Telemedicine and the patient with sepsis

Severe sepsis remains a significant medical problem affecting up to 18 million individuals worldwide. Mortality remains high ranging between 28% and 50%. Owing to this and the time-sensitive nature of this disease state, early identification and prompt interventions are necessary to improve outcomes. Technology associated with telemedicine may help in screening, identifying, and monitoring the attainment of the severe sepsis bundle elements in a timely manner. However, the heterogeneity of systemic inflammatory response syndrome and clinical assessment necessary to diagnose and assess patients with severe sepsis makes technology alone insufficient to improve the outcomes in these patients.