Sepsis is a systemic response to infection; it is a leading cause of morbidity and mortality worldwide. Early recognition, aggressive resuscitation (fluids, metabolic correction, antibiotics) and escalation of care (vasoactive medications) are key to improving patient outcomes.
UNDER REVIEW: Evidence Repository: Sepsis
Dr. Mona Jabbour and Dr. Graham Thompson
Dr. Mona Jabbour and Dr. Graham Thompson
Evidence repositories are collections of best available resources and evidence (clinical guidelines, peer reviewed literature, systematic reviews, etc.), collated by our knowledge synthesis team and content advisors. This evidence repository is not intended to be an exhaustive list of resources for a topic, but rather a curated list of current, evidence-based resources, based on expert consensus of relevance and usability for a general emergency department setting. We search databases (Cochrane Library, PubMed, TRIP Database) and web search engines (Google, Google Scholar) to locate evidence. Additionally, hospital websites are browsed for guidance documents, such as clinical practice guidelines (CPG) for healthcare professionals.
Every effort is made to identify resources that are open access (i.e. publicly available, free of charge, not requiring a subscription).
More information about the creation of our evidence repositories can be found at https://pubmed.ncbi.nlm.nih.gov/28537762/
Sepsis Order Set
TREKK Sepsis PedsPac
TREKK Sepsis PedsPac
This order set is for management of severe sepsis in the ED and is adaptable to your hospitals form policy. This document is intended for use on patients greater than 28 days of age. Published online: Feb 2020, Version 1.2.
Sepsis Algorithm
TREKK Sepsis PedsPac
TREKK Sepsis PedsPac
This point of care algorithm is to guide initial management of pediatric sepsis in the Emergency Department. This algorithm is intended for use on patients greater than 28 days of age. Published online: December 2018, Version 2.2.
Sepsis Pocket Card
TREKK Sepsis PedsPac
TREKK Sepsis PedsPac
This pocket card contains tips to recognize early shock, indications of poor perfusion, and management considerations for patients with suspected sepsis. Reverse side of pocket card includes pediatric definition of hypotension. This pocket card is intended for use on patients greater than 28 days of age. Published online: December 2018, Version 1.1.
Bottom Line Recommendations: Sepsis
Thompson G, Jabbour M and TREKK Network
Thompson G, Jabbour M and TREKK Network
Bottom line recommendations for the treatment and management pediatric sepsis. Published online: September 2018.
Sepsis Vital Signs Pocket Card
TREKK Sepsis PedsPac
TREKK Sepsis PedsPac
This pocket card outlines pediatric heart rate and pediatric respiratory rate guidelines and was reviewed in October 2018. Posted online December 2018, version 2.0.
Sepsis Triage Poster
TREKK Sepsis PedsPac
TREKK Sepsis PedsPac
This screening tool is to facilitate early identification of suspected pediatric sepsis in the ED. Includes key indicators of sepsis and high-risk medical conditions. This screening tool is intended for use on patients greater than 28 days of age. Published online: June 2017, Version 1.0.
Sepsis References and Development Team
TREKK Sepsis PedsPac
TREKK Sepsis PedsPac
This document outlines the references used and team involved in the development of the sepsis PedsPac. Published online: April 2017.
Video: Sepsis PedsPac - Original Simulation with Expert Commentary
TREKK Sepsis PedsPac
TREKK Sepsis PedsPac
Video of simulated sepsis management in the ED, including commentary by Drs. Gina Neto and Anna-Theresa Lobos, Canadian physicians and sepsis experts. Commentary highlights salient management considerations. This video can be used to augment sepsis training or for an individual refresher on sepsis management. The content of this video is intended for use on patients > 28 days of age. June 2017: Version 1.0.
Video: Sepsis PedsPac - Transport
TREKK Sepsis PedsPac
TREKK Sepsis PedsPac
Video of simulated sepsis patient transfer, including commentary by Drs. Gina Neto and Anna-Theresa Lobos, Canadian physicians and sepsis experts. Commentary highlights key considerations when providing information to a pediatric referral centre. This video can be used to augment sepsis training or for an individual refresher on sepsis management. The content of this video is intended for use on patients >28 days of age. Posted June 2017, Version 1.0.
Video: Sepsis PedsPac - Triage and Transfer
TREKK Sepsis PedsPac
TREKK Sepsis PedsPac
Video demonstration of the Sepsis Triage Screener being used in the ED. This video can be used to augment sepsis nursing education or for individual refresher on pediatric sepsis considerations specific to triage. The content of this video is intended for use on patients>28 days of age. Posted June 2017, Version 1.0.
Video: Sepsis PedsPac - Team Debriefing
TREKK Sepsis PedsPac
TREKK Sepsis PedsPac
Video debrief of the simulated sepsis case, with discussion on how the Sepsis PedsPac was incorporated in to patient management. The content of this video is intended for use on patients >28 days of age. Posted June 2017, Version 1.0.
Feuille D’ordonnances Pré-Rédigées pour Choc Septique Severe
PedsPac de TREKK sur le Choc Septique
PedsPac de TREKK sur le Choc Septique
This order set is for management of severe sepsis in the ED and is adaptable to your hospitals form policy. This document is intended for use on patients greater than 28 days of age. Published online: Feb 2020, v 1.2.
Algorithme Pediatrique pour Choc Septique Severe
PedsPac de TREKK sur le Choc Septique
PedsPac de TREKK sur le Choc Septique
This point of care algorithm is to guide initial management of pediatric sepsis in the Emergency Department. This algorithm is intended for use on patients greater than 28 days of age. Published online: April 2019, v 2.2.
Carte de Poche de Choc Septique
PedsPac de TREKK sur le Choc Septique
PedsPac de TREKK sur le Choc Septique
This pocket card contains tips to recognize early shock, indications of poor perfusion, and management considerations for patients with suspected sepsis. Reverse side of pocket card includes pediatric definition of hypotension. This pocket card is intended for use on patients greater than 28 days of age. Published online: April 2019, Version 1.1.
Recommandations de Base: Choc septique
Thompson G, Jabbour M and TREKK Network
Thompson G, Jabbour M and TREKK Network
Bottom line recommendations for the treatment and management pediatric sepsis - en francais. Published online: October 2018.
Carte de signes vitaux pour Choc Septique Severe
PedsPac de TREKK sur le Choc Septique
PedsPac de TREKK sur le Choc Septique
This pocket card outlines pediatric heart rate and pediatric respiratory rate guidelines and was reviewed in October 2018. Posted online April 2019, version 2.0.
Scanner de Triage Choc Septique
PedsPac de TREKK sur le Choc Septique
PedsPac de TREKK sur le Choc Septique
This screening tool is to facilitate early identification of suspected pediatric sepsis in the ED. Includes key indicators of sepsis and high-risk medical conditions. This screening tool is intended for use on patients greater than 28 days of age. Published online: June 2017, Version 1.0.
Sepsis References and Development Team
TREKK Sepsis PedsPac
TREKK Sepsis PedsPac
This document outlines the references used and team involved in the development of the sepsis PedsPac. Published online: April 2017.
UNDER REVIEW: Evidence Repository: Sepsis
Dr. Mona Jabbour and Dr. Graham Thompson
Dr. Mona Jabbour and Dr. Graham Thompson
Evidence repositories are collections of best available resources and evidence (clinical guidelines, peer reviewed literature, systematic reviews, etc.), collated by our knowledge synthesis team and content advisors. This evidence repository is not intended to be an exhaustive list of resources for a topic, but rather a curated list of current, evidence-based resources, based on expert consensus of relevance and usability for a general emergency department setting. We search databases (Cochrane Library, PubMed, TRIP Database) and web search engines (Google, Google Scholar) to locate evidence. Additionally, hospital websites are browsed for guidance documents, such as clinical practice guidelines (CPG) for healthcare professionals.
Every effort is made to identify resources that are open access (i.e. publicly available, free of charge, not requiring a subscription).
More information about the creation of our evidence repositories can be found at https://pubmed.ncbi.nlm.nih.gov/28537762/
Sepsis Order Set
TREKK Sepsis PedsPac
TREKK Sepsis PedsPac
This order set is for management of severe sepsis in the ED and is adaptable to your hospitals form policy. This document is intended for use on patients greater than 28 days of age. Published online: Feb 2020, Version 1.2.
Feuille D’ordonnances Pré-Rédigées pour Choc Septique Severe
PedsPac de TREKK sur le Choc Septique
PedsPac de TREKK sur le Choc Septique
This order set is for management of severe sepsis in the ED and is adaptable to your hospitals form policy. This document is intended for use on patients greater than 28 days of age. Published online: Feb 2020, v 1.2.
Sepsis Algorithm
TREKK Sepsis PedsPac
TREKK Sepsis PedsPac
This point of care algorithm is to guide initial management of pediatric sepsis in the Emergency Department. This algorithm is intended for use on patients greater than 28 days of age. Published online: December 2018, Version 2.2.
Sepsis Pocket Card
TREKK Sepsis PedsPac
TREKK Sepsis PedsPac
This pocket card contains tips to recognize early shock, indications of poor perfusion, and management considerations for patients with suspected sepsis. Reverse side of pocket card includes pediatric definition of hypotension. This pocket card is intended for use on patients greater than 28 days of age. Published online: December 2018, Version 1.1.
Bottom Line Recommendations: Sepsis
Thompson G, Jabbour M and TREKK Network
Thompson G, Jabbour M and TREKK Network
Bottom line recommendations for the treatment and management pediatric sepsis. Published online: September 2018.
Algorithme Pediatrique pour Choc Septique Severe
PedsPac de TREKK sur le Choc Septique
PedsPac de TREKK sur le Choc Septique
This point of care algorithm is to guide initial management of pediatric sepsis in the Emergency Department. This algorithm is intended for use on patients greater than 28 days of age. Published online: April 2019, v 2.2.
Carte de Poche de Choc Septique
PedsPac de TREKK sur le Choc Septique
PedsPac de TREKK sur le Choc Septique
This pocket card contains tips to recognize early shock, indications of poor perfusion, and management considerations for patients with suspected sepsis. Reverse side of pocket card includes pediatric definition of hypotension. This pocket card is intended for use on patients greater than 28 days of age. Published online: April 2019, Version 1.1.
Recommandations de Base: Choc septique
Thompson G, Jabbour M and TREKK Network
Thompson G, Jabbour M and TREKK Network
Bottom line recommendations for the treatment and management pediatric sepsis - en francais. Published online: October 2018.
Sepsis Vital Signs Pocket Card
TREKK Sepsis PedsPac
TREKK Sepsis PedsPac
This pocket card outlines pediatric heart rate and pediatric respiratory rate guidelines and was reviewed in October 2018. Posted online December 2018, version 2.0.
Carte de signes vitaux pour Choc Septique Severe
PedsPac de TREKK sur le Choc Septique
PedsPac de TREKK sur le Choc Septique
This pocket card outlines pediatric heart rate and pediatric respiratory rate guidelines and was reviewed in October 2018. Posted online April 2019, version 2.0.
Sepsis Triage Poster
TREKK Sepsis PedsPac
TREKK Sepsis PedsPac
This screening tool is to facilitate early identification of suspected pediatric sepsis in the ED. Includes key indicators of sepsis and high-risk medical conditions. This screening tool is intended for use on patients greater than 28 days of age. Published online: June 2017, Version 1.0.
Scanner de Triage Choc Septique
PedsPac de TREKK sur le Choc Septique
PedsPac de TREKK sur le Choc Septique
This screening tool is to facilitate early identification of suspected pediatric sepsis in the ED. Includes key indicators of sepsis and high-risk medical conditions. This screening tool is intended for use on patients greater than 28 days of age. Published online: June 2017, Version 1.0.
Sepsis References and Development Team
TREKK Sepsis PedsPac
TREKK Sepsis PedsPac
This document outlines the references used and team involved in the development of the sepsis PedsPac. Published online: April 2017.
Video: Sepsis PedsPac - Original Simulation with Expert Commentary
TREKK Sepsis PedsPac
TREKK Sepsis PedsPac
Video of simulated sepsis management in the ED, including commentary by Drs. Gina Neto and Anna-Theresa Lobos, Canadian physicians and sepsis experts. Commentary highlights salient management considerations. This video can be used to augment sepsis training or for an individual refresher on sepsis management. The content of this video is intended for use on patients > 28 days of age. June 2017: Version 1.0.
Video: Sepsis PedsPac - Transport
TREKK Sepsis PedsPac
TREKK Sepsis PedsPac
Video of simulated sepsis patient transfer, including commentary by Drs. Gina Neto and Anna-Theresa Lobos, Canadian physicians and sepsis experts. Commentary highlights key considerations when providing information to a pediatric referral centre. This video can be used to augment sepsis training or for an individual refresher on sepsis management. The content of this video is intended for use on patients >28 days of age. Posted June 2017, Version 1.0.
Video: Sepsis PedsPac - Triage and Transfer
TREKK Sepsis PedsPac
TREKK Sepsis PedsPac
Video demonstration of the Sepsis Triage Screener being used in the ED. This video can be used to augment sepsis nursing education or for individual refresher on pediatric sepsis considerations specific to triage. The content of this video is intended for use on patients>28 days of age. Posted June 2017, Version 1.0.
Video: Sepsis PedsPac - Team Debriefing
TREKK Sepsis PedsPac
TREKK Sepsis PedsPac
Video debrief of the simulated sepsis case, with discussion on how the Sepsis PedsPac was incorporated in to patient management. The content of this video is intended for use on patients >28 days of age. Posted June 2017, Version 1.0.