• Emergencias · Feb 2023

    The Guadalajara Declaration on sepsis: emergency physicians' constructive comments on the Surviving Sepsis Campaign's 2021 updated guidelines.

    • Agustín Julián-Jiménez, Luis Antonio Gorordo-Delsol, Graciela Merinos-Sánchez, Diego Armando Santillán-Santos, Fabián Andrés Rosas Romero, Daniel Sánchez Arreola, Jesús Daniel López Tapia, Manuel José Vázquez Lima, Darío Eduardo García, Juan González Del Castillo, Edgardo Menéndez, Pascual Piñera Salmerón, Francisco Javier Candel González, Rafael Rubio Díaz, and Ricardo Juárez González.
    • Servicio de Urgencias, Complejo Hospitalario Universitario de Toledo, Universidad de Castilla La Mancha, Toledo, España. INFURG-SEMES: Grupo de trabajo de Infecciones de la Sociedad Española de Medicina de Urgencias y Emergencias. GT-LATINFURG: Grupo de Trabajo Latinoamericano para la mejora de la atención del paciente con infección en Urgencias de FLAME (Federación Latinoamericana de Medicina de Emergencias) e INFURG-SEMES.
    • Emergencias. 2023 Feb 1; 35 (1): 536453-64.

    AbstractThe Surviving Sepsis Campaign (SSC) published a 2021 update of its 2016 recommendations. The update was awaited with great anticipation the world over, especially by emergency physicians. Under the framework of the CIMU 2022 (33rd World Emergency Medicine Conference) in Guadalajara, Mexico in March, emergency physiciansreviewed and analyzed the 2021 SSC guidelines from our specialty's point of view. In this article, the expert reviewers present their consensus on certain key points of most interest in emergency settings at this time. The main aims of the review are to present constructive comments on 10 key points and/or recommendations in the SSC 2021 update and to offer emergency physicians' experience- and evidence-based proposals. Secondarily, the review's recommendations are a starting point for guidelines to detect severe sepsis in emergency department patients and prevent progression, which is ultimate goal of what has become known as the Guadalajara Declaration on sepsis.

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