–1655 CrossRefPubMed Bone RC, Balk RA, Cerra FB et al (1992) Definitions for sepsis and organ failure and guidelines for the use of innovative therapies in sepsis. Chest 101:1644–1655 CrossRefPubMed
Metadaten
Titel
If you don’t take a temperature, you can’t find a fever
Awareness in out-of-hospital vital signs in cases of suspected sepsis
verfasst von
MD, MHBA Dr. med. S. Casu
J. Blau
B. Schempf
D. Häske
Publikationsdatum
18.09.2018
Verlag
Springer Medizin
Erschienen in
Notfall + Rettungsmedizin / Ausgabe 6/2019
Print ISSN: 1434-6222
Elektronische ISSN: 1436-0578
DOI
https://doi.org/10.1007/s10049-018-0526-4

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