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No SIRS; Quick SOFA Instead

SCCM Redefines Sepsis Without Emergency Medicine Input
      It’s barely noon and already 5 patients have triggered a sepsis alert in triage. Once that happens, patients are expedited into the emergency department (ED), assessed, and treated urgently. Laboratory tests are ordered; fluids are given. Two systemic inflammatory response criteria and suspect infection is all it takes to sound the alarm, but this may be about to change.
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      Linked Article

      • Sepsis-3 Definitions
        Annals of Emergency MedicineVol. 68Issue 6
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          I am concerned that the recent “No SIRS: Quick SOFA Instead” column authored by Jeremy Faust and featured in the May News & Perspectives section is inaccurate. Specifically, the table labeled Figure 1 and titled “Sepsis Definitions” in row 2, column 3 seems to have simply substituted quick Sequential Organ Failure Assessment (qSOFA) and Sequential Organ Failure Assessment (SOFA) in place of systemic inflammatory response syndrome (SIRS) in the old definition, implying that Sepsis-3 defines sepsis as “suspected or documented infection + ≥2 of qSOFA or Rise in SOFA score ≥2 points.” As presented in the table, this definition is not contained in the published findings of the Sepsis-3 investigators.
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