Guideline Appropriate

Patient Information

MRN
SEP-2024-002
Patient ID
2051
Location
PICU
Age at Trigger
1095 days

Bundle Information

Bundle
Pediatric Sepsis Bundle
Trigger
Sepsis, unspecified organism
Trigger Time
2026-01-31 13:08
Adherence
60.0%

LLM Assessment

Pending HIGH confidence 2026-01-31 22:08
Reasoning:

Clinical appearance: toxic_appearing; Confidence: HIGH; Concerning signs: Lethargy documented, Mottling documented, Toxic appearance documented; Elements: 3 met, 2 not met, 1 pending

Supporting Evidence:
  • Ill-appearing 3-year-old, lethargic but responsive to voice
  • Mottled, cool extremities, cap refill 4 seconds
  • Dry mucous membranes, sunken eyes
  • Tachycardic, thready peripheral pulses, cool extremities
Model: qwen2.5:7b (triage) Response: 2100ms
View extraction details
Concerning Signs:
  • Lethargy documented
  • Mottling documented
  • Toxic appearance documented
  • 6 concerning sign(s) identified
Raw JSON
{
  "appearance": "toxic_appearing",
  "concerning_signs": [
    "Lethargy documented",
    "Mottling documented",
    "Toxic appearance documented",
    "6 concerning sign(s) identified"
  ],
  "confidence": "HIGH",
  "is_high_risk": true,
  "model_used": "qwen2.5:7b (triage)",
  "reassuring_signs": [],
  "response_time_ms": 2100,
  "supporting_findings": [
    "Lethargy documented",
    "Mottling documented",
    "Toxic appearance documented",
    "6 concerning sign(s) identified"
  ],
  "supporting_quotes": [
    "Ill-appearing 3-year-old, lethargic but responsive to voice",
    "Mottled, cool extremities, cap refill 4 seconds",
    "Dry mucous membranes, sunken eyes",
    "Tachycardic, thready peripheral pulses, cool extremities"
  ]
}

Bundle Elements

Antibiotics within 1 hour

Value: Given at 15:20

DELAYED 80 min - pharmacy delay

Deadline: 2026-01-31 14:08

Required
Blood culture obtained

Value: Collected 14:05

Before antibiotics

Deadline: 2026-01-31 19:08

Required
Fluid resuscitation initiated

Value: 60 mL/kg given

3 boluses

Deadline: 2026-01-31 19:08

Required
Lactate measured

Value: 4.2 mmol/L

Elevated - needs repeat

Deadline: 2026-01-31 19:08

Required
?
Antibiotic reassessment at 48h

Due in 44 hours

Deadline: 2026-02-03 13:08

Required
Repeat lactate if elevated

NOT DONE - initial was 4.2

Deadline: 2026-01-31 19:08

Required

Review History

Appropriate David Haslam 2026-01-31 22:13
Demo Environment: All patient data displayed is simulated. No actual patient data is available through this dashboard.