When the Centers for Medicare and Medicaid Services (CMS) released its 2015 performance measure for the treatment of sepsis -- called SEP-1 or the Severe Sepsis/Septic Shock Early Management Bundle, physicians responded with general befuddlement: the measure demanded they follow such unusual practices as giving 3-liter boluses of saline to anuric, hypertensive, hypoxemic patients with end-stage renal disease, based solely on the presence of lactatemia and a suspicion of sepsis.
Doctors aren't complying with the CMS sepsis…
When the Centers for Medicare and Medicaid Services (CMS) released its 2015 performance measure for the treatment of sepsis -- called SEP-1 or the Severe Sepsis/Septic Shock Early Management Bundle, physicians responded with general befuddlement: the measure demanded they follow such unusual practices as giving 3-liter boluses of saline to anuric, hypertensive, hypoxemic patients with end-stage renal disease, based solely on the presence of lactatemia and a suspicion of sepsis.