Man with periumbilical redness and umbilical drainage.

Abstract

17 McNarry AF, Goldhill DR. Simple bedside assessment of level of consciousness: comparison of two simple assessment scales with the Glasgow coma scale. Anaesthesia 2004;59:34–7. 18 Charlson ME, Pompei P, Ales KL, et al. A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. J Chronic Dis 1987;40:373–83. 19 Hirst E, Irving A, Goodacre S. Patient and public involvement in emergency care research. Emerg Med J 2016;33:665–70. 20 Henning DJ, Puskarich MA, Self WH, et al. An emergency department validation of the SEP3 sepsis and septic shock definitions and comparison with 1992 consensus definitions. Ann Emerg Med 2017;70:544–52. 21 Szakmany T, Lundin RM, Sharif B, et al. Sepsis prevalence and outcome on the general wards and emergency departments in Wales: results of a multicentre, observational, point prevalence study. PLoS One 2016;11:e0167230. 22 Williams JM, Greenslade JH, Dymond CA, et al. Characteristics, treatment and outcomes for all emergency department patients fulfilling criteria for septic shock: a prospective observational study. Eur J Emerg Med 2018;25:97–104. 23 de Groot B, Stolwijk F, Warmerdam M, et al. The most commonly used disease severity scores are inappropriate for risk stratification of older emergency department sepsis patients: an observational multicentre study. Scand J Trauma Resusc Emerg Med 2017;25:91. 24 Goulden R, Hoyle MC, Monis J, et al. qSOFA, SIRS and NEWS for predicting inhospital mortality and ICU admission in emergency admissions treated as sepsis. Emerg Med J 2018;35:345–9. 25 Redfern OC, Smith GB, Prytherch DR, et al. A comparison of the quick sequential (sepsisrelated) organ failure assessment score and the National early warning score in NonICU patients with/without infection. Crit Care Med 2018;46:1923–33. 26 Drumheller BC, Agarwal A, Mikkelsen ME, et al. Risk factors for mortality despite early protocolized resuscitation for severe sepsis and septic shock in the emergency department. J Crit Care 2016;31:13–20. 27 Warmerdam M, Stolwijk F, Boogert A, et al. Initial disease severity and quality of care of emergency department sepsis patients who are older or younger than 70 years of age. PLoS One 2017;12:e0185214. 28 Gray A, Ward K, Lees F, et al. The epidemiology of adults with severe sepsis and septic shock in Scottish emergency departments. Emerg Med J 2013;30:397–401.