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European Society of Emergency Medicine position paper on the 1-hour sepsis bundle of the Surviving Sepsis Campaign

expression of concern

Freund, Yonathana; Khoury, Abdob; Möckel, Martinc; Karamercan, Mehmete; Dodt, Christophd; Leach, Robertf; Bloom, Beng; Garcia-Castrillo, Luish

European Journal of Emergency Medicine: August 2019 - Volume 26 - Issue 4 - p 232–233
doi: 10.1097/MEJ.0000000000000603
Position Paper

In 2018 the Surviving Sepsis Campaign issued new guidance with a revised version of their sepsis bundle. Instead of the 2016 3-hour sepsis bundle, the Surviving Sepsis Campaign now recommends that blood cultures, lactate measurement, broad-spectrum antibiotic therapy and 30 ml/kg crystalloid fluid administration should be initiated within 1 hour after triage. The European Society of Emergency Medicine wishes to express its concerns regarding the low level of evidence that underlies this guidance, and the potential implications from an emergency physician point of view.

aEmergency Department, Hopital Pitié-Salpêtrière, Sorbonne Université, Paris

bDepartment of Emergency Medicine & Critical Care, Besançon University Hospital, Besançon, France

cDivision of Emergency and Acute Medicine, Charité-Universitätsmedizin Berlin, Berlin

dEmergency Department, Städtisches Klinikum München Bogenhausen, München, Germany

eEmergency Department, Gazi University School of Medicine, Ankara, Turkey

fDepartment of Emergency Medicine, Centre Hospitalier de Wallonie picarde, Tournai, Belgium

gEmergency Department, Royal London Hospital, Barts Health NHS Trust, London, UK

hEmergency Department, Hospital Marqués de Valdecilla, Santander, Spain

Received 25 February 2019 Accepted 4 March 2019

Correspondence to Yonathan Freund, MD, PhD, Service d’accueil des urgences, Hôpital Pitié-Salpêtrière, 83 bd de l’hôpital, 75013 Paris, France, Tel: +33 1 84827129; fax: +33 1 421777010; e-mail:

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