Sepsis Recognition & Diagnosis in Prehospital & Rural Community-based Health Settings & Recognizing Sepsis in Children

Session Descriptions:

This activity includes two sessions from the Sepsis Alliance Summit to meet the minimum time requirement for nursing CE credits. 

Sepsis Recognition & Diagnosis in Prehospital & Rural Community-based Health Settings  

With as many as 87% of sepsis cases originating in the community and not in the hospital, timely sepsis recognition and diagnosis in the prehospital and rural community-based healthcare settings are incredibly important elements for improving patient outcomes. Frontline providers from EMS, Community Hospital Emergency Medicine, and Primary & Urgent Care will discuss the unique challenges, health disparities, and considerations for multi-disciplinary collaboration around early sepsis recognition and timely care in the prehospital and rural community-based healthcare settings.  

Recognizing Sepsis in Children

This session will provide the audience with an understanding of how to recognize sepsis in children through the lens of a parent, a prehospital provider or hospital /office based acute care provider. It will describe the scope and impact of pediatric sepsis and offer best practices for rapid recognition of sepsis in children through quality improvement strategies.

These sessions were originally presented in September 2021 as part of the 2021 Sepsis Alliance Summit.   

Target Audience

Nurses, Advanced Practice Providers, Physicians, Emergency Responders, Pharmacists, Medical Technologists, Respiratory Therapists, Physical/ Occupational Therapist, Social Workers, Mental Health Professionals, Students, IT Professionals, Sepsis Survivors, Advocates, and more! 

Learning Objectives

At the end of the presentation, the attendee should be able to:

Sepsis Recognition & Diagnosis in Prehospital & Rural Community-based Health Settings  

  • Review the differences between prehospital, ambulatory, and rural community based-hospital care when compared to a tertiary care center.
  • Outline some of the unique challenges and barriers encountered in the in the prehospital, ambulatory, and rural community based-hospital settings.
  • Discuss the roles and responsibilities of healthcare providers across the prehospital and rural community-based settings for improving sepsis outcomes.
  • Describe the key multi-disciplinary factors that could improve and support early recognition, hand-off communication, and sepsis care in the prehospital, ambulatory, and rural community based-hospital healthcare settings. 

Recognizing Sepsis in Children

  • Discuss the importance of early recognition of sepsis and septic shock in children. 
  • Describe history and exam findings that contribute to the recognition of pediatric sepsis and septic shock across the continuum of care.
  • Discuss the use of quality improvement strategies to systematically identify children with sepsis and those at risk for severe sepsis and septic shock.
Course summary
Available credit: 
  • 1.50 Participation
  • 1.90 RN CE Contact Hours
    Provider approved by the California Board of Registered Nursing, Provider Number CEP17068.
Course opens: 
Course expires: 

Sepsis Recognition & Diagnosis in Prehospital & Rural Community-based Health Settings  

Marnie Doubek, MD, FAAFP

Lead Physician, Atlantic Medical Group

Dr. Doubek began her medical career in 2000, opening a private office providing quality primary care. She helped to build a successful, respected, family practice and in 2013 became part of Atlantic Medical Group. Today, Dr. Doubek is the lead physician in their Millburn, New Jersey office. In June 2014, Dr. Doubek found herself on the patient side of things. Her 11-year-old son, Zachary, developed severe sepsis due to an aggressive infection in his femur. Zachary survived, but she recognized the need to raise awareness and recognition of sepsis both in the medical community and in the general population. Dr. Doubek received her Bachelor of Arts from the University of Pennsylvania. She attended medical school at SUNY Health Science Center, Brooklyn and graduated in 1997. She completed her residency in family medicine at Overlook Hospital Family Medicine Residency Program, Summit, N.J., where she was chief resident in her third year.

Oscar Casillas, MD

Site Director, US Acute Care Solutions at MLK Jr Community Hospital

Born in Santa Monica, CA and raised in Los Angeles. Dr. Casillas obtained a B.S. in Business Administration from the University of Southern California. He completed medical school at UC San Diego before returning home to Los Angeles for Emergency Medicine residency at Harbor UCLA Medical Center.  In 2007, he joined the medical staff at Santa Monica UCLA Medical Center.  In 2015, Dr. Casillas moved into a new position as Medical Director for the Emergency Department at Martin Luther King Jr. Community Hospital (MLKCH) and helped open this new non-profit hospital in South Los Angeles.  Since 2015, MLKCH has quickly grown into one of the busiest Emergency Departments in Los Angeles County.  While at MLKCH, Dr. Casillas has been an active medical staff participant, serving on the Medical Executive Committee and numerous other clinical committees. Dr. Casillas is married with four children and has also enjoyed coaching sports at the youth and high school levels for the past 20 years. 

Rommie L. Duckworth, BS, LP 

Captain, EMS Coordinator, Ridgefield (CT) Fire Department

Rom Duckworth is a dedicated emergency responder, author, and educator with more than thirty years of experience working in career and volunteer fire departments, hospital healthcare systems, and private emergency medical services. Recipient of the American Red Cross Hero award, Sepsis Alliance Sepsis Hero award, and the EMS 10 Innovators award in addition to numerous awards and citations for excellence in education and dedication to service, Rom is currently a career fire Captain and paramedic EMS Coordinator for Ridgefield (CT) Fire Department and Founder of the New England Center for Rescue and Emergency Medicine. An Advisory Board member for the Sepsis Alliance, Rom is the author of chapters in more than a dozen EMS, fire, rescue, and medical textbooks as well as over 100 published articles in fire and EMS journals, magazines, and websites Rom is an international leader in emergency services education. 

Kevin Omilusik, MD, CHCQM-PhysAdv

Medical Director, Paul Oliver Memorial Hospital

Dr Kevin Omilusik, MD, CHCQM-PhysAdv is a Board Certified, Emergency Medicine physician. He completed medical school at University of North Dakota and Emergency Medicine Residency at Butterworth Hospital (now Spectrum) in Grand Rapids, Michigan. Following residency in 1998, he moved to Traverse City where he served as physician, Regional EMS Director, Emergency Department Chairman, and then Director of Emergency Services. In this capacity, in 2011 he developed protocols and processes necessary to open Munson Medical Center’s first dedicated Observation Unit. This required an increased understanding of insurance, reimbursement, inpatient case management, hospital operations and throughput. In 2015 he became a Physician Advisor for Patient Care Management and over the next year obtained Certification in Health Care Quality and Management with sub-specialty certification as a Physician Advisor. In 2018 he transitioned to Chief Medical Officer for Munson Medical Center. After 3 years in this position, he accepted a position as Medical Director of System Transfers and Physician Advisor Services for Munson Healthcare’s nine hospital system. He currently practices and serves as Medical Director at Paul Oliver Memorial Hospital, a critical access hospital 45 minutes west of Traverse City. In his leisure time he is an outdoor enthusiast who enjoys ultrarunning, biking, backpacking, travel and pretty much anything that involves being in the woods. 

Recognizing Sepsis in Children

Charles Macias, MD, MPH

Chief Quality Officer and Vice Chair of Quality, Division Chief, Pediatric Emergency Medicine, University Hospitals/ Rainbow Babies and Children’s Hospitals 

Dr. Charles Macias is a pediatric emergency medicine physician and improvement scientist. He is a graduate of Stanford University, Southwestern Medical School, and the University of Texas School of Public Health. He is the Chief Quality Officer and Vice Chair of Quality for the University Hospitals Rainbow Babies and Children’s system of care and Division Chief for Pediatric Emergency Medicine. Dr. Macias is a co-chair of the Improving Pediatric Sepsis Outcomes quality improvement collaborative of the Children’s Hospital Association—a collaborative of over 54 institutions that has decreased mortality from pediatric sepsis nationally. He has led or co-led other quality improvement collaboratives focused on emergency care diagnosis and management of pediatric sepsis with the American Academy of pediatrics, the Children’s Hospital Association of Texas, and the Children’s Hospital Association. He has served on numerous committees at the local, regional, and national level focused on improving the detection and evidence behind quantifying sepsis. The most recent was sponsored by the CDC in order to elucidate a strategy for surveillance definitions of pediatric sepsis. He has co-authored numerous publications, numerous book chapters, and co-edited a textbook of Pediatric Emergency Medicine. Additionally, he is the co-director of one of the two national Pediatric Disaster Centers of Excellence funded by the Assistant Secretary for Preparedness and Response. He also serves as the executive director of the national Emergency Medical Services for Children Innovation and Improvement Center, utilizing improvement science to drive better outcomes across the emergency services continuum of care. He serves in the subspecialty seat on the Board of Directors of the American Academy of Pediatrics, the largest pediatric professional society with over 65,000 members.

Provider approved by the California Board of Registered Nursing, Provider Number CEP17068 for 1.9 contact hours.

Other healthcare providers will receive a certificate of attendance for 1.5 contact hours.

Medical Disclaimer

The information on or available through this site is intended for educational purposes only. Sepsis Alliance does not represent or guarantee that information on or available through this site is applicable to any specific patient’s care or treatment. The educational content on or available through this site does not constitute medical advice from a physician and is not to be used as a substitute for treatment or advice from a practicing physician or other healthcare provider. Sepsis Alliance recommends users consult their physician or healthcare provider regarding any questions about whether the information on or available through this site might apply to their individual treatment or care.

Available Credit

  • 1.50 Participation
  • 1.90 RN CE Contact Hours
    Provider approved by the California Board of Registered Nursing, Provider Number CEP17068.
Please login or register to take this course.


This activity includes the following for each session:

  • Pre-test
  • Slides to download (only available for Recognizing Sepsis in Children)
  • Pre-recorded webinar
  • Post-test
  • Evaluation

All components must be completed for each session to earn a certificate of attendance. This course can be completed at your convenience.