Uptated June 29, 2011
1. - Respiratory rate
Harrison's Online 17th Edition Chapter 265 (Chap. 254 16th Edition) claims in SIRS criteria: tachypnea (>24 breaths/min).
Harrison's Online 17th Edition Chapter 265 (Chap. 254 16th Edition) claims in SIRS criteria: tachypnea (>24 breaths/min).
Medscape (and Sleisenger and Fordtran's Gastrointestinal and Liver Disease 9th Ed. Chap. 58 p. 973) state it's 20 breaths/min.
I am aware this seemingly doesn't change clinical decisions - as trachypnea is part of a broader picture - but still numbers are numbers.
2. - Fever
Harrison's: oral temperature >38°C
Medscape (and Sleisenger and Fordtran's): rectal temperature greater than 38°C
Uptodate 19.1: Temperature >38.5°C or <35.0°C
Data from: Annane, D, Bellissant, E, Cavaillon, JM. Septic shock. Lancet 2005; 365:63.
Data from: Annane, D, Bellissant, E, Cavaillon, JM. Septic shock. Lancet 2005; 365:63.
Rectal and oral temperatures are not the same, being rectal + 0,4 °C oral.
3. - Procalcitonin. Harrison's doesn't mention this laboratory finding. Medscape does.
Thanks for your attention and comments & suggestions.