Management plan
It is essential to evaluate the response to
treatment and an ongoing management
plan. This should include level of observation,
review schedule and an escalation
plan. Clear escalation supports decision
making for the whole team, setting out
who should be contacted and when. A plan
is needed for those who may not respond
effectively and who need more invasive
monitoring or intervention, usually provided
in a high-dependency or intensive
care environment. Treatment goals will be
to optimise cardiac output measures, oxygenation
and tissue perfusion and to
measure the response to treatment.