01/07/2026
How can we reduce sepsis mortality, overcome barriers, and encourage sepsis protocol initiation in emergency settings?
Most patients experiencing septic shock present to healthcare through emergency departments (EDs). However, preventable deaths still occur in the ED.
Sepsis Canada's Project 7 surveyed over 500 emergency staff and conducted 15 interviews to understand why these preventable deaths still occur. Distilling the information from the surveys and interviews, the following barriers to successful protocol implementation were identified:
1. Access block where patients were unable to gain access to hospital beds due to limited capacity.
2. Recognizing sepsis and its severity is limited in the general public, which leads to delayed emergency treatment.
3. Resource constraints, including physical and human resource issues, laboratory result delays, medical record systems, patient flow, and specific issues related to rural practices
4. Leveraging scopes of practice, such as enabling paramedics and nurses to initiate sepsis-specific care, was severely lacking
5. Recognition of sepsis by healthcare providers, noting the lack of accurate point-of-care screening tools and delayed laboratory results.
6. Communication and interpersonal conflict among emergency healthcare professionals, which includes a lack of trust between hospital staff and ambulance paramedics
This study concludes that overcoming these barriers will require public awareness campaigns, leveraging technology to improve recognition and resource limitations, efforts to overcome access barriers, enabling practitioners to perform at the top of their scope, and establishing care pathways and expert teams to care for patients with sepsis.
Click here to read the full publication:
https://link.springer.com/article/10.1007/s43678-026-01119-0