Surviving Sepsis Campaign Bundles

In order to contribute to our understanding of sepsis management, I searched sepsis protocols and found the “Surviving Sepsis Campaign Bundles” through the Centers for Disease Control and Prevention website.

The Surviving Sepsis Campaign Bundles include:

• To be completed within 3 hours:

1. Measure lactate level
2. Obtain blood cultures prior to administration of antibiotics
3. Administer broad spectrum antibiotics
4. Administer 30 mL/kg crystalloid for hypotension or lactate greater or equal to 4 mmol/L

• To be completed within 6 hours:

1. Apply vasopressors (for hypotension that does not respond to initial fluid resuscitation) to maintain a MAP greater or equal to 65 mm Hg
2. In the event of persistent hypotension after initial fluid administration (MAP < 65 mm Hg) or if initial lactate was greater or equal to 4 mmol/L, re-assess volume status and tissue perfusion and document findings
3. Re-measure lactate if initial lactate was elevated

Please review video at:

http://www.medscape.com/viewarticle/831158

References

Levy, M. (2014). Surviving sepsis campaign: The takeaways. Retrieved from www.medscape.com/viewarticle/831158