Sepsis is an incredibly challenging diagnosis, particularly in the emergency department where most septic patients first enter the hospital. These patients often present with a wide variety of symptoms, unlike more immediately identifiable conditions such as STEMI, which shows ST elevation on an EKG, or stroke, which has clear physical exam findings.
Currently, most hospitals lack effective tools to accurately identify septic patients. We rely on the SIRS criteria for sepsis screening, despite its lack of validation and limited reliability. This often leads to both underdiagnosis and overdiagnosis, resulting in missed cases of sepsis as well as the unnecessary utilization of hospital resources. The complexity and variability in sepsis presentations make it difficult to ensure timely and accurate diagnoses, highlighting a significant gap in our emergency medical practices.
Robert Scoggins is a physician executive.
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