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 Public Service Notice - Sepsis 
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Joined: April 11th, 2012, 7:30 pm
Posts: 452
Post Public Service Notice - Sepsis
Having had sepsis twice and now taking 2,000mg of Keflex every day for the rest of my life I thought I would post this.


Study finds that speeding up sepsis care can save lives
By LAURAN NEERGAARD - The Associated Press

WASHINGTON (AP) — Minutes matter when it comes to treating sepsis, the killer condition that most Americans probably have never heard of, and new research shows it's time they learn.
Sepsis is the body's out-of-control reaction to an infection. By the time patients realize they're in trouble, their organs could be shutting down.
New York became the first state to require that hospitals follow aggressive steps when they suspect sepsis is brewing. Researchers examined patients treated there in the past two years and reported Sunday that faster care really is better.
Every additional hour it takes to give antibiotics and perform other key steps increases the odds of death by 4 percent, according to the study reported at an American Thoracic Society meeting and in the New England Journal of Medicine.
That's not just news for doctors or for other states considering similar rules. Patients also have to reach the hospital in time.
"Know when to ask for help," said Dr. Christopher Seymour, a critical care specialist at the University of Pittsburgh School of Medicine who led the study. "If they're not aware of sepsis or know they need help, we can't save lives."
The U.S. Centers for Disease Control and Prevention last year began a major campaign to teach people that while sepsis starts with vague symptoms, it's a medical emergency.
To make sure the doctor doesn't overlook the possibility, "Ask, 'Could this be sepsis?'" advised the CDC's Dr. Lauren Epstein.
SEPSIS IS MORE THAN AN INFECTION
Once misleadingly called blood poisoning or a bloodstream infection, sepsis occurs when the body goes into overdrive while fighting an infection, injuring its own tissue. The cascade of inflammation and other damage can lead to shock, amputations, organ failure or death.
It strikes more than 1.5 million people in the United States a year and kills more than 250,000.
Even a minor infection can be the trigger. A recent CDC study found nearly 80 percent of sepsis cases began outside of the hospital, not in patients already hospitalized because they were super-sick or recovering from surgery.
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THERE'S NO SINGLE SYMPTOM
In addition to symptoms of infection, worrisome signs can include shivering, a fever or feeling very cold; clammy or sweaty skin; confusion or disorientation; a rapid heartbeat or pulse; confusion or disorientation; shortness of breath; or simply extreme pain or discomfort.
If you think you have an infection that's getting worse, seek care immediately, Epstein said.
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WHAT'S THE RECOMMENDED CARE?
Doctors have long known that rapidly treating sepsis is important. But there's been debate over how fast. New York mandated in 2013 that hospitals follow "protocols," or checklists, of certain steps within three hours, including performing a blood test for infection, checking blood levels of a sepsis marker called lactate, and beginning antibiotics.
Do the steps make a difference? Seymour's team examined records of nearly 50,000 patients treated at New York hospitals over two years. About 8 in 10 hospitals met the three-hour deadline; some got them done in about an hour. Having those three main steps performed faster was better — a finding that families could use in asking what care a loved one is receiving for suspected sepsis.


May 21st, 2017, 5:03 pm
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Joined: September 27th, 2008, 9:28 am
Posts: 6854
Location: Australian
Post Re: Public Service Notice - Sepsis
Quote:
"Know when to ask for help," said Dr. Christopher Seymour, a critical care specialist at the University of Pittsburgh School of Medicine who led the study. "If they're not aware of sepsis or know they need help, we can't save lives."


When I had sepsis, I actually DIED because I kept putting off going to Hospital. I was seeing a Doctor on the Monday and decided I would check it out with him then. I ignored the symptoms, "shivering, a fever or feeling very cold; clammy or sweaty skin; confusion or disorientation; a rapid heartbeat or pulse; confusion or disorientation; shortness of breath". It was only after having a "Cardiac Arrest" and subsequent shock, on the Sunday, the day before I was due to see to doctor, that I went to Emergency. Anyone else without an ICD would have died.

I had know idea how sick I was, but I soon found out.

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“I am not what happened to me, I am what I choose to become.” Carl Jung

Diagnosed with cardiomyopathy in 10/99
LBBB & VT diagnosed Feb 06
Guidant Biventricular Pacer ICD inserted Feb 06: Boston Scientific Incepta CRT-D inserted May, 2012
Oesophageal Cancer, 2012, Gall Bladder & Septicemia 2014 resulting in VFib and severe heart damage
Bare Metal Stent May, 2012 Mitral Valve replaced 2015
Meds: Entresto, Bicard, Coralan, Eurtorxsiq, Frusehexl, Spiractin, Sigmaxin, Creon, Warfarin,
Appropriate Shocks for Ventricular VFib.


May 21st, 2017, 9:40 pm
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Joined: April 18th, 2009, 7:19 pm
Posts: 8407
Location: Broomfield, Colorado
Post Re: Public Service Notice - Sepsis
Thanks Al;
It looks like the guidelines are out there now for all in the medical field. Now if they would only read them and take action.

wavhi

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Bob

Medtronic-Visia AF implanted 7-8-2016 stayed with the with 6947 Sprint Quattro Secure lead. Original ICD implant 2-4-2009.
Major heart attack, carcinogenic shock and quad bypass 10-13-08 post myocardial infarction, old inferior MI complicated by shock and CHF, combined, Atherosclerosis, abdominal aortic Aneurysm, Seroma 7 cm, left leg. Stent in the left main vein 10-7-2014

My "Wardens" are my bride of 53+ years and my eldest daughter.


May 22nd, 2017, 5:45 am
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Joined: February 9th, 2012, 5:09 pm
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Post Re: Public Service Notice - Sepsis
when i had sepsis, they never actually told me i had it....I got this infection the time i had the 3 1/2 hr surgery to remove the old lead....and i can think of 3 possible reasons i got it......it started on the surgery site but travelled down thro the lead just stopping short of my heart...they did tell me i had some weird tropical disease at the time and i ended up with almost 4 months of heavy duty antibiotics and the plan was that christmas if the week of christmas the disease wasnt under control theyd remove the implant leads etc etc...try treat the infection...and if i survived re implant an icd around feb but the entire time id spent in hospital...i was not a happy camper...

when the infection started i didnt have any symptoms other than a low grade fever the reason i went back to the dr was the surgery site didnt look like and was pumping blood..and being honest if that hadnt happened id never have gone anywhere...they tried to cut of the infected part but at that stage the infection was travelling thro my lead anyways...during the treatment and at the height of the infection the side effects i had were because of the meds, never because of the sepsis itself.......how would you know if you even had it????? ive been told now though that because of this incident im susceptible to getting it again??? so far touch wood nothing......wonder if theyre right though

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May 22nd, 2017, 11:07 am
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