Preventing Sepsis in Wales. In the UK sepsis is estimated to be responsible for the deaths of 37,000...

20
Preventing Sepsis in Wales

TAGS:

Transcript of Preventing Sepsis in Wales. In the UK sepsis is estimated to be responsible for the deaths of 37,000...

Page 1: Preventing Sepsis in Wales. In the UK sepsis is estimated to be responsible for the deaths of 37,000 people every year and to cost the NHS £2.5 billion.

Preventing Sepsis in Wales

Page 2: Preventing Sepsis in Wales. In the UK sepsis is estimated to be responsible for the deaths of 37,000 people every year and to cost the NHS £2.5 billion.

In the UK sepsis is estimated to be responsible for the deaths of 37,000 people every year and to

cost the NHS £2.5 billion

Daniels R. The incidence, mortality and economic burden of sepsis. (2009) In: NHS Evidence emergency and urgent care. http://library.nhs.uk/Emergency/

http://library.nhs.uk/Emergency/
http://library.nhs.uk/Emergency/
Page 3: Preventing Sepsis in Wales. In the UK sepsis is estimated to be responsible for the deaths of 37,000 people every year and to cost the NHS £2.5 billion.

For Wales this equates to a figure of 1800 deaths and a

cost of £125 million

Page 4: Preventing Sepsis in Wales. In the UK sepsis is estimated to be responsible for the deaths of 37,000 people every year and to cost the NHS £2.5 billion.
Page 5: Preventing Sepsis in Wales. In the UK sepsis is estimated to be responsible for the deaths of 37,000 people every year and to cost the NHS £2.5 billion.
Page 6: Preventing Sepsis in Wales. In the UK sepsis is estimated to be responsible for the deaths of 37,000 people every year and to cost the NHS £2.5 billion.

In the developed world, sepsis is increasing annually by 8-13%

It now claims more lives than bowel and breast cancer combined

Sepsis is the primary cause of maternal death in the ante and post natal periods (CMACE report, 2011)

Page 7: Preventing Sepsis in Wales. In the UK sepsis is estimated to be responsible for the deaths of 37,000 people every year and to cost the NHS £2.5 billion.

A patient with sepsis is 5 times more likely to die than a patient who has

suffered a heart attack or stroke

(Vincent et al. (2006) Sepsis in European intensive care units: results of the SOAP study. Crit Care Med. Feb; 34(2):344-53)

Page 8: Preventing Sepsis in Wales. In the UK sepsis is estimated to be responsible for the deaths of 37,000 people every year and to cost the NHS £2.5 billion.

Sepsis accounts for one third of Critical Care expenditure

Sepsis is responsible for one third of all episodes of in-

patient deterioration (Vincent et al. (2006) Sepsis in European intensive care units: results of

the SOAP study. Crit Care Med. Feb; 34(2):344-53)

Page 9: Preventing Sepsis in Wales. In the UK sepsis is estimated to be responsible for the deaths of 37,000 people every year and to cost the NHS £2.5 billion.

For each hour’s delay in administering antibiotics in

septic shock, mortality increases by 7.6%

(Kumar et al. 2006. Duration of hypotension before initiation of effective antimicrobial therapy is the critical determinant of survival in human septic

shock. Crit. Care Med. 34(6) pp 1589-1596)

Page 10: Preventing Sepsis in Wales. In the UK sepsis is estimated to be responsible for the deaths of 37,000 people every year and to cost the NHS £2.5 billion.

The Sepsis Six1. Give high-flow oxygen via non-rebreathe bag

2. Take blood cultures and consider source control

3. Give IV antibiotics according to local protocol

4. Start IV fluid resuscitation Hartmann’s or equivalent

5. Check lactate

6. Monitor hourly urine output consider catheterisation

within one hour...plus Critical Care support

Page 11: Preventing Sepsis in Wales. In the UK sepsis is estimated to be responsible for the deaths of 37,000 people every year and to cost the NHS £2.5 billion.

Survive Sepsis

Achieving 80% reliability with delivering the Sepsis Six within 1 hour for each year, for every 500 beds in a hospital means...

62 lives saved

883 fewer bed days

520 fewer Critical Care bed days

Daniels, R. Nutbeam, T. McNamara, G. Galvin, C. 2011. The sepsis six and the severe sepsis resuscitation bundle: a prospective observational cohort study. Emerg Med J. 2011 Jun;28(6):507-12

http://www.ncbi.nlm.nih.gov/pubmed/21036796
Page 12: Preventing Sepsis in Wales. In the UK sepsis is estimated to be responsible for the deaths of 37,000 people every year and to cost the NHS £2.5 billion.

Detecting and Treating Sepsis

Takes Four Simple Steps

Page 13: Preventing Sepsis in Wales. In the UK sepsis is estimated to be responsible for the deaths of 37,000 people every year and to cost the NHS £2.5 billion.

SCOREUse NEWS to assess the risk of sepsis

NEWS card & iPhone App available

Page 14: Preventing Sepsis in Wales. In the UK sepsis is estimated to be responsible for the deaths of 37,000 people every year and to cost the NHS £2.5 billion.

SCREEN

Use the sepsis screening tool to spot sepsis

Page 15: Preventing Sepsis in Wales. In the UK sepsis is estimated to be responsible for the deaths of 37,000 people every year and to cost the NHS £2.5 billion.

SBAR

Escalate treatment quickly

Page 16: Preventing Sepsis in Wales. In the UK sepsis is estimated to be responsible for the deaths of 37,000 people every year and to cost the NHS £2.5 billion.

SEPSIS SIX Treat within 1 hour

Page 17: Preventing Sepsis in Wales. In the UK sepsis is estimated to be responsible for the deaths of 37,000 people every year and to cost the NHS £2.5 billion.

Achieving reliability in detecting and treating sepsis in Wales could

result in 500 fewer deaths and £12m saved per year

Page 18: Preventing Sepsis in Wales. In the UK sepsis is estimated to be responsible for the deaths of 37,000 people every year and to cost the NHS £2.5 billion.

You can start doing this TODAY

Page 19: Preventing Sepsis in Wales. In the UK sepsis is estimated to be responsible for the deaths of 37,000 people every year and to cost the NHS £2.5 billion.

Useful linkswww.1000livesplus.wales.nhs.uk/world-sepsis-day

www.world-sepsis-day.org

www.globalsepsisalliance.org www.uksepsis.org

www.sepsistrust.org

http://www.1000livesplus.wales.nhs.uk/world-sepsis-day
http://www.world-sepsis-day.org/
http://www.globalsepsisalliance.org/
http://www.uksepsis.org/
http://www.sepsistrust.org/
Page 20: Preventing Sepsis in Wales. In the UK sepsis is estimated to be responsible for the deaths of 37,000 people every year and to cost the NHS £2.5 billion.

Preventing Sepsis in Wales


Sepsis Alliance · Pregnancy & Childbirth and Sepsis Maternal sepsis is a leading cause of pregnancy-related deaths in the United States. What is maternal sepsis? It is a life-threatening

Sepsis Alliance · Pregnancy & Childbirth and Sepsis Maternal sepsis is a leading cause of pregnancy-related deaths in the United States. What is maternal sepsis? It is a life-threatening

Sepsis Guidelines - anwresidency.comanwresidency.com/hospitalists/case_conf/icu/Sepsis Guidelines.pdf · Sepsis Guidelines International guidelines for management of severe sepsis

Sepsis Guidelines - anwresidency.comanwresidency.com/hospitalists/case_conf/icu/Sepsis Guidelines.pdf · Sepsis Guidelines International guidelines for management of severe sepsis

This kills 37,000 people in the UK a year - April 2014.pdf · “Sepsis kills 37,000 people a year in the UK and causes more deaths than lung cancer or colon, breast and prostate

This kills 37,000 people in the UK a year - April 2014.pdf · “Sepsis kills 37,000 people a year in the UK and causes more deaths than lung cancer or colon, breast and prostate

NYS - Real Property System Cross Reference Report - 2020 ......10.004-9-1 Bowles, Joy (LU) 69,900 16,000 69,900 0270 W 1 1- 5-12 11.002-2-1 Breault, Jacques J. 37,000 37,000 37,000

NYS - Real Property System Cross Reference Report - 2020 ......10.004-9-1 Bowles, Joy (LU) 69,900 16,000 69,900 0270 W 1 1- 5-12 11.002-2-1 Breault, Jacques J. 37,000 37,000 37,000

Sepsis at the Hospital System Level One Sepsis Journey · At the Heart of Hospital Mortality Condition 2011 # Admissions Mortality Rate # Deaths AMI 5,254 3.5% 183 Sepsis 18,746 10%

Sepsis at the Hospital System Level One Sepsis Journey · At the Heart of Hospital Mortality Condition 2011 # Admissions Mortality Rate # Deaths AMI 5,254 3.5% 183 Sepsis 18,746 10%

SepSiS A Guide For PAtients & relAtives · ContentS About SepSiS About SepSiS: P3 P4 P4 P4 P5 What is sepsis? Why does sepsis happen? different types of sepsis Who is at risk of getting

SepSiS A Guide For PAtients & relAtives · ContentS About SepSiS About SepSiS: P3 P4 P4 P4 P5 What is sepsis? Why does sepsis happen? different types of sepsis Who is at risk of getting

Antibiotic prophylaxis in ragged placental membranes: a ......deaths from puerperal sepsis doubling from 1.6 to 3.1% in the latest Malaysian Confidential Enquiries into Ma-ternal Deaths

Antibiotic prophylaxis in ragged placental membranes: a ......deaths from puerperal sepsis doubling from 1.6 to 3.1% in the latest Malaysian Confidential Enquiries into Ma-ternal Deaths

Sepsis - Leopoldina · 3 Introduction Sepsis continues to cause millions of deaths worldwide of which at least two million fatalities could be avoided each year by pre-

Sepsis - Leopoldina · 3 Introduction Sepsis continues to cause millions of deaths worldwide of which at least two million fatalities could be avoided each year by pre-

Understanding Acupuncture and How It Could Benefit ...sepsis, endotoxemia, colitis, pancreatitis Rafael Torres-Rosas, 2014 Survival was recorded for three weeks and no late deaths

Understanding Acupuncture and How It Could Benefit ...sepsis, endotoxemia, colitis, pancreatitis Rafael Torres-Rosas, 2014 Survival was recorded for three weeks and no late deaths

Sepsis Recognition & Response - Sepsis Pathway Education

Sepsis Recognition & Response - Sepsis Pathway Education

SEPSIS AND SEPTIC SHOCK - ASHNHA · Sepsis and Septic Shock Numerator Number of inpatient deaths in hospital due to severe sepsis with or without septic shock. Denominator Total number

SEPSIS AND SEPTIC SHOCK - ASHNHA · Sepsis and Septic Shock Numerator Number of inpatient deaths in hospital due to severe sepsis with or without septic shock. Denominator Total number

NAGMSC Working Group on Sepsis - National Institute of ... · Americans. CDC estimates indicate 270,000 deaths annually. One-in-three inpatient deaths are due to sepsis. There are

NAGMSC Working Group on Sepsis - National Institute of ... · Americans. CDC estimates indicate 270,000 deaths annually. One-in-three inpatient deaths are due to sepsis. There are

Sepsis guidance for GPs - Battersea Healthcare...rcgp sepsis: guidance for gps 7 The GP’s Challenge 123,000 cases annually in England in 2014. 37,000 deaths in that period. 70-80%

Sepsis guidance for GPs - Battersea Healthcare...rcgp sepsis: guidance for gps 7 The GP’s Challenge 123,000 cases annually in England in 2014. 37,000 deaths in that period. 70-80%

AVAILABLE LYNNHAVEN PARKWAY 37,000 VPD€¦ · INGRESS/EGRESS: Access from Lynnhaven Parkway and International Parkway TRAFFIC COUNTS: Lynnhaven Parkway: 37,000 VPD SURROUNDING RETAIL:

AVAILABLE LYNNHAVEN PARKWAY 37,000 VPD€¦ · INGRESS/EGRESS: Access from Lynnhaven Parkway and International Parkway TRAFFIC COUNTS: Lynnhaven Parkway: 37,000 VPD SURROUNDING RETAIL:

Sepsis - Paediatric High Risk Sepsis

Sepsis - Paediatric High Risk Sepsis

Post-sepsis immunosuppression depends on NKT …infection play a major role in later deaths (3). However, the mas-ter regulators of post-sepsis immunosuppression are incompletely defined,

Post-sepsis immunosuppression depends on NKT …infection play a major role in later deaths (3). However, the mas-ter regulators of post-sepsis immunosuppression are incompletely defined,

37,000 returning visitors at issai

37,000 returning visitors at issai

DEFINITIONS.. BACTERIEMIE BACTERIEMIE SRIS ou SIRS SRIS ou SIRS SEPSIS SEPSIS SEPSIS SEVERE SEPSIS SEVERE CHOC SEPTIQUE CHOC SEPTIQUE.

DEFINITIONS.. BACTERIEMIE BACTERIEMIE SRIS ou SIRS SRIS ou SIRS SEPSIS SEPSIS SEPSIS SEVERE SEPSIS SEVERE CHOC SEPTIQUE CHOC SEPTIQUE.

Sepsis Procalcitonin and Sepsis - Ortho Clinical Diagnostics

Sepsis Procalcitonin and Sepsis - Ortho Clinical Diagnostics

Sepsis Awareness Training for Non-Clinical Staff...• Sepsis is the leading cause of childhood deaths ... • Blood Poisoning But often the cause of death may have been sepsis 8.

Sepsis Awareness Training for Non-Clinical Staff...• Sepsis is the leading cause of childhood deaths ... • Blood Poisoning But often the cause of death may have been sepsis 8.