Dr. Seymour and colleagues at the University of Pittsburgh and University of Washington report new results in the journal Critical Care that prehospital administration of intravenous fluid may be associated with reduced mortality in patients with severe sepsis on arrival to the emergency department. These exciting prospective data from King County EMS in King County, Washington, suggest that “very early” interventions in severe sepsis could be beneficial for sickest patients with sepsis.
The report (published in Volume 18, Issue 5 of the journal) is titled, “Prehospital intravenous access and fluid resuscitation in severe sepsis: an observational cohort study.” Other authors include Colin R. Cooke, Susan R. Heckbert, John A. Spertus, Clifton W. Callaway, Christian Martin-Gill, Donald M. Yealy, Thomas D. Rea, and Derek C. Angus.
Christopher W. Seymour, MD, MSc, is Assistant Professor in the Departments of Critical Care and Emergency Medicine. He is also a core faculty member in the Clinical Research, Investigation, and Systems Modeling of Acute Illness (CRISMA) Center in the Department of Critical Care, where he contributes to the Program on Critical Care Health Policy.