Severe Sepsis Screening 21 ProtocolWatch
235
Hypotension Evaluation
If the Lactate value was not above 4 mmol/l, the next window asks whether the patient has persistent
hypotension.
The protocol defines Hypotension as:
• SBP < 90mmHg (12.0kPa), or
• MAP < 65mmHg (9.0kPa), or
• SBP decrease > 40mmHg (5.0kPa) below baseline.
You can see this definition in the window by selecting Show Details.
If the patient has persistent hypotension as defined, select Yes. This acknowledges that the patient
meets the criteria for severe sepsis and a final window appears recommending authorized clinician
review before entering the Sepsis Resuscitation Bundle.
If the patient does not have persistent hypotension, select No. After an hour the following screen
appears.
If you select Yes, the window for the Lactate measurement will reappear. If you select No, screening
continues — comparing heart rate, temperature and respiration rate values against the screening
criteria.
Authorized Clinician Review
Show
Details
Yes
ProtocolWatch-Severe Sepsis Screening
No
ProtocolWatch
Does the patient have persistent Hypotension?
Inactive
Screening SSC Standby
Protocol
Log
Remind
15 min
Show
Details
Yes
ProtocolWatch-Severe Sepsis Screening
No
ProtocolWatch
Is the previously acknowledged infection still present?
Inactive
Screening
SSC Standby
Protocol
Log
Cancel
ProtocolWatch-Severe Sepsis Screening
ProtocolWatch
The patient meets the SSC Sepsis protocol criteria for severe sepsis.
Review by authorized clinician is recommend
ed.
Inactive
Screening
SSC Standby
Protocol
Log
Remind
5 min
Confirm