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Mon Apr 21 17:19:10 BST 2008

That's interesting.

Where did you perform those duties?

Ben Reynolds, PA-C
Pittsburgh, PA

----- Original Message ----
From: Mike Smertka <medic0947969 at yahoo.com>
To: "Trauma &, Critical Care mailing list" <trauma-list at trauma.org>
Sent: Monday, April 21, 2008 8:08:02 AM
Subject: Re: Septic Storm

Dan,

  That's pretty much right on the money, but in my last employ I was basically an in-hospital PA. with the title of paramedic. I have come to believe a paramedic fills in wherever there is a hole in healthcare. Makes me look smart in school though.

  Mike

Dan & Emily Ele <un2god at earthlink.net> wrote:
  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
>
>
>
>**************Need a new ride? Check out the largest site for U.S. used car 
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