Respiratory Compromise, Sepsis

Should We Be Watching a Stopwatch or Wanting Better Patient Care? – The Debate over the 1-Hour Sepsis Bundle

Editor’s Note: This editorial from the desk of PPAHS’s Executive Director asks whether the debate over the 1-hour sepsis bundle should focus on improving care and not on making sure certain procedures are done within a 60-minute timeframe.

By Michael Wong, JD (Founder and Executive Director, Physician-Patient Alliance for Health & Safety)

The recent kerfuffle over the 1-Hour Sepsis Bundle has missed the point about the need for better patient care and a much needed effort to save patient lives.

In 2002, the European Society of Intensive Care Medicine, the Society of Critical Care Medicine, and the International Sepsis Forum came together and formed the Surviving Sepsis Campaign aiming to reduce sepsis-related mortality by 25% within 5 years. The goals of the Surviving Sepsis Campaign were to improve the management of sepsis through a 7-point agenda including:

  • Building awareness of sepsis
  • Improving diagnosis
  • Increasing the use of appropriate treatment
  • Educating healthcare professionals
  • Improving post-ICU care
  • Developing guidelines of care
  • Implementing a performance improvement program

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Sepsis

You May Not Get a Second Chance to Save a Patient’s Life Early Detection and Prompt Treatment of Sepsis A Must Do

Editor’s note – In this article for the DoctorWeighsIn, Michael Wong, JD (Founder and Executive Director, Physician-Patient Alliance for Health & Safety) recounts his meeting with Dr. Ken Rothfield that led to the making of the video, “5 Keys to Reducing Sepsis.”

By Michael Wong, JD (Founder and Executive Director, Physician-Patient Alliance for Health & Safety)

According to the CDC, each year in the U.S., more than 1.5 million Americans will develop sepsis and at least 250,000 Americans will die from sepsis. Although these numbers may be staggering, they may not hit home until sepsis strikes a loved one, a friend, or even yourself.

For me, it struck when Dr. Ken Rothfield and I met at a healthcare conference. Dr. Rothfield is Chief Medical Officer at Medical City Dallas, which is operated by the Hospital Corporation of America. He is also a member of the advisory board of the Physician-Patient Alliance for Health & Safety (PPAHS), a non-profit advocacy group that I founded more than seven years ago, and has been a strong advocate for and partner in patient safety. He told me at the conference, “I almost died from sepsis.”

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Sepsis

Early Detection of Sepsis Through Monitoring Saves Patient Lives Video Interview with Dr. Ken Rothfield - 5 Keys to Reducing Sepsis

Editor’s Note: In this video interview, Dr. Ken Rothfield urges his fellow clinicians to monitor patients for sepsis. Says Dr. Rothfeld, “patient monitoring can alert you at the earliest possible moment when sepsis is developing.”

Clinical studies have found mortality is significantly reduced if septic patients are identified at early stages of the disease process. Anand Kumar, MD (Critical Care Medicine, Health Sciences Centre/St. Boniface Hospital, University of Manitoba) and his colleagues in “Duration of hypotension before initiation of effective antimicrobial therapy is the critical determinant of survival in human septic shock” found in their research that early detection and treatment of sepsis is akey to reduced morbidity and mortality:

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Must Reads

3 New Clinical Guidelines To Take Note of Articles PPAHS have been reading the week January 28, 2019

Editor’s note: In this week’s must reads, we look at 3 new clinical guidelines and consider their impact on patient care.

Guideline for the Management of Patients With Atrial Fibrillation

The newly released “Guideline for the Management of Patients With Atrial Fibrillation” is a game changer for the use of anticoagulants. In a report by the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society, in Collaboration With the Society of Thoracic Surgeons, newer anticoagulants, known as non-vitamin K oral anticoagulants (NOACs), are recommended over the traditional warfarin to prevent stroke in people with atrial fibrillation (AFib).

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Respiratory Compromise

Hospitalists can play a key role in prevention of respiratory compromise Is respiratory compromise the new ‘sepsis’?

By Jeffrey S. Vender, MD

Clinicians and even the general public are aware of the dangers of sepsis, the life-threatening illness caused by a body’s response to an infection. Irrespective of one’s perception of pharmaceutical marketing materials or the evidence-based medicine used, awareness about sepsis has led to earlier diagnosis and interventions that have likely saved countless patients’ lives.

Moreover, hospitalists have played a key role in sepsis prevention.

Please click here to read the article by Dr. Vender.


Dr. Jeffery Vender is the emeritus Harris Family Foundation chairman of the department of anesthesiology at NorthShore University Health System in Evanston, Ill. He is clinical professor at the University of Chicago Pritzker School of Medicine and chairman, Clinical Advisory Committee, Respiratory Compromise Institute. Dr. Vender has consulted with Medtronic

 

Sepsis

Deadly Sepsis a Global Priority but Dismissed by Majority of Health Systems Worldwide World Sepsis Day September 13th

The Physician-Patient Alliance for Health & Safety is pleased to partner with the Global Sepsis Alliance to increase awareness of the need for early detection and treatment of sepsis. Below is a press release by the Global Sepsis Alliance urging that sepsis be a global priority.

The Global Sepsis Alliance says not nearly enough is being done to curb sepsis, one of the most prevalent but misdiagnosed, deadly diseases, and designated a global priority by the World Health Organization (WHO) in 2017.

In spite of the unanimous resolution in May 2017 by the Executive Board of the WHO and the World Health Assembly to improve, prevent, diagnose, and manage sepsis through a series of actions directed at developed and developing countries around the world, the majority of countries still have not implemented comprehensive educational programs on sepsis prevention, recognition, and care.

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Respiratory Compromise

Early Detection and Treatment of Sepsis Saves Lives!

On September 5th and 6th, the Global Sepsis Alliance, initiator of World Sepsis Day and World Sepsis Congress, will host the 2nd World Sepsis Congress. The 2nd WSC is a free online congress in which over 100 renowned experts from all around the world will give presentations on all aspects of sepsis. The congress will be held in English and is open to everyone with an internet connection.

For more information on program, speakers, time zones, and to register for free, please visit www.worldsepsiscongress.org

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Respiratory Compromise

Is Respiratory Compromise The New “Sepsis”? An Interview with Jeffrey Vender, MD The Benefits of Early Detection Through Continuous Patient Monitoring

Oct 26 update – The full podcast “Is Respiratory Compromise The New ‘Sepsis’?” can now be viewed at https://youtu.be/xmOpSZaBi1w. We had tried to have YouTube correct the previously upload which only played for 4 minutes, but they were unable to do that and so we have been forced to re-upload the podcast. We apologize again for any inconvenience that this may have caused you.

Oct 23 update – the podcast on YouTube is unfortunately only playing about 4 minutes of the more than 18 minute interview. We are working with YouTube to have this fixed as soon as possible. When this is fixed, we will post another update on this post. We apologize for any inconvenience this may have caused you.

The Physician-Patient Alliance for Health & Safety is pleased to announce the release of a clinical education podcast with Jeffrey Vender, MD.

Jeffrey S. Vender, MD is Clinical Professor at the University Of Chicago, Pritzker School of Medicine. He is also Chairman of the clinical advisory committee to the Respiratory Compromise Institute.

#RespiratoryCompromise is The New “#Sepsis”? #patientsafety Click To Tweet Read More

Patient Safety

This Sepsis Awareness Month, Suspect Sepsis – Save Lives Through sepsis recognition, clinicians can improve patient care

Healthcare providers can save patient lives through education, earlier detection, and management by being more aware of sepsis.

By Marijke Vroomen Durning, RN (Director of Content, Sepsis Alliance)

Earlier this year, the World Health Organization (WHO) declared sepsis to be a global health priority. In doing so, they adopted a resolution to prevent sepsis, and to improve its diagnosis and management. Sepsis Alliance welcomed this declaration. Each year in the United States alone, over 258,000 people die from sepsis. Thousands more are left with life-changing effects, such as amputations, organ dysfunction, or post-traumatic stress disorder (PTSD).

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Opioid Safety

Patient Safety Weekly Must Reads (May 13, 2017)

This week in #patientsafety, PPAHS featured a video about Tyler, an 18-year-old who survived the surgery for a collapsed lung but not the recovery. He was receiving opioids via PCA pump and was found dead in bed. From around the web, two Canadian patient safety organizations are trying to measure patient harm in hospitals, a biochemist from the University of Colorado looks at NSAIDs and sepsis, and an answer to whether a stroke patient should be driven to the hospital. Read More