Septic Storm

[Jane Harper]

The paramedics I've worked with have come nowhere close to having the
knowledge base to perform as a midlevel provider.  Things must really have
changed ...

Jane Harper, RN, ACNP-BC


On 4/21/08 11:19, "Ben Reynolds" <aneurysm_42 at yahoo.com> wrote:

> That's interesting.
> 
> Where did you perform those duties?
> 
> Ben Reynolds, PA-C
> Pittsburgh, PA
> 
> 
> ----- Original Message ----
> From: Mike Smertka <medic0947969 at yahoo.com>
> To: "Trauma &, Critical Care mailing list" <trauma-list at trauma.org>
> Sent: Monday, April 21, 2008 8:08:02 AM
> Subject: Re: Septic Storm
> 
> Dan,
>   
>   That's pretty much right on the money, but in my last employ I was basically
> an in-hospital PA. with the title of paramedic. I have come to believe a
> paramedic fills in wherever there is a hole in healthcare. Makes me look smart
> in school though.
> 
>   Mike
>   
>   
> Dan & Emily Ele <un2god at earthlink.net> wrote:
>   Just what are Paramedics able to do these days? Have they become
> pre-hospital physician assistants?
> 
> Dan
> 
> -----Original Message-----
>> From: Krin135 at aol.com
>> Sent: Apr 20, 2008 3:56 PM
>> To: trauma-list at trauma.org
>> Subject: Re: Septic Storm
>> 
>> 
>> In a message dated 04/20/2008 16:40:01 Central Daylight Time,
>> r.simpson at clear.net.nz writes:
>> 
>> Septic Storm is a phrase that I've heard used fairly
>> frequently in the setting of meningococcal septicaemia.
>> Following antibiotic administration, cell wall breakdown
>> releases large amounts of endotoxin, causing the described
>> result. Something for paramedics to be wary of if they are
>> administering antibiotics in the field, particularly if they
>> have long trasnport times as the patient tends to get a lot
>> worse before (if) they get better.
>> 
>> Robbie Simpson
>> 
>> 
>> IIRC, it's also known from certain other gram negative sepsis situations,
>> mostly involving urinary or gut infections with pathogenic E. coli.
>> 
>> ck
>> Charles S. Krin, DO FAAFP
>> 
>> 
>> 
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