<P> Septic treatment protocol and diagnostic tools have been created due to the potentially severe outcome septic shock . For example, the SIRS criteria were created as mentioned above to be extremely sensitive in suggesting which patients may have sepsis . However, these rules lack specificity, i.e. not a true diagnosis of the condition, but rather a suggestion to take necessary precautions . The SIRS criteria are guidelines set in place to ensure septic patients receive care as early as possible . </P> <P> In cases caused by an implanted mesh, removal (explantation) of the polypropylene surgical mesh implant may be indicated . </P> <P> The concept of SIRS was first conceived of and presented by Dr. William R. Nelson, of the Department of Surgery of the University of Toronto at the Nordic Micro Circulation meeting in 1983 . The presentation followed a decade of research with colleagues including; Dr. J. Vaage of the University of Oslo, Norway, Dr. D. Bigger, the Hospital for Sick Children, Toronto, Dr. D. Sepro of Boston University, and Dr. H. Movat of the Department of Pathology at the University of Toronto . The laboratory experience was borne out in the clinical setting with Canada's first trauma unit for which Nelson was a co-founder . This allowed in the mid 1980s, the concepts of SIRS to be taught by Dr. Miles Johnson of the university of Toronto, Department of Pathology at the undergraduate dental school, as well as to residents in the Department of Surgery of the University of Toronto who rotated through the Regional Trauma Unit at Sunnybrook Medical Center . SIRS was more broadly adopted in 1991 at the American College of Chest Physicians / Society of Critical Care Medicine Consensus Conference with the goal of aiding in the early detection of sepsis . </P>

What are the signs and symptoms of sirs