Carmen C Polito, Alex Isakov, Arthur H Yancey, Duncan K Wilson, Blake A Anderson, Ingrid Bloom, Greg S Martin, Jonathan E Sevransky
OBJECTIVE: To derive and validate a predictive model and novel emergency medical services (EMS) screening tool for severe sepsis (SS). DESIGN: Retrospective cohort study. SETTING: A single EMS system and an urban, public hospital. PATIENTS: Sequential adult, nontrauma, nonarrest, at-risk, EMS-transported patients between January 1, 2011, and December 31, 2012 were included in the study. At-risk patients were defined as having all 3 of the following criteria present in the EMS setting: (1) heart rate greater than 90 beats/min, (2) respiratory rate greater than 20 beats/min, and (3) systolic blood pressure less than 110 mm Hg...
September 2015: American Journal of Emergency Medicine