definition for: #SepsisCoreMeasures

New Bundles & CMS “Core Measures” to Begin October 2015 TO BE COMPLETED WITHIN 3 HOURS OF TIME OF PRESENTATION † : 1. Measure lactate level 2. Obtain blood cultures prior to administration of antibiotics 3. Administer broad spectrum antibiotics 4. Administer 30ml/kg crystalloid for hypotension or lactate ≥4mmol/L Apply vasopressors (for hypotension that does not respond to initial fluid resuscitation) to maintain a mean arterial pressure (MAP) ≥65mmHg 6. In the event of persistent hypotension after initial fluid administration (MAP < 65 mm Hg) or if initial lactate was ≥4 mmol/L, re-assess volume status and tissue perfusion and document findings according to table 1. 7. Re-measure lactate if initial lactate elevated.