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Septris - Learn to Identify and Manage Sepsis


Internet Enduring Material Sponsored By: Stanford University School of Medicine

Presented by: Stanford Hospital and Clinics Department of Quality, Patient Safety and Effectiveness 

  • Original Release Date: December 12, 2011
  • Most Recent Review Date: January 10, 2013
  • Expiration Date: January 9, 2014
  • Estimated Time to Complete: 120 minutes
  • CME Processing Fee: Learners pay $20

To Obtain CME Credits:

  • Review the information below and complete the entire activity
  • Follow the link at the end of the activity to complete course evaluation, post-asessment and post-test
  • Applicants with a post-test score of 75% (3 out of 4 case-based questions) will be able to print a CME certificate. 5 attempts will be allowed to pass the post-test.

Intended Audience
Designed for hospital-based medical and surgical, intensive care and emergency department physicians and nurses.

Course Description
Sepsis strikes approximately 750,000 people in the US and is responsible for more than 215,000 deaths. Mortality remains high at 25-50% at a cost of $17 billion each year [1]. Septic states have become far too common; with unacceptable high mortality rates and lengthy hospitalizations, it is one of the most costly conditions to treat. This activity provides a practical approach to early sepsis identification and application of evidence-based management (best practice) and evidence-based guidelines. Interactive case scenarios will be used to put these principles into practice.

Learning Objectives

  • Classify epidemiology of sepsis syndrome and differentiate between the different forms of sepsis syndromes (simple, severe and septic shock).
  • Integrate best evidence practices, clinical expertise and diagnostic test results for early identification and optimal management of septic states using evidence-based guidelines and clinical decision support tools (eg. ordersets, best practice alerts etc.)
  • Demonstrate specific best practice strategies such as fluid resuscitation, early identification with laboratory markers and screening and transfer of patient to higher care with sepsis.
  • Describe priority actions for establishing and implementing early goal directed therapies for the septic patients along the continuum of care.
  • Develop and apply communication skills related to identification and management of sepsis when working among healthcare teams. (eg. Calling for help early)

The following planners, authors and content reviewers have indicated that they have no relationships with industry to disclose relative to the content of this activity:

Lisa Shieh, MD, PhD
Course Director/Content Reviewer
Clinical Associate Professor of Medicine
Medical Director of Quality, DOM
Stanford University School of Medicine

Eileen P. Pummer, MSN, RN, CPHQ
Course Co-Director/Content Reviewer
Quality Manager
Stanford Hospital & Clinics

William Daines, MD
Clinical Instructor of Medicine
Stanford University School of Medicine

Paul M. Maggio, MD
Assistant Professor of Surgery
Co-Director of Critical Care Medicine
Stanford University Medical Center

Matthew Strehlow, MD
Clinical Assistant Professor of Surgery
Stanford Hospital & Clinics

Irina Tokareva, BSN, MAS, CPHQ
CME Curriculum and Outcomes Manager
Stanford University School of Medicine

Technical Design and Development

Jamie Tsui
Stanford EdTech
Pauline Brutlag
Stanford EdTech

Brian Tobin
Stanford EdTech

James Laird

Glenn Zephier

System Requirements
Runs best on iPad/iPhone or Android. On desktop, requires latest Firefox, Google Chrome, or Apple Safari with pop-ups allowed.
Internet Explorer is not supported, and should be closed prior to opening the game.

Contact Information
For further information regarding the content, CME credit or if you experience any technical difficulties with this enduring material please send an email to

Accreditation and Designation of Credits
The Stanford University School of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The Stanford University School of Medicine designates this enduring material for a maximum of 2.0 AMA PRA Category 1 Credit(s)™.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Credit Designation statement for RN's
The California Board of Registered Nursing recognizes that Continuing Medical Education (CME) is acceptable for meeting RN continuing education requirements; as long as the course is certified for 2.0 AMA PRA Category 1 Credit(s)™ ( Nurses will receive a Certificate of Participation following this activity that may be used for license renewal.

Commercial Support Acknowledgement
Stanford University School of Medicine has received and has used undesignated program funding from Pfizer, Inc. to facilitate the development of innovative CME activities designed to enhance physician competence and performance and to implement advanced technology. A portion of this funding supports this activity.

California Assembly Bill 1195 – Cultural and Linguistic Competency
California Assembly Bill 1195 requires continuing medical education activities with patient care components to include curriculum in the subjects of cultural and linguistic competency. It is the intent of the bill, which went into effect July 1, 2006, to encourage physicians and surgeons, CME providers in the State of California and the Accreditation Council for Continuing Medical Education to meet the cultural and linguistic concerns of a diverse patient population through appropriate professional development. The planners and speakers of this CME activity have been encouraged to address cultural issues relevant to their topic area. The Stanford University School of Medicine Multicultural Health Portal also contains many useful cultural and linguistic competency tools including culture guides, language access information and pertinent state and federal laws. You are encouraged to visit the portal:

Please note this is an educational tool and the clinical information found in this game is part of an enduring educational material. It should not take the place of practitioner decision-making in clinical circumstances.

1 Angus DC, Linde-Zwirble WT, Lidicker J, Clermont G, Carcillo J, Pinsky MR. Epidemiology of severe sepsis in the United States: Analysis of incidence, outcome, and associated costs of care. Crit Care Med. 2001 Jul;29(7):1303-10.

Type:     Internet Activity (Enduring Material)
21 Registered Users
2 Credits> Accreditation Council for Continuing Medical Education> AMA PRA Category 1 Credit