sepsis by don hudson, d.o.,facep/acoep. what is sepsis this is an infection that has spread to the...
TRANSCRIPT
Sepsis
By
Don Hudson, D.O.,FACEP/ACOEP
What is sepsis
This is an infection that has spread to the blood
The patient will usually have a low B/P & be in shock
It may caused by Viral, Bacterial or Fungal infections
It may also be caused by the bodies own defense systems
Who May Get Septic
The very young & the very oldPeople with chronic infectionsCancer patientsPatients with large injuriesPatients on steroidsAlso transplant patients
What other infections might cause sepsis
PneumoniaMeningitisCellulitisUrinary tract infections, PyelonephritisGall Bladder diseaseRuptured appendix
Possible Sepsis
Hot Steam
Knee Puncture
Pneumonia
Other Causes & Recognition
FOURTNER’S GANGRENE
What Will You Do ?
Two large bore IV’sOxygen & and MonitorCall medical controlAntibiotics IV, first choice on site will be
RocephinConsider VasopressorsDiscuss with medical control possibility of
draining obvious abscesses
These are sick patients
They will need a medivac after you discuss with medical control
These patients have the potential to die quickly
Aggressive treatment is needed
What about the other infections
Most will be self limiting with good hygieneOTC creams & antibioticsClose observation at least dailyCheck feet especially diabeticsMRSA is still an issue and will be treated
off site (usually)
Medivac Not Available
You need to discuss carefully with med control all of the options
Monitor B/P, urine output as well as the rest of the V/S
Examine the patient frequentlyTake good notes