Sepsis Resuscitation in Resource-Limited Settings

被引:3
|
作者
Meier, Brian [1 ,2 ]
Staton, Catherine [1 ,2 ]
机构
[1] Duke Univ, Med Ctr, Dept Surg, Div Emergency Med, DUMC Box 3096,2301 Erwin Rd,Duke North,Suite 2600, Durham, NC 27710 USA
[2] Duke Global Hlth Inst, Trent Hall,310 Trent Dr, Durham, NC 27710 USA
关键词
Sepsis; Community emergency departments; Low- and middle-income countries; GOAL-DIRECTED THERAPY; EARLY LACTATE CLEARANCE; SEPTIC SHOCK; SURVIVING SEPSIS; ANTIMICROBIAL THERAPY; FLUID RESUSCITATION; FEBRILE ILLNESS; CRITICAL-CARE; IMPACT; MANAGEMENT;
D O I
10.1016/j.emc.2016.08.004
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Our evolving understanding of the physiologic processes that lead to sepsis has led to updated consensus guidelines outlining priorities in the recognition and treatment of septic patients. However, an enormous question remains when considering how to best implement these guidelines in settings with limited resources, which include rural US emergency departments and low- and middle -income countries. The core principles of sepsis management should be a priority in community emergency departments. Similarly, cost-effective interventions are key priorities in low- and middle-income countries; however, consideration must be given to the unique challenges associated with such settings.
引用
收藏
页码:159 / 173
页数:15
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