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Rapid Response Systems and the Septic Patient

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Textbook of Rapid Response Systems

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Abstract

Sepsis remains the leading cause of death in the ICU. An early, aggressive strategy to identify the onset of septic shock as early as possible in order to begin therapy is associated with a significant reduction in mortality. Specifically, timely administration of appropriate antibiotics lowers mortality at least 7–12%. Unfortunately, even with timely recognition of septic shock, administration of antibiotic therapy can take several hours. A rapid response system can significantly shorten this time, particularly if a pharmacist is a core member of the team. Additionally, a rapid response system can shorten time to hemodynamic support, fluid resuscitation, and transfer to a dedicated ICU setting—all of which can further lower mortality.

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Author information

Authors and Affiliations

  1. Department of Surgery, George Washington University, 2150 Pennsylvania Ave, NW. Suite 6B, Washington, DC, 20037, USA

    Patrick Maluso MD

  2. George Washington Transfer Center, George Washington University, Washington, DC, USA

    Babak Sarani MD, FACS, FCCM (Associate Professor of Surgery Director, Center for Trauma and Critical Care Director)

Authors
  1. Patrick Maluso MD
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  2. Babak Sarani MD, FACS, FCCM
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Corresponding author

Correspondence to Babak Sarani MD, FACS, FCCM .

Editor information

Editors and Affiliations

  1. Department of Surgery, Critical Care, Harlem Hospital Center, New York, New York, USA

    Michael A. DeVita

  2. The Simpson Centre for Health Services Research, South Western Sydney Clinical School, UNSW Sydney, the Ingham Institute for Applied Medical Research and Intensive Care, Liverpool Hospital, Liverpool BC, New South Wales, Australia

    Ken Hillman

  3. Department of Intensive Care, Austin Hospital, Heidelberg, Victoria, Australia

    Rinaldo Bellomo

  4. Royal Berkshire NHS Foundation Trust, Reading, Berkshire, United Kingdom

    Mandy Odell

  5. Intensive Care Unit, Austin Hospital, Heidelberg, Victoria, Australia

    Daryl A. Jones

  6. Department of Anesthesiology and Critical Care Medicine, The Johns Hopkins University School of Medicine, Baltimore, Maryland, USA

    Bradford D. Winters

  7. Department of Anesthesia, Stanford University School of Medicine, Palo Alto, California, USA

    Geoffrey K. Lighthall

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© 2017 Springer International Publishing Switzerland

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Maluso, P., Sarani, B. (2017). Rapid Response Systems and the Septic Patient. In: DeVita, M., et al. Textbook of Rapid Response Systems. Springer, Cham. https://doi.org/10.1007/978-3-319-39391-9_20

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  • DOI: https://doi.org/10.1007/978-3-319-39391-9_20

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-39389-6

  • Online ISBN: 978-3-319-39391-9

  • eBook Packages: MedicineMedicine (R0)

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