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Fri Apr 18 13:41:25 BST 2008

what is tgerm?!
Charlene
On Fri, Apr 18, 2008 at 8:23 AM, John Annen <rjannen at yahoo.com> wrote:

> I like the typo tgerm, for a term about a germ, too. :-)
>
> John
>
> ----- Original Message ----
> From: Ronald Gross <Rgross at harthosp.org>
> To: Critical Care mailing list Trauma & <trauma-list at trauma.org>
> Sent: Friday, April 18, 2008 1:27:29 PM
> Subject: Re: Septic Storm
>
> Charlene,
>
> Septic storm sounds like a pretty catchy phrase (I kinda wish I thought of
> it!), but this sounds like the garden variety bacteremia to me......septic
> shock, on the other hand, is a whole other story, and I know that you know
> what that is.
>
> Ron
>
> >>> "Charlene M Morris" <cvmmorris at gmail.com> 4/18/2008 7:14 AM >>>
> This is a cross post from a PA colleague. if anyone has thoughts or
> explanation for the term "septic storm", please advise!
>
> Charlene Morris, PA-C
>
> I have a friend/patient/volunteer EMT who is in the hospital after being
> run
> over by a 30,000# tractor.  He suffered a crushed pelvis.  He has been
> fighting sepsis for some time.  night before last he had a couple of
> episodes of pretty severe shaking.  The nurse used the term "septic storm"
> to his wife to describe these spells.  I could not find any reference to
> thistgerm, either written or internet, nor had my SP ever heard the term.
> the only thing I can conjure up is either the bacteria is releasing waves
> of
> toxin or the antibiotics are causing waves of bacterial cell lysis which
> is
> provoking the episodes.  He did grown out VRE so they have had to change
> antibiotics.  last night he went in to surgery and had a drain placed in
> his
> perineal wound.  It was expected to take 1 hour for the surgery and ended
> up
> taking 3 because they found, drained, cultured and cleaned out an abscess
> pocket, which I figure should help his recovery process.  I realize he is
> not out of the woods by any stretch, but wondered if anyone has heard the
> term "septic storm".  this has hit our small group of 10 volunteer EMTs
> pretty hard  as he and his wife are both EMTs.  His wife is an
> intermediate,
> was first on the scene and managed to hold herself together enough that
> she
> was able to start the two large bore IVs he needed and which  probably
> enabled him to make it through the chopper flight alive.  in any case if
> anyone has heard the term septic shock, I would appreciate hearing what
> you
> understand it means.  TIA.
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