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To the Editor We wish to underscore several points related to the early identification of sepsis in patients who are in the emergency medicine phase of care to complement and enhance the recommendations by the Sepsis-3 authors.1 Under the new definitions, sepsis requires a suspected infection and evidence of organ dysfunction.
The qSOFA score is advocated as a screening technique to prompt laboratory testing. However, this score uses only a portion of the physiological variables available to clinicians, especially variables available in the emergency medicine setting that might allow for the early identification and treatment of sepsis.
Wira CR, Swenson KE. Composition of the Sepsis Definitions Task Force. JAMA. 2016;316(4):460. doi:10.1001/jama.2016.6371