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New study aims to stop sepsis in its tracks

If you've had a heart attack or stroke, paramedics, doctors, and nurses follow standardized protocols for what to do right away, and their efforts improve your odds for a full recovery. That's not the case if you have a body-wide infection known as sepsis, which can be fatal within a few hours and is often not diagnosed until it is too late.

Now, a new, multicenter research consortium, called Protocolized Care for Early Septic Shock (ProCESS), is beginning a large-scale study to determine whether specific interventions can halt the progression to severe sepsis and septic shock. Key to the project is determining whether there are "golden hours" during which prompt, rigorous, standardized care can save patients' lives.

The project may establish the first set of standard procedures to diagnose and treat sepsis in emergency departments.

The National Institute of General Medical Sciences (NIGMS), part of the National Institutes of Health, launched the project this month with a grant totaling more than $8.4 million over five years. Derek C. Angus, M.D., M.P.H., of the University of Pittsburgh School of Medicine, leads the consortium, which is a partnership between physicians in emergency medicine and those in critical care medicine.

"By improving the treatment of those critically ill with sepsis, the consortium's work will have enormous implications for the thousands of patients who suffer from this infection," said NIH Director Elias A. Zerhouni, M.D.

Every year, sepsis affects more than 700,000 Americans. About 30 percent of them die. Sepsis occurs when the body's normal reaction to an infection goes into overdrive, causing widespread inflammation and dramatic changes in body temperature, blood pressure, breathing, and heart rate. It can lead to the malfunction or failure of several major organs.

"The goal of this project is to speed recovery, increase survival rates, and improve the long-term quality of life for thos
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Source:NIH/National Institute of General Medical Sciences


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