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FACP. Colegio de médicos de Tarragona Nº 4305520 / fgcapriles@gmail.com




domingo, 13 de diciembre de 2015

Sepsis (CMS Guidelines)

emDocs - December 12, 2015 - Author: Baciak K // Edited by: Koyfman A and Long B
"Every minute a patient presents to an emergency department with severe sepsis or septic shock; the mortality for this condition ranges from 25-50%. As of October 1, 2015 CMS has issued new benchmarks for the care of severe sepsis and septic shock that all hospitals in the U.S. must meet...
The new CMS guidelines have caused some controversies within the emergency medicine community. Many providers have voiced their concerns that we will be harming patients with antibiotics and fluids they do not need. Furthermore, there is little to no evidence to suggest any clinical improvement based on these new guidelines, and an abundance of research to suggest the new guidelines will be harmful for certain patients. As for the guidelines, for the time being they are here to stay. Hopefully as more research is published the guidelines will be aligned more appropriately to be in the best interest of our patients."