Early detection of sepsis in urgent and emergency services: integrative review

Abstract

Objective: to identify elements that support the construction of a clinical protocol for early detection of sepsis in urgent and emergency services. Method: integrative literature review, from 2017 to June 2021, in the Medical Literature Analysis and Retrieval System Online, National Library of Medicine, Scientific Electronic Library Online, Scopus and Web of Science. Results: 193 articles were found and nine composed the final sample. The elements identified were: recommendations from the surviving sepsis campaign; screening and opening of protocol by nurse; trainings; warning systems, use of systemic inflammatory response syndrome criteria; response teams or protocol manager; early warning score; checklist of verification; multiprofessional communication and antibiotic list. Conclusion: the results contribute to care for septic patients in urgent and emergency services, favoring positive outcomes, based on early recognition and timely application of the initial treatment.