Treat life-threatening SEPSIS within the hour, says NICE, to Save Lives & Limbs …

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Treat life-threatening SEPSIS within the hour, says NICE, to Save Lives & Limbs …
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Posted by:
Greg Lance – Watkins
Greg_L-W

eMail: Greg_L-W@BTconnect.com

https://InfoWebSiteUK.wordpress.com

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.

Hi,

10 March 2017

Treat life-threatening sepsis within the hour, says NICE

NICE is urging hospital staff to treat people with life-threatening sepsis symptoms within one hour.

In a new draft quality standard, NICE says people showing signs of sepsis must be checked carefully. Once someone is classed as high-risk they should be seen by senior staff and given the right treatment within an hour.

Professor Gillian Leng, NICE deputy chief executive, said: “Severe symptoms can develop in sepsis very quickly. If high-risk patients are not identified and treated promptly, people can be left with debilitating problems. In the worst cases, they may die.

“This quality standard highlights priorities in the continued fight to improve sepsis care. We know from recent case reviews that there are inconsistencies in how people’s symptoms are assessed in different settings. More can be done to provide rapid treatment.”

The quality standard highlight areas from NICE’s 2016 sepsis guideline that will help health professionals improve care for those who are at risk of becoming seriously ill.

It stresses that staff in any setting, from GPs to paramedics, should check people for specific signs that will show if their symptoms are life-threatening. This includes taking their temperature or heart rate, or checking for rashes and skin discolouration.

Anyone found to be high-risk should be seen by senior hospital staff immediately. This review would be carried out by an available doctor or nurse who is authorised to prescribe antibiotics.

Dr Ron Daniels BEM, Chief Executive of the UK Sepsis Trust, comments: “An emphasis on timely treatment and diagnosis is crucial if we are to improve outcomes for people with sepsis, and this quality standard could be a hugely impactful reinforcement of the recent guideline recommendation that sepsis is treated with same urgency as heart attacks.” 

NICE says that high-risk sepsis patients should get antibiotics and IV fluid treatment within the hour. If it will take more than an hour to get someone to hospital, GPs or ambulance staff can also administer antibiotics.

Prompt treatment means people are more likely to survive and it reduces the risk of further problems like heart failure or limb amputation.

The 2015 report from the National Confidential Enquiry into Patient Outcome and Death found that 40% of people admitted to A&E with sepsis did not have a timely review by a senior clinician. It also reported avoidable delays in administering antibiotics in more than a quarter (29%) of cases and inconsistencies in early use of intravenous (IV) fluid.

Health Secretary Jeremy Hunt said: “Every death from sepsis is a tragedy, yet too often the warning signs are missed – we need to get far better at spotting sepsis across the NHS and this advice shows how vital it is for clinicians to treat life-threatening symptoms as soon as possible.

sepsis symptoms hospital check in screen

“Our relentless drive to raise awareness of this deadly condition, as well as the tireless efforts of campaigners and families who have lost loved ones, has seen a million leaflets and posters already distributed to GP clinics, hospitals and other public places – helping raise awareness to fight against this devastating condition.”

A recent study from the York Health Economics Consortium suggests that 260,000 people in the UK develop sepsis every year. And the UK Sepsis Trust estimates that sepsis kills around 44,000 people per year.

Not everyone with sepsis will be at risk of getting seriously ill. NICE says that people who are classed as low-risk should get information on what to do if they continue to feel unwell and how to get further medical help.

NICE is asking for views on the draft quality standard. It is out for public consultation until Friday 7 April 2017.

To view the original of this article CLICK HERE

To view additional information on SEPSIS CLICK HERE
Regards,
Greg_L-W.

~~~~~~~~~~#########~~~~~~~~~~
Posted by: Greg Lance-Watkins
tel: 44 (0)1594 – 528 337
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SEPSIS: The Stats, The Signs & Should be Treated ‘Like A Heart Attack’ …

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SEPSIS: The Stats, The Signs & Should be Treated ‘Like A Heart Attack‘ …
~~~~~~~~~~#########~~~~~~~~~~

Posted by:
Greg Lance – Watkins
Greg_L-W

eMail: Greg_L-W@BTconnect.com

~~~~~~~~~~#########~~~~~~~~~~

Hi,

did you know that although someone dies of cancer or heart disease about every 4 or 5 minutes in the UK. Although little heard of, someone dies of Sepsis about every 15 minutes, thats over 100 people a day who die of Sepsis!

Sepsis costs the NHS around £2,500,000 a day to treat or about £2 Billion a year!

The UK SEPSIS TRUST claims:

Every year in the UK there are 150,000 cases of Sepsis, resulting in a staggering 44,000 deaths – more than bowel, breast and prostate cancer combined.

UK incidence/ mortality data for SEPSIS
and comparators

37,000 annual deaths are derived from an extrapolated dataset provided to the UK Sepsis Trust by the Intensive Care National Audit and Research Centre (ICNARC) in 2006. The mortality rate for patients admitted to Critical Care with sepsis remains just under 35%, although this has fallen from 40% over the last 10 years.

102,000 cases seen annually in the UK comes from a conservative estimate of incidence derived from studies in other developed countries, including in Finland (Karlsson et al 2007), Spain (Blanco et al 2008) and Europe (Davies et al 2001). More recent estimates, including data to be published by the UK’s Health and Social Care Information Centre (HSCIC) and from Scandanavia (Henrikson et al 2015) and the U.S (Hall et al 2011), places the estimate closer to 200,000 cases per year with 60,000 deaths.

Costs

That each case of sepsis costs a healthcare system in a developed country €25,000 is derived from the European SOAP study (Vincent et al 2006): equating to about £2 billion annually for the UK.

COMPARE WITH Cardio Vascular Disease in the UK:

cvd-uk-stats-01

COMPARE with Cancer:

cancer-uk-stats-01

We hear constantly about the dangers of Heart Attacks and cancer but how often do we hear about Sepsis?

SEPSIS WARNING SIGNS

Sepsis, also referred to as blood poisoning or septicaemia, is a potentially life-threatening condition, triggered by an infection or injury.

In sepsis, the body’s immune system goes into overdrive as it tries to fight an infection.

This can reduce the blood supply to vital organs such as the brain, heart and kidneys.

Without quick treatment, sepsis can lead to multiple organ failure and death. 

Early symptoms of sepsis may include:

  • a high temperature (fever) or low body temperature
  • chills and shivering
  • a fast heartbeat
  • fast breathing

In some cases, symptoms of more severe sepsis or septic shock (when your blood pressure drops to a dangerously low level) develop soon after. These can include:

  • feeling dizzy or faint
  • a change in mental state, such as confusion or disorientation
  • diarrhoea
  • nausea and vomiting
  • slurred speech
  • severe muscle pain
  • severe breathlessness
  • less urine production than normal (for example, not urinating for a day)
  • cold, clammy and pale or mottled skin
  • loss of consciousness

Severe sepsis and septic shock are medical emergencies. If you think that you or someone in your care has one of these conditions, call 999 and ask for an ambulance.

Source: NHS Choices  

To DOWNLOAD a Poster

for your Office, School, Notice Board, Club. Work or for a friend just CLICK HERE

Treat sepsis ‘the same as heart attacks’

To read more CLICK HERE

To GO TO The UK SEPSIS TRUST Home Page CLICK HERE

Regards,
Greg_L-W.

~~~~~~~~~~#########~~~~~~~~~~
Posted by: Greg Lance-Watkins
tel: 44 (0)1594 – 528 337
Calls from ‘Number Withheld’ phones Are Blocked

All unanswered messages are recorded.
Leave your name & a UK land line number & I will return your call.

‘e’Mail Address: Greg_L-W@BTconnect.com

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Also:

ABOUT ME, Details & Links: CLICK HERE
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Summary & archive, facts & comments on Ukip: http://Ukip-vs-EUkip.com
General ‘Stuff’: http://GL-W.com
Leave-The-EU Referendum & BreXit Process CLICK HERE
Documents, Essays & Treaties: CLICK HERE
The Hamlet of Stroat: CLICK HERE
Data & The Study of a Wind Turbine Application: CLICK HERE
Health Blog.: CLICK HERE
Chepstow Chat: CLICK HERE
Christopher Story: CLICK HERE
Des Watkins DFC; CdeG: CLICK HERE/
Hollie Greig etc.: CLICK HERE
Psycheocracy: CLICK HERE
The McCann Case: CLICK HERE
The Speculative Society of Edinburgh: CLICK HERE
Stolen Kids, Dunblane: CLICK HERE
Stolen Kids, Bloggers: CLICK HERE
Views I respect & almost Totally Share: CLICK HERE
A Concept of Governance Worthy of Developement: CLICK HERE

Skype: GregL-W

TWITTER: @Greg_LW

Stolen Kids Blogs with links:
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NB:
  1. I NEVER post anonymously on the internet
  2. ALL MY BLOGS & WEB SITES are clearly sourced to me
  3. I do NOT use an obfuscated eMail address to hide behind
  4. I do NOT use or bother reading FaceBook
  5. I DO have a Voice Mail Message System
  6. I ONLY GUARANTEE to answer identifiable eMails
  7. I ONLY GUARANTEE to phone back identifiable UK Land Line Messages
  8. I do NOT accept phone calls from witheld numbers
  9. I Regret due to BT in this area I have a rubbish Broadband connection
  10. I AM opposed to British membership of The EU
  11. I AM opposed to Welsh, Scottish or English Independence within an interdependent UK
  12. I am NOT a WARMIST
  13. I do NOT believe the IPCC Climate Propaganda re Anthropogenic Global Warming
  14. I AM strongly opposed to the subsidy or use of failed technologies eg. WIND TURBINES
  15. I AM IN FAVOUR of rapid research & development of NEW NUCLEAR technologies
  16. I see no evidence to trust POLITICIANS at any level or of any persuasion
  17. I do NOT believe in GODS singular or plural, Bronze Age or Modern
  18. I value the NHS as a HEALTH SERVICE NOT a Lifestyle support
  19. I believe in a DEATH PENALTY for serial or GBH rape.
  20. I believe in a DEATH PENALTY for serial, terrorist, mass or for pleasure murder.
  21. I believe in a DEATH PENALTY for serial gross child abuse including sexual.
  22. I do NOT trust or believe in armed police
  23. I do NOT believe in prolonging human life beyond reasonable expectation of sentient participatory intellectual existence
  24. I believe in EUTHENASIA under clearly defined & legal terms
  25. I try to make every effort to NOT infringe copyrights in any commercial way & make all corrections of fact brought to my attention by an identifiable individual

Please Be Sure To
.Follow Greg_LW on Twitter.

Re-TWEET my Twitterings

& Publicise My Blogs
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~~~~~~~~~~#########~~~~~~~~~~

SEPSIS: The Signs & Should be Treated ‘Like A Heart Attack’ …

~~~~~~~~~~#########~~~~~~~~~~
SEPSIS: The Signs & Should be Treated ‘Like A Heart Attack‘ …
~~~~~~~~~~#########~~~~~~~~~~

Posted by:
Greg Lance – Watkins
Greg_L-W

eMail: Greg_L-W@BTconnect.com

~~~~~~~~~~#########~~~~~~~~~~

Hi,

UK incidence/ mortality data for SEPSIS
and comparators

37,000 annual deaths are derived from an extrapolated dataset provided to the UK Sepsis Trust by the Intensive Care National Audit and Research Centre (ICNARC) in 2006. The mortality rate for patients admitted to Critical Care with sepsis remains just under 35%, although this has fallen from 40% over the last 10 years.

102,000 cases seen annually in the UK comes from a conservative estimate of incidence derived from studies in other developed countries, including in Finland (Karlsson et al 2007), Spain (Blanco et al 2008) and Europe (Davies et al 2001). More recent estimates, including data to be published by the UK’s Health and Social Care Information Centre (HSCIC) and from Scandanavia (Henrikson et al 2015) and the U.S (Hall et al 2011), places the estimate closer to 200,000 cases per year with 60,000 deaths.

Data on cancer deaths are sourced from the Office for National Statistics (ONS).

Costs

That each case of sepsis costs a healthcare system in a developed country €25,000 is derived from the European SOAP study (Vincent et al 2006): equating to about £2 billion annually for the UK.

SEPSIS WARNING SIGNS

Sepsis, also referred to as blood poisoning or septicaemia, is a potentially life-threatening condition, triggered by an infection or injury.

In sepsis, the body’s immune system goes into overdrive as it tries to fight an infection.

This can reduce the blood supply to vital organs such as the brain, heart and kidneys.

Without quick treatment, sepsis can lead to multiple organ failure and death. 

Early symptoms of sepsis may include:

  • a high temperature (fever) or low body temperature
  • chills and shivering
  • a fast heartbeat
  • fast breathing

In some cases, symptoms of more severe sepsis or septic shock (when your blood pressure drops to a dangerously low level) develop soon after. These can include:

  • feeling dizzy or faint
  • a change in mental state, such as confusion or disorientation
  • diarrhoea
  • nausea and vomiting
  • slurred speech
  • severe muscle pain
  • severe breathlessness
  • less urine production than normal (for example, not urinating for a day)
  • cold, clammy and pale or mottled skin
  • loss of consciousness

Severe sepsis and septic shock are medical emergencies. If you think that you or someone in your care has one of these conditions, call 999 and ask for an ambulance.

Source: NHS Choices  

Treat sepsis ‘the same as heart attacks’

  • 13 July 2016
    File picture - heart rate monitor

Image copyright RIA NOVOSTI/SCIENCE PHOTO LIBRARY

Suspected sepsis in patients must be treated as an emergency in the same way as heart attacks are, England’s health watchdog says.

National Institute of Health and Care Excellence guidance urges medics to consider sepsis early on when treating any patients unwell with infections.

The problem, caused when the body’s immune system overreacts to infection, leads to 44,000 UK deaths a year.

But experts estimate between 5,000 and 13,000 could be avoided.

Sepsis can lead to severe organ failure, shock and death if not treated early enough.

But initial symptoms – such as a rapid breathing or feeling generally unwell – can be vague, making it difficult to set apart from other conditions.

‘Complicated medicine’

In its first guidance on the issue, NICE acknowledges it is a complex medical problem.

But the health watchdog says GPs, paramedics and hospital staff must make “Could this be sepsis?” the first consideration for anyone unwell with an infection – in much the same way that medics consider the possibility of a heart attack for patients with chest pain.

Prof Mark Baker, from NICE, told the BBC: “The problem with those patients who died unnecessarily of sepsis is that staff did not think about it soon enough.”

He added: “This is complicated medicine.

Melissa Mead, whose son died of sepsis, says new guidance could have saved his life

“It requires a depth of thought and experience and a way of examining patients which isn’t always there – particularly because of time pressures and partly because we have got used to implementing guidelines without thinking.”

Cornwall mother Melissa Mead, whose one-year-old son William died from sepsis in 2014 after potential signs of the condition were missed by NHS 111 staff and GPs, welcomed the move.

She added: “This could not come any sooner. Sadly we have been touched in very real terms by sepsis and could not agree more that clinicians need to start asking: ‘Could this be sepsis?’”


What is sepsis?

Image copyright ANIMATED HEALTHCARE LTD/SCIENCE PHOTO LIBRARY

Sepsis happens when the body’s immune system – the way the body responds to bugs and germs – goes into overdrive.

The initial problem can be quite mild and start anywhere – from a cut on the finger to a chest or urine infection, for example.

But when the immune system overreacts, this can lead to an unintended but catastrophic attack on the body.

If left untreated, this sets off a cascade of reactions – from shock to organ failure and even death.

There is a lot of research going on to attempt to find out what exactly triggers this sometimes fatal reaction.

Read more: Why can sepsis be so hard to spot?


Meanwhile, Dr Maureen Baker, of the Royal College of General Practitioners, said: “The diagnosis of sepsis is a huge worry for GPs, as initial symptoms can be similar to common viral illnesses, so we welcome any guidance or support to help us identify it as early as possible.”

The guidelines say patients with possible sepsis should be sent to hospital in an ambulance and treated urgently by senior staff.

Separately, NHS Improvement has launched an initiative to tackle children’s health.

‘Sad and frustrating’

It encourages parents to speak up if their child’s health is deteriorating and urges staff to work more closely with parents.

Dr Mike Durkin, NHS national director of patient safety, said: “Time and time again, and is some cases tragically too late, we see that some children could have received better care if healthcare providers worked with parents to understand and treat deterioration in health.

“There have been far too many cases covered in the media on the failure to treat sepsis that have highlighted the sad and frustrating instances of parents repeatedly flagging concerns about their children.”

To view the original of this article CLICK HERE

Read more: CLICK HERE

Regards,
Greg_L-W.

~~~~~~~~~~#########~~~~~~~~~~
Posted by: Greg Lance-Watkins
tel: 44 (0)1594 – 528 337
Calls from ‘Number Withheld’ phones Are Blocked

All unanswered messages are recorded.
Leave your name & a UK land line number & I will return your call.

‘e’Mail Address: Greg_L-W@BTconnect.com

DO MAKE USE of LINKS,
>SEARCH<
&
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Also:

ABOUT ME, Details & Links: CLICK HERE
Accuracy & Copyright Statement: CLICK HERE 
UKIP Its ASSOCIATES & DETAILS: CLICK HERE 
Summary & archive, facts & comments on Ukip: http://Ukip-vs-EUkip.com
General ‘Stuff’: http://GL-W.com
Leave-The-EU Referendum & BreXit Process CLICK HERE
Documents, Essays & Treaties: CLICK HERE
The Hamlet of Stroat: CLICK HERE
Data & The Study of a Wind Turbine Application: CLICK HERE
Health Blog.: CLICK HERE
Chepstow Chat: CLICK HERE
Christopher Story: CLICK HERE
Des Watkins DFC; CdeG: CLICK HERE/
Hollie Greig etc.: CLICK HERE
Psycheocracy: CLICK HERE
The McCann Case: CLICK HERE
The Speculative Society of Edinburgh: CLICK HERE
Stolen Kids, Dunblane: CLICK HERE
Stolen Kids, Bloggers: CLICK HERE
Views I respect & almost Totally Share: CLICK HERE
A Concept of Governance Worthy of Developement: CLICK HERE

Skype: GregL-W

TWITTER: @Greg_LW

Stolen Kids Blogs with links:
http://StolenKids-Bloggers.Blogspot.com
Stolen Oyster with links:
http://StolenOyster-Bloggers.Blogspot.com
Stolen Trust with links:
http://StolenTrust-Bloggers.Blogspot.com
Stolen Childhood with links:
http://StolenChildhood-Bloggers.Blogspot.com
NB:
  1. I NEVER post anonymously on the internet
  2. ALL MY BLOGS & WEB SITES are clearly sourced to me
  3. I do NOT use an obfuscated eMail address to hide behind
  4. I do NOT use or bother reading FaceBook
  5. I DO have a Voice Mail Message System
  6. I ONLY GUARANTEE to answer identifiable eMails
  7. I ONLY GUARANTEE to phone back identifiable UK Land Line Messages
  8. I do NOT accept phone calls from witheld numbers
  9. I Regret due to BT in this area I have a rubbish Broadband connection
  10. I AM opposed to British membership of The EU
  11. I AM opposed to Welsh, Scottish or English Independence within an interdependent UK
  12. I am NOT a WARMIST
  13. I do NOT believe the IPCC Climate Propaganda re Anthropogenic Global Warming
  14. I AM strongly opposed to the subsidy or use of failed technologies eg. WIND TURBINES
  15. I AM IN FAVOUR of rapid research & development of NEW NUCLEAR technologies
  16. I see no evidence to trust POLITICIANS at any level or of any persuasion
  17. I do NOT believe in GODS singular or plural, Bronze Age or Modern
  18. I value the NHS as a HEALTH SERVICE NOT a Lifestyle support
  19. I believe in a DEATH PENALTY for serial or GBH rape.
  20. I believe in a DEATH PENALTY for serial, terrorist, mass or for pleasure murder.
  21. I believe in a DEATH PENALTY for serial gross child abuse including sexual.
  22. I do NOT trust or believe in armed police
  23. I do NOT believe in prolonging human life beyond reasonable expectation of sentient participatory intellectual existence
  24. I believe in EUTHENASIA under clearly defined & legal terms
  25. I try to make every effort to NOT infringe copyrights in any commercial way & make all corrections of fact brought to my attention by an identifiable individual

Please Be Sure To
.Follow Greg_LW on Twitter.

Re-TWEET my Twitterings

& Publicise My Blogs
To Spread The Facts World Wide
~~~~~~~~~~#########~~~~~~~~~~