%0 Journal Article %T Lack of clinically evident signs of organ failure affects ED treatment of patients with severe sepsis %A Dirkjan Kakebeeke %A Alice Vis %A Ernie RJT de Deckere %A Maro H Sandel and Bas de Groot %J International Journal of Emergency Medicine %D 2013 %I BioMed Central %R 10.1186/1865-1380-6-4 %X The presence of clinically evident compared to biochemical signs of organ failure was associated with increased compliance with a SSC-based resuscitation bundle and admission to the ICU, suggesting that recognition of severe sepsis is an important barrier for successful implementation of quality improvement programs for septic patients. In septic ED patients admitted to the ICU, the time to antibiotics was shorter compared to patients admitted to a normal ward. %K Severe sepsis %K Septic shock %K Emergency services hospital %K ˇ°Surviving Sepsis Campaign %K ˇ± Compliance %K Protocol adherence %U http://www.intjem.com/content/6/1/4/abstract