Pediatric Sepsis Bundle Episode
Back to Active EpisodesPatient 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
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