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. 2014 Jan 2;8(1):1.
doi: 10.1186/1754-9493-8-1.

The diagnosis of sepsis revisited - a challenge for young medical scientists in the 21st century

Affiliations

The diagnosis of sepsis revisited - a challenge for young medical scientists in the 21st century

Lawrence A Lynn. Patient Saf Surg. .

Abstract

In 1991, a well-meaning consensus group of thought leaders derived a simple definition for sepsis which required the breach of only a few static thresholds. More than 20 years later, this simple definition has calcified to become the gold standard for sepsis protocols and research. Yet sepsis clearly comprises a complex, dynamic, and relational distortion of human life. Given the profound scope of the loss of life worldwide, there is a need to disengage from the simple concepts of the past. There is an acute need to develop 21st century approaches which engage sepsis in its true form, as a complex, dynamic, and relational pattern of death.

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References

    1. Leape LL. Error in medicine. JAMA. 1994;272(23):1851–1857. doi: 10.1001/jama.1994.03520230061039. - DOI - PubMed
    1. Pauker SG, Kassirer JP. The threshold approach to clinical decision making. N Engl J Med. 1980;302(20):1109–1117. doi: 10.1056/NEJM198005153022003. - DOI - PubMed
    1. Bone RC, Balk RA, Cerra FB, Dellinger RP, Fein AM, Knaus WA, Schein RM, Sibbald WJ. Definitions for sepsis and organ failure and guidelines for the use of innovative therapies in sepsis. Chest. 1992;101:1644–1655. doi: 10.1378/chest.101.6.1644. - DOI - PubMed
    1. Levy MM, Fink MP, Marshall JC, Abraham E, Angus D, Cook D, Cohen J, Opal SM, Vincent JL. 2001SCCM/ESICM/ACCP/ATS/SISInternationalSepsisDefinitionsConference. Intensive Care Med. 2003;29(4):530–538. doi: 10.1007/s00134-003-1662-x. - DOI - PubMed
    1. Dellinger RP, Levy MM, Rhodes A, Annane D, Gerlach H, Opal SM, Sevransky JE, Sprung CL, Douglas IS, Jaeschke R, Osborn TM, Nunnally ME, Townsend SR, Reinhart K, Kleinpell RM, Angus DC, Deutschman CS, Machado FR, Rubenfeld GD, Webb S, Beale RJ, Vincent JL, Moreno R. Survivingsepsiscampaign: international guidelines for management of severe sepsis and septic shock: 2012. Crit Care Med. 2013;41(2):580–637. doi: 10.1097/CCM.0b013e31827e83af. - DOI - PubMed

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