Mortality benefit of shock index in prehospital level care: Our reply to Jouffroy R et al

Dear Editor, We are really thankful to Jouffroy R et al. for re-evaluating impact of shock index (SI) guided management of septic shock in pre-hospital setting, the good age old yet simple tool, to assess the mortality outcome in at 28 days [1]. Authors did this study on patients with sepsis without...

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Bibliographic Details
Published in:The American journal of emergency medicine 2020-10, Vol.38 (10), p.2234-2235
Main Authors: Bhakta, Pradipta, Karim, Habib Md Reazaul, Mandal, Mohanchandra, Vassallo, Michele Claudio
Format: Article
Language:English
Subjects:
Age
Antibiotics
Emergency medical care
Emergency Medical Services
Humans
Hypertension
Injury Severity Score
Lactic acid
Mortality
Mortality benefit
Older people
Prehospital care
Sepsis
Septic shock
Shock - therapy
Shock index
Shock, Septic
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Summary:Dear Editor, We are really thankful to Jouffroy R et al. for re-evaluating impact of shock index (SI) guided management of septic shock in pre-hospital setting, the good age old yet simple tool, to assess the mortality outcome in at 28 days [1]. Authors did this study on patients with sepsis without estimating lactate because of lack of availability pre-hospital setups. Furthermore, use of steroid in adequately fluid resuscitated and vasopressor resistant shock is also an important modality to improve outcome as per survival sepsis guideline (SSG) which authors followed in this study.
ISSN:0735-6757
1532-8171
DOI:10.1016/j.ajem.2020.03.042