Gold Coast Health is recognised for quality patient care, nursing and midwifery excellence and innovations in professional nursing and midwifery practice under the Magnet® Recognition Program.
"Walking together in kindness" artwork produced for Gold Coast Health by Riki Salam, We are 27 Creative.When patients have a serious infection, it can lead to sepsis, which means the infection can affect vital organs. If the blood pressure is low due to sepsis, traditionally doctors would give intravenous fluids. However, evidence suggests that too much fluid may be harmful. What the best amount of fluid is and when medications that support the blood pressure (also called vasopressors) should start is unknown.
This study showed that a restricted fluid and early vasopressor schedule in emergency department patients with suspected sepsis and hypotension appears practical. A future trial is necessary with high-risk patient recruitment to determine effects on clinical outcomes in this setting.
“REFRESH has made clinicians aware that potential harm may occur from both not enough and too much fluid in patients with sepsis. This study will hopefully avoid knee-jerk decisions in fluid management and lead to studies that will provide insight about optimal timing and volume.”
