Common Long Term ProblemsPost Sepsis Syndrome (PSS) is the term used to describe the group of long term problems that some patients who have experienced severe sepsis can suffer during their rehabilitation period.The effect of any critical illness and spending time being treated in a Critical Care Unit is already recognised by health care professionals as causing certain long term problems for up to two years afterwards. However, sepsis can cause additional problems which may not become apparent for several weeks, for example, recurring infections during the rehabilitation period.THE LENGTH OF TIME SPENT IN HOSPITAL CAN ALSO AFFECT REHABILITATION.
New guidelines for sepsis and septic shock emphasize frequent patient re-evaluation and patient-specific tailoring of hemodynamic therapy. The guidelines were presented at the 46th Annual Meeting of the Society of Critical Care Medicine (SCCM) and were published online in Critical Care Medicine and Intensive Care Medicine.The guidelines, developed by the SCCM and the European Society of Intensive Care Medicine, serve as an update to the “Surviving Sepsis Campaign Guidelines for Management of Sepsis and Septic Shock: 2012.” The international panel was grouped into 5 sections— hemodynamics, infection, adjunctive therapies, metabolic, and ventilation—and provided 93 statements on early management and resuscitation of patients with sepsis or septic sho
I have just been chilling out inside the Lyon’s Den with the heat blazing outside. IT IS ALMIGHTY HOT. Today was rather odd. Just silent nothingness – again.I had the very lovely social worker here – basically to tell me that there is nothing she can offer me. The girls enjoyed school again so that’s good but my life is lonesome and odd. Plain odd.
This is vaguely my vague planning at the moment.
1.Have the endoscopy and varices ties.
2. Get the ultrasounds of abdomen.
3. THEN – go South for a couple of weeks.
PLAN NOTHING ELSE. Let the next stage work itself out.
( I tell you one thing – I don’t actually like living here. )
I really need some kind of miraculous intervention.
2013 at the Poteroo Palace out of Eden NSW
My man, Izzy, went running in the forest near our home June 21 2014 and never came home. He had a massive heat attack and found dead beside the road. In September 2014, still completely shattered and shocked, I began to feel tired and not real well but not enough to worry. I had pre existing conditions and the grief. Then one day, I started to feel worse. At midnight I began to bleed from the mouth and as I have a bleeding disorder and had promised my Doc that if I bled for 30 minutes I would call an ambulance – which I did. Next thing I am in the Regional Hospital In Coffs Harbour. This is a vague time but I was told I would be intubated because I had 12 1/2 minutes of life left. i refused till I could speak to my 2 children and my brother who was a CNC Nurse at RPA in Sydney. I recall very little from that point until weeks later when I woke from the coma. Unable to move , eat etc. Wasted and cathetered – all those things. ICU was very good but I went from there to medical and then was sent to Bellingen for rehab.It was the beginning of October by then and I was still unable to walk or sit or hold spoons etc. Instead of rehab they put me in an old persons ward with dementia patients. It was a nightmare. I knew my muscles were wasting and I was starving.My Doc sent me home alone then to our farm. Luckily my son was there ( he lives 1000km south) and my daughter but none of us really realised what was happening or had happened. It has been a very long 2 1/2 tears of piecing all the bits and pieces together. I have had 15 emergency hospital admissions since then. My hair fell out . I suffered terrible muscular pain and spasms and paralysis at times until acupuncture and then a lymphatic masseuse from Germany (on holidays) eased them. I have suffered so many of the symptoms I have read of in the Sepsis forums but been told by Medical People that they were all separate issues. Despair has been a frequent companion and fear. The physical weakness has been shattering as has the muddled thinking at times and vision.
The last month has felt a good deal better but life bears no resemblance to pre sepsis and nor do I.
Now the word sepsis has seeped its way into my vocabulary. I now try, where possible, to inform anyone about the condition. Here are some of the key symptoms of sepsis:
Slurred speech or confusion
Extreme shivering or muscle pain
Passing no urine (in a day)
It feels like you’re going to die
Skin mottled or discolored
A key problem with sepsis is detection. Most symptoms can be attributed to less severe illnesses, like the flu, gastroenteritis, and chest infections, and so often go undetected.
In Kirsty’s circumstances, the symptoms were extremely hard to discern from the post-operative healing and what she typically experienced with her chronic condition on a day-to-day basis. But do… REALLY DO look out for all sepsis-typical symptoms. Please let others know if you do not urinate, or if you feel extremely unwell: ‘like you might die’. I hope that as more people know about sepsis, they will be become more attuned for what to look out for.
GREAT Western Hospital has urged people to be vigilant to the signs of sepsis, after health experts warned patients to go straight to hospital if they think they have the deadly condition.After GPs cautioned patients with colds and coughs to stay away from surgeries last week, a winter health warning has been issued to remind people to be aware of the signs of one of the UK’s biggest killers.Health experts have now told patients with suspected sepsis not to write off the symptoms as a bad cold or flu bug, but to go hospital immediately if they suspect they have the infection.
Many thousands of Californians are dying every year from infections they caught while in hospitals. But you’d never know that from their death certificates.Sharley McMullen of Manhattan Beach came down with a fever just hours after being wheeled out of a Torrance Memorial Medical Center operating room on May 4, 2014. A missionary’s daughter who worked as a secretary at Cape Canaveral, Fla., at the height of the space race, McMullen, 72, was there for treatment of a bleeding stomach ulcer. Soon, though, she was fighting for her life.
And honestly maybe some people with chronic illness are. But I am asking you to consider grace, and here is why:Imagine you are living a fairly normal active life; you work, you socialize with friends a few times a week, maybe you are also busy with kids. You do stuff! You go out to movies, you eat out at restaurants, you meet friends for coffee, you have a lot of human interaction at work, you sometimes take day trips or mini vacations, and your life may not be perfect or exciting, but it is full.One day your body starts to betray you. Suddenly all the daily things that were no big deal become as hard as lifting heavy boulders. Your entire body is tired, tired to the point it feels like you have lead in your veins. You swear Earth’s gravity just dialed it up a notch as you struggle to go up the same staircase you have been bounding up the last five years.You start sleeping a lot more, so much more that you start to feel guilt over your “laziness.” Even after a full night’s sleep your body starts to shut down in the middle of the day and you need to nap. The thing is all this extra sleep doesn’t help and you are just as tired and fatigued when you wake up in the morning as the night before. Even worse, you feel hungover, even without alcohol: toxic, heavy, foggy, headache, basically like sludge.
Sepsis, also known as bloodpoisening, is responsible for many victims. It can start very sneaky, resembling a flue. That’s why sepsis often isn’t treated as an emergency. But early goal directed therapy can save so many lives. View this video called ‘It’s Sepsis – not Flue! Information for the public’:
Source: Video’s and more about sepsis
NHS workers failed to properly investigate how health service blunders led to the death of a boy from sepsis, a report has found.It is the second review by the Parliamentary and Health Service Ombudsman (PHSO) into the death of three-year-old Sam Morrish from Devon.The first found four health service groups made errors. The second examined how they investigated Sam’s death.NHS England said it wanted staff to “acknowledge when mistakes are made”.Click here for more updates on this story, plus more Devon and Cornwall newsThe Cricketfield GP Surgery, NHS Direct, Devon Doctors Ltd, and South Devon NHS Trust all faced criticism over the boy’s death in 2010.
Researchers argue in the Canadian Medical Association Journal this week that sepsis, a life-threatening organ malfunction, should be treated as a separate cause of illness and death around the globe.Sepsis is a life-threatening malfunction of an organ due to infection. It is linked to 25 to 30 per cent of hospital deaths worldwide, which increases to 40 to 50 per cent for patients with complications in low income countries.An estimated 30 million cases of sepsis each year result in more than eight million deaths.”Despite its burden, sepsis is not well recognized as a leading cause of death in its own right,” said Dr. Niranjan Kissoon, one of the editorial co-authors, a member of the Global Sepsis Alliance and a researcher at the University of British Columbia and British Columbia Children’s Hospital.
Sepsis should be recognized as a separate cause of illness and death around the world. This focus would help efforts to prevent sepsis by improving hygiene, nutrition and vaccination rates and also lead to timely treatment, better outcomes and quality of life for people with sepsis, argue researchers in a commentary http://www.cmaj.ca/site/press/cmaj.160798.pdf in CMAJ (Canadian Medical Association Journal).