- Sep 17th, 2014
- Justin Bright
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In November 2001, Dr. Manny Rivers and his colleagues published an article in the New England Journal of Medicine on Early Goal Directed Therapy in Sepsis. At the time, sepsis was not a new concept, nor was the treatment of it. Where I believe the real genius in EGDT lies is in a fanatical focus on early recognition of sepsis by utilizing SIRS criteria, as well as developing an algorithm with definable objective treatment goals to assist providers in understanding if their treatment selections are in fact working. The basic questions in EGDT therapy are:
- How much fluid is enough?
- Are the vital organs being perfused appropriately?
- Is there adequate oxygen delivery and utilization by those vital organs?