First 30 seconds
- 1Sepsis Six ≤1 h
- 2Piperacillin-tazobactam 4.5 g IV STAT
- 3Cultures × 2 (including central line)
- 4Do NOT delay antibiotics for cultures
Neutrophils <1.0 (or <0.5) + fever ≥38 °C or clinical sepsis in chemo patient.
A
Airway
- • Patent? Talking? Stridor?
- • Suction, jaw-thrust, adjuncts, definitive airway if needed
B
Breathing
- • RR, SpO₂, auscultate, percuss
- • O₂ to target sats, NIV / intubate as required
C
Circulation
- • HR, BP, cap refill, JVP
- • 2× large-bore IV, bloods, monitor, ECG
D
Disability
- • AVPU/GCS, pupils, glucose, temp
E
Exposure
- • Full exposure, skin, rash, bleeding, lines, infection source
Related in WardRound
