Septic Storm

[Mike Smertka]

Responded to both off list. did not mean to anger or insult anyone
   
  Mike 

Ben Reynolds <aneurysm_42 at yahoo.com> wrote:
  Jane:

I agree with you wholeheartedly. I eagerly await Mike's response.

Ben Reynolds, PA-C
Pittsburgh, PA

Jane Harper wrote: 
> 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" wrote:
>> That's interesting.
>> 
>> Where did you perform those duties?
>> 
>> Ben Reynolds, PA-C
>> Pittsburgh, PA
>> 
>> 
>> ----- Original Message ----
>> From: Mike Smertka 
>> To: "Trauma &, Critical Care mailing list" 
>> 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 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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