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SIRS Criteria for Heart Rate
Greater than 90 beats/min
SIRS Criteria for Respiratory Rate
Greater than 20 breaths/min
SIRS Criteria for Temperature
Greater than 38°C (100.4°F) or less than 36°C (96.8°F)
Sepsis =
Sirs + documented or suspected infection
Documented infection include but not limited to
pneumonia. UTI, wounds, skin and decubitus ulcers ( bed sores)
Suspected infection may be determined via the presence of high risk criteria such as
Nursing home resident, recent surgery, immunosuppression , in dwelling device
Severe Sepsis 1 or more mental
altered mental status
Severe Sepsis 1 or more BP
hypoperfusion - mean arterial pressure MAP less than 65 mmhg
Severe Sepsis 1 or more ET
ETCO2 less than or equal to 25 mmHg