Action

Red Flag Sepsis - Is one red flag present?

This is time critical condition, immediate action is required:

• If appropriate* dial 999 and arrange blue light transfer
• If available, give oxygen to keep Sa02 > 94% (88%-92% in COPD)
• Cannulate if skills and competencies allow
• Consider IV fluids
• Inform next of kin
• Ensure ambulance crew pre-alert ‘Red Flag Sepsis’

 

Sepsis 6 – within 1 hour

Give 3	Take 3
Oxygen to maintain Sa02 > 94%	Blood Cultures
IV antibiotics	Lactate and FBC
IV Fluid challenge	Measure urine output

 

If Red Flag not present…is there ONE Amber flag present?

Amber flag present:

• Consider other diagnoses
• Consider removal of cannula or catheter
• Monitor urine output
• Use clinical judgement and /or standard protocols
• Give safety netting advice to carers
• Call 999 if patient deteriorates rapidly
• Call 111 or arrange to see GP if condition fails to improve or gradually worsens
• Signpost to available resources as appropriate
• Agree and document ongoing management plan (including observations frequency, planned second review)

 

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