Examining triage, recognition and clinician decision making in patients with sepsis attending a Ghanaian emergency department

Sepsis is a severe response to overwhelming infection resulting in inflammation, coagulation, multi-organ failure and potentially death when not recognised and treated promptly1. Hence, considered a medical emergency2. Globally sepsis is recognised as a significant cause of hospital admission and preventable deaths3; hence considerable efforts are being made to improve recognition and care2. Sepsis has been prioritised in many high-income countries but has received less attention in non-pregnant adult populations in low-income healthcare contexts. To improve outcomes the WHO recommends implementation of the Sepsis 6 bundle4 but this has not yet been implemented in many countries including Ghana.