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    Recognising and managing severe sepsis in the pre-hospital environment

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    Author
    Small, Mark
    Keyword
    Emergency Medical Services
    Pre-hospital
    Sepsis
    Shock
    Early Goal Directed Therapy
    Journal title
    Journal of Paramedic Practice
    
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    URI
    http://hdl.handle.net/20.500.12417/1034
    DOI
    10.12968/jpar.2012.4.11.631
    Abstract
    Severe sepsis is a complex medical condition in which the immune system overreacts to an infection leading to circulatory shock and organ failure. Patients with severe sepsis are critically ill and have a high mortality rate in the absence of early aggressive treatment, however, recognition and treatment of the condition remains poor. Recent improvements in the care of patients with myocardial infarction, stroke and multiple trauma have demonstrated how pre-hospital recognition and treatment can greatly improve outcomes for patients, and paramedics are well placed to provide similar improvements to the care of patients with severe sepsis. This article will explore the pathophysiology of sepsis, the recommended treatment bundles suggested by the ‘sepsis six campaign’ and the difficulties faced in implementing such treatments. Finally, it will explore the interventions that could be undertaken by Paramedics to improve patient care. Abstract published with permission.
    ae974a485f413a2113503eed53cd6c53
    10.12968/jpar.2012.4.11.631
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