Golden hours in sepsis...
Another Sepsis Day/Week has come and gone. We organized meetings and symposiums to raise awareness and issued press releases. Now that things have calmed down, I’d like to summarize what I took away from this year’s training sessions and offer a few suggestions. Around six years ago, I wrote a piece outlining my approach to sepsis treatment. They say 50% of medicine changes every ten years, but in the past six years, there hasn’t been much change in sepsis treatment. Early and effective intervention during the “golden hours” (the first 3-6 hours) reduces mortality. I’m unsure how much public awareness helps, but ensuring that nurses and residents, who have the most contact with patients, are well-informed will undoubtedly reduce mortality. Here’s my first suggestion. In sepsis meetings, let’s keep discussing cytokines and mediators among ourselves, but for our target audience, let’s summarize the key actions in bullet points, create a poster, and hang it in all clinics. The questi...