Sepsis – Induction

What are the components of the Sepsis Six?

We should think sepsis in every patient who attends, but in which of these patients should the Sepsis Six be started?

Choose 5 that apply.

You are seeing a patient in resus. It’s 2am and the department feels a bit eerie. They are a 29 year old with left loin pain. Their observations on arrival were: RR 22, SpO2 98% RA, HR 110, BP 110/70, Temp 40. You treated them as a pyelonephritis with antibiotics and 1L of IV fluids. They’re waiting to see the medical team. The nurses ask you to review them.

Their observations are now: RR 24, SpO2 94% RA, HR 120, BP 100/60, Temp 39.

You take a blood gas. It shows: pH 7.12, pO2 11, pCO2 4, BE 2, Bicarb 20, Lactate 3.8

What actions do you now take? Select all:

A 98 year old attends with likely pneumonia (non-COVID). They have a RR 28, SpO2 88% RA, BP 70/40, Temp 37.8, GCS E2 M4 V3 = 9/15. The VBG machine is a bit broken, but manages to give you a lactate of 3.8.

Their daughter arrives and asks you whether their parent will survive.

The department is heaving. Just a normal shift for Winter. Resus is full. The cubicles are full. You see a patient you think has sepsis. You prescribe some IV fluids. 10minutes later, you still haven’t found the nurse to give them. You’re worried as the patient has a BP of 108/78. They’re normally bed-bound in a nursing home.

What do you do? Select all that apply.