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Mon Apr 21 04:59:05 BST 2008

Just what are Paramedics able to do these days?  Have they become pre-hospital physician assistants?

Dan

-----Original Message-----
>From: Krin135 at aol.com
>Sent: Apr 20, 2008 3:56 PM
>To: trauma-list at trauma.org
>Subject: Re: Septic Storm
>
> 
>In a message dated 04/20/2008 16:40:01 Central Daylight Time,  
>r.simpson at clear.net.nz writes:
>
>Septic  Storm is a phrase that I've heard used fairly
>frequently in the setting of  meningococcal septicaemia. 
>Following antibiotic administration, cell wall  breakdown
>releases large amounts of endotoxin, causing the  described
>result.  Something for paramedics to be wary of if they  are
>administering antibiotics in the field, particularly if they
>have  long trasnport times as the patient tends to get a lot
>worse before (if)  they get better.
>
>Robbie Simpson
>
>
>IIRC, it's also known from certain other gram negative sepsis situations,  
>mostly involving urinary or gut infections with pathogenic E. coli.
> 
>ck
>Charles S. Krin, DO FAAFP
>
>
>
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Septic Storm