March 20, 2026 · Critical care medicine · DOI: 10.1097/CCM.0000000000007093

The Frame of Survival for Sepsis: A Practical Systems Framework for Time-Sensitive Critical Illness in Low-Resource Settings

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The authors aim to develop a practical framework, the "Sepsis Frame of Survival," to improve sepsis management in low-resource settings (LRS), addressing the high mortality rates associated with this time-sensitive condition. By conducting a targeted scoping review and engaging a multidisciplinary task force, they identify actionable strategies and prioritize feasible interventions that can be integrated into existing emergency and critical care systems. The framework emphasizes immediate, high-impact actions while recognizing the need for local evidence to inform ongoing quality improvement efforts.

Jorge L Hidalgo, Samuel O Akech, Subhash P Acharya, Craig M Coopersmith, Shevin T Jacob, Cintia Johnston, Niranjan Kissoon, Flávia R Machado, Ryan C Maves, Elizabeth Molyneux, Brenda M Morrow, Sheila N Myatra, M Susana Pérez Cornejo, Javier Perez-Fernandez, Chairat Permpikul, Kunchit Piyavechviratana, Andrew Rhodes, Teresa B Kortz, Vishakha K Kumar, Mpoki M Ulisubisya, Vinay Nadkarni

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