Thursday, March 9, 2017

Modern Sepsis Review

When it comes to Sepsis, EMS providers must go against most training that says, “treat your patient and not your monitor”.  When dealing with patients with a recent infection, fracture or a history of similar conditions and are currently showing signs of sepsis, appropriate and timely recognition of sepsis is the key to turning a medical condition with a current mortality rate of approximately 50%, into a call where lives are truly saved and leave people leading independent, normal lives in the aftermath.  While possible septic patients may present with being conscious, and alert enough to have the 911 EMD System generate the call as a ‘Sickness’ with an “Alpha” determinate where the responder responds non-emergency, the patient may very well be entering a state of shock that they will never survive.  Unless the patient is evaluated correctly with the use of qSOFA and capnography (Etco2) and appropriate treatment given, the chances of survival is minimal.   Sepsis is responsible for the deaths of nearly 20 Million people around the world each year.  Sepsis is one of the most highly misdiagnosed medical conditions in modern medicine and a condition with one of the highest mortality rates even when it is diagnosed correctly.  With quick field recognition, correct screening and treatment combined with rapid transportation, we can reduce mortality rates substantially.  

2 comments:

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