The Guadalajara Declaration on sepsis: emergency physicians’ constructive comments on the Surviving Sepsis Campaign’s 2021 updated guidelines
Agustín Julián-Jiménez1-3, Luis Antonio Gorordo-Delsol3-5, Graciela Merinos-Sánchez3,5,6, Diego Armando Santillán-Santos3,5,6, Fabián Andrés Rosas Romero3,7-9, Daniel Sánchez Arreola5,10, Jesús Daniel López Tapia3,5,9,11, Manuel José Vázquez Lima12,13, Darío Eduardo García3,9,14,15, Juan González del Castillo2,3,16, Edgardo Menéndez3,9,15,17, Pascual Piñera Salmerón2,3,18, Francisco Javier Candel González2,3,19, Rafael Rubio Díaz1,2, Ricardo Juárez González13,20
Affiliation of the authors
1Emergency Department, Complejo Hospitalario Universitario de Toledo, Universidad de Castilla La Mancha, Toledo, Spain. 2INFURG-SEMES: Infection Working Group of the Spanish Society of Emergency Medicine. 3GT-LATINFURG: Latin American Working Group for the improvement of the care of the patient with infection in the Emergency Department of FLAME (Latin American Federation of Emergency Medicine) and INFURG-SEMES. 4Adult Intensive Care Unit, Hospital Juárez de México, Mexico City, Mexico. 5Mexican Society of Emergency Medicine (SMME.AC). 6Emergency Department, Hospital General de Mexico Dr. Eduardo Liceaga, Mexico City, Mexico. 7Emergency Department, Clínica La Colina, Bogotá, Colombia. 8Colombian Association of Emergency Medicine Specialists (ACEM). 9FLAME: Latin American Federation of Emergency Medicine. 10Emergency Department, ABC Medical Center, Mexico City, Mexico. 11University of Monterrey, Hospital General de Zona 17. Monterrey, Nuevo Leon, Mexico. 12Hospital do Salnes, Vilagarcía de Arousa, Pontevedra, Spain. 13Sociedad Española de Medicina de Urgencias y Emergencias (SEMES). 14Hospital de Alta Complejidad El Cruce, Florencio Varela, Buenos Aires, Argentina. 15Argentine Society of Emergency Medicine (SAE). 16Emergency Department, Hospital Universitario Clínico San Carlos, IDISSC, Madrid, Spain. 17Emergency Unit, Hospital Médico Policial Churruca-Visca, Buenos Aires, Argentina. 18Emergency Department, Hospital Universitario Reina Sofía, Murcia, Spain. 19Clinical Microbiology Service, Hospital Universitario Clínico San Carlos, IDISSC, Madrid, Spain. 20Emergency Department, Hospital Nuestra Señora del Prado de Talavera, Toledo, Spain.
Julián-Jiménez A, Gorordo-Delsol LA, Merinos-Sánchez G, Santillán-Santos DA, Rosas Romero FA, Sánchez Arreola D, et al. The Guadalajara Declaration on sepsis: emergency physicians’ constructive comments on the Surviving Sepsis Campaign’s 2021 updated guidelines. Emergencias. 2023;35:53-64
The Surviving Sepsis Campaign (SSC) published a 2021 update of its 2016 recommendations. The update was awaited with great anticipation the world over, especially by emergency physicians. Under the framework of the CIMU 2022 (33rd World Emergency Medicine Conference) in Guadalajara, Mexico in March, emergency physicians reviewed and analyzed the 2021 SSC guidelines from our specialty’s point of view. In this article, the expert reviewers present their consensus on certain key points of most interest in emergency settings at this time. The main aims of the review are to present constructive comments on 10 key points and/or recommendations in the SSC 2021 update and to offer emergency physicians’ experience- and evidence-based proposals. Secondarily, the review’s recommendations are a starting point for guidelines to detect severe sepsis in emergency department patients and prevent progression, which is ultimate goal of what has become known as the Guadalajara Declaration on sepsis.
More articles by the authors
Privacy Overview
This website uses cookies so that we can provide you with the best user experience possible. Cookie information is stored in your browser and performs functions such as recognising you when you return to our website and helping our team to understand which sections of the website you find most interesting and useful.
Strictly Necessary Cookies
Strictly Necessary Cookie should be enabled at all times so that we can save your preferences for cookie settings.
If you disable this cookie, we will not be able to save your preferences. This means that every time you visit this website you will need to enable or disable cookies again.
