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The management of the septic patient has been high on the agenda of emergency physicians for many years.  The sepsis group at The College of Emergency Medicine was formed to look specifically at the problems of identifying these patients and giving them the best treatment.  This group has worked in close collaboration with Dr Ron Daniels, Chair of the UK Surviving Sepsis Campaign executive committee and Survive Sepsis Programme DIrector, to produce a ‘Sepsis Pack’ which is available to download below.

We have included all the necessary tools to manage the septic patient using the most up to date guidelines.  You will find proformas that are currently used in Emergency Departments in the UK and a useful reference to setting up and delivering a noradrenaline infusion in the Resuscitation area.

There is also a set of audit criteria and standards.  The College will start to audit the management of septic patients in all Emergency Departments in 2010.

It is now apparent that it is the early detection and management of sepsis that saves lives.  This means that it is the timely skills of staff in the Emergency Department that are responsible for achieving the international goal of reducing death from severe sepsis and septic shock.  We strongly encourage every Emergency Department to set up close links with their colleagues in critical care, microbiology, general medicine, general surgery and any other specialty within each separate trust who need to be involved with the care of these very ill patients.

We would like to thank all the individuals involved for their efforts in producing the pack.


Sepsis Pack

Standards for Severe Sepsis and Septic Shock Management in Adults (revised 2012)


SGH septic shock pack

Noradrenaline infusion reference guide

Lactate in Severe Sepsis and Septic Shock – a quick user’s guide


Further Information: (ISICEM)


May 2009