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dc.contributor.authorBoardman, Sue
dc.contributor.authorRichmond, Chris
dc.contributor.authorRobson, Wayne
dc.contributor.authorDaniels, Ron
dc.date.accessioned2021-04-24T12:48:15Z
dc.date.available2021-04-24T12:48:15Z
dc.date.issued2013-09-29
dc.identifier.citationBoardman, S., et al, 2013. Prehospital management of a patient with severe sepsis. Journal of Paramedic Practice, 1 (5), 183-188.en_US
dc.identifier.issn1759-1376
dc.identifier.issn2041-9457
dc.identifier.doi10.12968/jpar.2009.1.5.42060
dc.identifier.urihttp://hdl.handle.net/20.500.12417/1044
dc.description.abstractParamedics have made a significant contribution to reductions in mortality for the time-critical conditions of acute myocardial infarction (AMI) and major trauma (Myocardial Ischaemia National Audit Project (MINAP), 2008), and they will be instrumental in helping to reduce stroke mortality in the near future (Department of Health 2006). These improvements have, and will be achieved by pre-hospital diagnosis and prompt aggressive treatment. There is however another time critical condition that is currently not being targeted, in which pre-hospital staff could significantly improve the patient’s chances of survival. This condition is severe sepsis. This article presents a case study of a patient with severe sepsis who is transported from a nursing home to the emergency department (ED), and explores how paramedics can diagnose severe sepsis by use of a screening tool, and discusses the practicalities of delivering evidence-based care en route to hospital (high concentration oxygen, intravenous fluid challenges, intravenous antibiotics, measuring blood lactate). The benefits of alerting the receiving hospital of a patient with severe sepsis are also discussed. Abstract published with permission.
dc.language.isoenen_US
dc.subjectEmergency Medical Servicesen_US
dc.subjectSepsisen_US
dc.subjectPre-hospital Careen_US
dc.subjectEvidence Based Practiceen_US
dc.subjectLactates - Blooden_US
dc.titlePrehospital management of a patient with severe sepsisen_US
dc.source.journaltitleJournal of Paramedic Practiceen_US
rioxxterms.versionNAen_US
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserveden_US
rioxxterms.licenseref.startdate2021-04-01
rioxxterms.typeJournal Article/Reviewen_US
refterms.panelUnspecifieden_US
refterms.dateFirstOnline2013-09-29
html.description.abstractParamedics have made a significant contribution to reductions in mortality for the time-critical conditions of acute myocardial infarction (AMI) and major trauma (Myocardial Ischaemia National Audit Project (MINAP), 2008), and they will be instrumental in helping to reduce stroke mortality in the near future (Department of Health 2006). These improvements have, and will be achieved by pre-hospital diagnosis and prompt aggressive treatment. There is however another time critical condition that is currently not being targeted, in which pre-hospital staff could significantly improve the patient’s chances of survival. This condition is severe sepsis. This article presents a case study of a patient with severe sepsis who is transported from a nursing home to the emergency department (ED), and explores how paramedics can diagnose severe sepsis by use of a screening tool, and discusses the practicalities of delivering evidence-based care en route to hospital (high concentration oxygen, intravenous fluid challenges, intravenous antibiotics, measuring blood lactate). The benefits of alerting the receiving hospital of a patient with severe sepsis are also discussed. Abstract published with permission.en_US


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