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we have all dealt with sepsis in our clinical experience... generally i find it is the most simple to diagnose and the most difficult to treat right atleast in a busy ED.
why i say that is because of the overly simplified diagnostic criteria mentioned in the EGDT for sepsis program
now i am sure you share my sentiment when i say that the diagnostic criteria for SEPSIS often overdiagnose, or in other words catch a far more false positives... with the goal of avoiding false negatives.
but still my question is
are
TEMPERATURE <36 OR > 38
HEART RATE >90/MIN
RESPIRATORY RATE >20/MIN
WBC COUNT >12000 OR <4000
the only criteria that should be considered while diagnosing sepsis...
are there more criterias or changed criterias you think would better the false positive rate of the above criteria...
would like to know your experiences on the same.
regards