Severe Sepsis Care in the Emergency Department

A senior medical student was recently telling me about a lecture he did just 2 years ago for his medical school classmates. He talked about early goal-directed therapy, ScVO2, the use of Edwards catheters, transfusion and steroid protocols, and the use of normal saline and dopamine for shock. This was an impressive work by a student, and by all rights, it was as cutting edge as it gets…for 2 years ago. He was disappointed to find out, however, that sepsis care is now completely different. The changing landscape of sepsis care during just the past few years has been quite extraordinary, with new updates and recommendations arriving almost monthly.

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