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 |
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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)