1. By Don Hudson, D.O.,FACEP/ACOEP
Sepsis By
Don Hudson, D.O.,FACEP/ACOEP

2. What is sepsis This is an infection that has spread to the blood
The patient will usually have a low B/P & be in shock
It may caused by Viral, Bacterial or Fungal infections
It may also be caused by the bodies own defense systems

3. Who May Get Septic The very young & the very old
People with chronic infections
Cancer patients
Patients with large injuries
Patients on steroids
Also transplant patients

4. What other infections might cause sepsis
Pneumonia
Meningitis
Cellulitis
Urinary tract infections, Pyelonephritis
Gall Bladder disease
Ruptured appendix

5. Possible Sepsis

6. Hot Steam

7. Knee Puncture

8. Pneumonia

9. Other Causes & Recognition

10. FOURTNER’S GANGRENE

11. What Will You Do ? Two large bore IV’s Oxygen & and Monitor
Call medical control
Antibiotics IV, first choice on site will be Rocephin
Consider Vasopressors
Discuss with medical control possibility of draining obvious abscesses

12. These are sick patients
They will need a medivac after you discuss with medical control
These patients have the potential to die quickly
Aggressive treatment is needed

13. What about the other infections
Most will be self limiting with good hygiene
OTC creams & antibiotics
Close observation at least daily
Check feet especially diabetics
MRSA is still an issue and will be treated off site (usually)

14. Medivac Not Available
You need to discuss carefully with med control all of the options
Monitor B/P, urine output as well as the rest of the V/S
Examine the patient frequently
Take good notes