Existing junior doctors, n (%) | New FY1s, n (%) | Comparison of new FY1s before and after teaching | |||
---|---|---|---|---|---|
FY1 | SHOs | Before teaching | After teaching | p-value | |
Total number of respondents | 12 | 11 | 23 | 23 | |
SIRS criteria | |||||
HR > 90 | 9 (75) | 10 (91) | 20 (87) | 22 (96) | 0.608 |
RR > 20 | 9 (75) | 10 (91) | 16 (70) | 23 (100) | 0.009 |
Temp > 38.3 | 11 (92) | 9 (82) | 22 (96) | 23 (100) | 1.000 |
Temp < 36 | 9 (75) | 4 (36) | 12 (52) | 19 (83) | 0.057 |
WCC < 4 | 4 (33) | 1 (9) | 6 (26) | 15 (65) | 0.017 |
WCC > 12 | 8 (67) | 3 (27) | 12 (52) | 18 (78) | 0.234 |
BM > 7.7 | 1 (8) | 1 (9) | 2 (9) | 19 (83) | <0.001 |
Altered conscious state | 1 (8) | 5 (45) | 0 (0) | 19 (83) | <0.001 |
All SIRS correct | 1 (8) | 1 (9) | 0 (0) | 8 (35) | 0.004 |
Sepsis definitions | |||||
Sepsis | 7 (58) | 6 (55) | 10 (43) | 20 (87) | 0.005 |
Severe sepsis | 1 (8) | 3 (27) | 9 (39) | 22 (96) | <0.001 |
Septic shock | 3 (25) | 2 (18) | 2 (9) | 18 (78) | <0.001 |
Sepsis Six | |||||
Oxygen | 11 (92) | 7 (64) | 17 (74) | 23 (100) | 0.022 |
IV antibiotics | 12 (100) | 11 (100) | 20 (87) | 23 (100) | 0.233 |
IV fluids | 12 (100) | 11 (100) | 19 (83) | 22 (96) | 0.346 |
Lactate | 10 (83) | 11 (100) | 12 (52) | 22 (96) | 0.002 |
Blood cultures | 11 (92) | 11 (100) | 20 (87) | 23 (100) | 0.233 |
Urine output | 9 (75) | 8 (73) | 13 (57) | 23 (100) | 0.001 |
Time = 1 hour | 11 (92) | 9 (82) | 8 (35) | 21 (91) | <0.001 |
All Sepsis Six correct | 8 (67) | 4 (36) | 9 (39) | 21 (91) | <0.001 |
BM = blood glucose; FY1 = foundation year 1; HR = heart rate; RR = respiratory rate; SHO = senior house officer; SIRS = systemic inflammatory response syndrome; WCC = white cell count.