Consider calling 999 in patients with any red flag signs of sepsis eg
New deterioration in GCS/AVPU
Systolic BP <90mmHg (or >40mmHg below normal)
O2 sats <92% (88% in COPD)
Non-blanching rash or mottled/ashen/cyanotic
Not passed urine for 18 hours
Urine output <0.5ml/kg/hr if catheterised
In patients who are immunosuppressed have a lower threshold for admitting via 999.
For further information please follow the link for the Sepsis Trust GP decision support tool.