@article {Sivayoham422, author = {Narani Sivayoham}, title = {Management of severe sepsis and septic shock in the emergency department: a survey of current practice in emergency departments in England}, volume = {24}, number = {6}, pages = {422--422}, year = {2007}, doi = {10.1136/emj.2007.046060}, publisher = {British Association for Accident and Emergency Medicine}, abstract = {Aim: To identify the extent to which emergency departments (EDs) in England are involved in the initiation of the pathway to early goal-directed therapy (EGDT) in patients with severe sepsis and septic shock. Method: A survey of 173 EDs in England was carried out over a 2-month period starting in March 2006. Results: 117 (67.6\%) departments responded. 22 (18.8\%) departments satisfied the following criteria: had a strategy to identify these patients, measured lactate, had a written protocol including EGDT and provided training for their staff. A further 10 (8.5\%) EDs were working on initiating the pathway to EGDT. Conclusion: 18.8\% of EDs in England are able to initiate the pathway to EGDT in patients with severe sepsis and septic shock.}, issn = {1472-0205}, URL = {https://emj.bmj.com/content/24/6/422}, eprint = {https://emj.bmj.com/content/24/6/422.full.pdf}, journal = {Emergency Medicine Journal} }