References

Surviving Sepsis Campaign responds to sepsis-3. 2016. http//tinyurl.com/jkc73hf (accessed 14 December 2017)

Burney M, Underwood J, McEvoy S Early detection and treatment of severe sepsis in the emergency department: identifying barriers to implementation of a protocol-based approach. J Emerg Nurs.. 2012; 38:(6)512-517

Chippendale J, Lloyd A, Payne T, Dunmore S, Stoddart B. A pilot study to assess the feasibility of paramedics delivering antibiotic treatment to ‘red flag’ sepsis patients. Emerg Med J.. 2017; 34:(10)

Copstead L, Banasik J. Pathophysiology, 5th edn. St Louis: Elsevier Saunders; 2013

Daniels R. The Sepsis Six and the Severe Sepsis Resuscitation Bundle: a prospective observational cohort study. Emerg Med J.. 2011; 28:(6)507-512

Dellinger RP, Levy MM, Rhodes A Surviving Sepsis Campaign: international guidelines for management of severe sepsis and septic shock: 2012. Crit Care Med.. 2013; 41:(2)580-637

Erwin A, Salzman J, Wewerka S, Burnett A, Frascone RJ. Can paramedics accurately diagnose sepsis and severe sepsis in the sield?. Academic Emerg Med.. 2011; 18:S23-S24

Finfer S, McEvoy S, Bellomo R, McArthur C, Myburgh J, Norton R. Impact of albumin compared to saline on organ function and mortality of patients with severe sepsis. Intensive Care Med.. 2011; 37:(1)86-96

Gantner D, Nichol A. Treatment of severe sepsis. Anaesthesia and Intensive Care Med.. 2012; 13:(5)199-203

Jones AE. Unbundling early sepsis resuscitation. Ann Emerg Med.. 2014; 63:(6)654-655

Kumar P, Jordan M, Caesar J. Improving the management of sepsis in a district general hospital by implementing the ‘Sepsis Six’ recommendations. BMJ Open Quality. 2015; 4:(1)

Lovick K. Prompt and aggressive management of sepsis gives patients the best chance of survival. Nurs Times. 2009; 105:(47)20-22

Marieb EN. Essentials of Human Anatomy and Physiology, 9th edn. San Francisco: Pearson; 2009

McClelland H, Moxon A. Early identification and treatment of sepsis. Nurs Times. 2014; 110:(4)14-16

McCance KL, Huether SE. Pathophysiology: The Biologic Basis for Disease in Adults and Children, 7th edn. St Louis: Mosby Elsevier; 2014

McGregor C. Improving time to antibiotics and implementing the Sepsis 6. BMJ Open Quality. 2014; 2

Moyer P, Ornato JP, Brady WJ Development of systems of care for ST-elevation myocardial infarction patients: the emergency medical services and emergency department perspective. Circulation. 2007; 116:(2)43-48

National Institute for Health and Care Excellence. Sepsis: the recognition, diagnosis and management of severe sepsis. 2017. https//tinyurl.com/y746odv2 (accessed 1 February 2018)

Perel P, Roberts I, Ker K. Colloids versus crystalloids for fluid resuscitation in critically ill patients. Cochrane Database Syst Rev.. 2013; 28:(2)

Pike J, Wood B, Theminimulle S, Cumming D, Lawal-Rieley T, Ballington J, Moody S, Andrews R. Can paramedics treat sepsis?. J Paramed Pract.. 2015; 7:(9)454-458

Porth CM, Matfin G. Pathophysiology: Concepts of Altered Health States, 8th edn. Philadelphia: Wolters Kluwer Health/Lippincott Williams and Wilkins; 2008

Robson W, Daniels R. Diagnosis and management of sepsis in adults. Nurse Prescribing. 2013; 11:(2)76-82

Robertson LC, Al-Haddad M. Recognizing the critically ill patient. Anaesthesia and Intensive Care Med.. 2013; 14:(1)11-14

The third international consensus definitions for sepsis and septic shock (Sepsis-3). 2016. https//doi.org/10.1001/jama.2016.0287

Siddiqui S, Razzak J. Early versus late pre-intensive care unit admission broad spectrum antibiotics for severe sepsis in adults. Cochrane Database Syst Rev.. 2010; 6:(10)

Smyth MA, Brace-McDonnell SJ, Perkins GD. Identification of adults with sepsis in the prehospital environment: a systematic review. BMJ Open. 2016; 6:(8)

Society of Critical Care Medicine. Surviving Sepsis Campaign: Bundles. 2015. http//tinyurl.com/nzkp5tw (accessed 29 Nov 2017)

Steinmo SH, Michie S, Fuller C, Stanley S. Bridging the gap between pragmatic intervention design and theory: using behavioural science tools to modify an existing quality improvement programme to implement “Sepsis Six”. Implementation Science. 2016; 11

Tazbir J. Early recognition and treatment of sepsis in the medicalsurgical setting. MedSurg Nurs.. 2012; 21:(4)205-11

Urden LD, Stacy KM, Lough ME. Priorities in Critical Care Nursing, 7th edn. Missouri: Mosby/Elsevier; 2015

Wallgren UM, Castrén M, Svensson AE. Identification of adult septic patients in the prehospital setting: a comparison of two screening tools and clinical judgment. Euro J Emerg Med.. 2014; 21:260-265

clinical practice

Continuing Professional Development: The role of the paramedic in sepsis management

02 February 2018
Features
02 February 2018
Volume 10 · Issue 2

Abstract

Overview

Sepsis is a potentially life-threatening complication of an infection and involves a complex array of inflammatory responses. Sepsis is usually caused by bacterial, viral, or fungal infections that are likely to develop into pneumonia, abdominal infections and kidney infections. Sepsis has gained increasing publicity in recent years and is now a strong focus of clinical education following the launch of the ‘Surviving Sepsis’ campaign. Paramedics need to understand the pathophysiological process associated with sepsis, and how these may present in patients.

After completing this module, the paramedic will be able to:

You and a colleague are called to a 43-year-old male who is confused. On arrival, he is refusing admission to hospital despite your advice and the advice of his family and a GP. Inside the premises, a family member informs you that the patient has not been out of the house recently and has been lying in bed being uncooperative. The police attended at the request of the family. On examination of the patient, you find him lying on his side, refusing to engage with his family or the police. You ask him what is wrong and he informs you that there is nothing wrong and to leave him alone.

You notice that he is fully dressed under the bed sheet and that there is a large lump on his left lower leg, under his tracksuit bottoms. The family informs you that it is his TAG surveillance device, applied 1 week earlier by the police.

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