"SEPSIS IN THE EMERGENCY ROOM: IMPACT OF EARLY RECOGNITION AND RAPID INTERVENTION ON CLINICAL OUTCOMES"

Abstract

Introduction: Sepsis is a severe clinical condition characterized by an uncontrolled inflammatory response to infection, which can lead to multiple organ dysfunction and death if not treated early. It is estimated to be one of the leading causes of hospital mortality, especially in emergency departments. Early recognition and immediate intervention are crucial to reducing the mortality associated with this syndrome. Objective: To gather and analyze the main scientific evidence on early recognition and rapid interventions in the management of sepsis patients in emergency rooms, highlighting the importance of standardized practices and integrated team efforts. Methodology: A narrative literature review was conducted between June 2024 and June 2025, using the PubMed, SciELO, BMC Emergency Medicine, and Google Scholar databases. The selected articles were published between 2014 and 2024, were freely accessible, and focused on the early identification of sepsis, triage strategies, and the impact of interventions in emergency care. Results: The review highlights that early administration of antibiotics and immediate volume resuscitation are crucial for reducing mortality. Protocols such as “Sepsis Six” and the “golden hour” have proven effective in improving clinical outcomes. Continuous training of the multiprofessional team and the use of technologies, such as early warning systems, are essential for rapid detection and intervention. However, adherence to protocols and inadequate infrastructure still represent challenges. Conclusion: Early recognition and the implementation of rapid interventions are key to reducing sepsis mortality. The adoption of structured protocols, ongoing team training, and the use of decision support technologies are essential for improving outcomes in emergency care. Investments in education and infrastructure are necessary to overcome existing barriers and ensure more efficient care.