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EMCrit 422 - SSC 2026 Guidelines: The good, the Bad, and the UGLY

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Scott D. Weingart, MD FCCM

Science, Health & Fitness, Medicine

4.82K Ratings

🗓️ 29 March 2026

⏱️ 60 minutes

🧾️ Download transcript

Summary

Transcript

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0:00.0

Hey folks, this Scott Weingart, and this is the MCRIT podcast. Today on the podcast, the surviving

0:05.3

sepsis campaign 2026 guidelines. The good, the bad, and the ugly. So we're going to talk about

0:14.3

a lot of stuff with our guest today, Haley Prescott, who is the co-chair of the committee and the

0:20.8

lead author of the guidelines. So some of the

0:25.1

things we're going to go into in this episode, and I really enjoyed this episode, so I think

0:29.1

you're going to love it as well, is the idea of our guideline writers, especially surviving

0:34.8

sepsis campaign guideline writers writers, just writing guidelines?

0:42.3

Or are they somewhat responsible for the pipeline, from guideline to quality measure,

0:45.5

to performance metric, to pay for performance metrics?

0:50.1

And you might say, oh, they're just writing the guidelines.

0:51.9

It's not their fault or problem.

0:56.8

But prior chairs, not Haley, but prior chairs of the surviving stepses campaign have also then gone on to directly write the quality measures and advise

1:02.3

on the performance metrics. So there definitely was a clearly established pipeline. And that being said,

1:10.3

if there were none of these metrics in my country, the United

1:13.2

States, I'd have a lot less of a problem with some of the pieces of these surviving

1:19.1

substance campaign guidelines. But I am in the United States, and therefore I have to look

1:23.9

through that lens. So you'll hear a bunch about that. You'll hear about the difference between strength of recommendations and quality of evidence.

1:33.1

This is a big one for these guidelines in particular, but all of the surviving sepsis campaign

1:37.6

guidelines.

1:38.7

Now, normally I agree with clinicians getting together, as long as you have a broad-based consortium of clinicians,

1:47.3

and making recommendations where evidence does not yet exist.

1:51.2

I think that's fine.

...

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