Sepsis Fact 3: Sepsis is not an infection
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- Опубликовано: 22 авг 2024
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Sepsis Fact 3: Sepsis is not an infection. Often, either on death certificates or in medical records, the term "septicemia," "bacteremia," or "blood poisoning" may be misused in place of sepsis. In fact, septicemia and bacteremia can be infections of the blood. Sepsis would be the inflammatory response to those infections.
I'm a retired UK physician. Sepsis has always 'been a thing'. When doctors practised proper, thorough clinical medicine it was something we were trained to detect early and to treat swiftly. To my horror these days hospitals seem to need posters on the walls to set out a dummy's guide to diagnosing sepsis for the doctors! Clinicians need to spend more of their time examining and observing patients, according to time honoured and established medical skills, instead of staring at computer screens.
When I broke my leg 2 years ago, I went to ER. No one actually examined me. Blood pressure taken. Temp taken. Then waited in hallway on a gurney for over 2 hrs to get an xray. Meanwhile, the staff were all clacking away on their keyboards, in-between runs to the break room to grab snacks. I had to ask repeatedly for a drink of water. Haha. I was billed for all sorts of stuff, of course, including being examined by an MD, which I wasn't. What a mess.
Add to that, all the lies in my medical records of all the further visits with a surgeon (didn't have to have surgery thank God). The lies were all the things the surgeon and staff supposedly did for me. Which was absolutely nothing. I was IN the office, but was merely talked to. They checked all the boxes for coding, though. "Medicine" is a joke.
L
@@davemelville2760 What does 'L' mean?
@@gdok6088 apologies I did not mean to make the "L" comment. I will however say that I had sepsis in Oct 2019 following a flu like infection (Covid) a week earlier. Spent a week in hospital on a drip. The consultant was amazing and acted immediately. Two weeks later I developed Guillan Barre syndrone. Lost use of hands and legs and spent another two months in hospital. Thankfully the treatment I received was successful and Physio completed my recovery. The sepsis was originally identified in the ambulance on the way to A&E. So grateful for my treatment and recovery and now share my experience with friends as I agree the symptoms and condition are n
ot widely known outside the medical profession.
As a diabetic, sepsis is one of my biggest fears.
A hospital killed my 93 year old father. Sepsis they said.
Has anyone noticed that sepsis wasn't a thing until a couple of years ago. It used to be so rare. Now there’s ads on the sides of ambulances and they're even popping up on RUclips. Hmmm?
Probably med community is more educated about it? Advancements in diagnosis?
@@justiceforresidents Yes, that must be it. Nothing to see here, move along.
Paracetamol also wasn´t, you take 1g of paracetamol for everything an your antibodies will go haywire in front of a real threat
Baffling eh?
@@justiceforresidents yeah right
I was brought to the hospital already in septic shock. Both kidneys, liver & uterus were bleeding out. Trauma doctors & cdc said they call it when the 5th organ goes. They said to family, i had 1 hr approximately to live. I was unconscious. Wow, i woke up. Unbelievable.
Be vigilant in a hospital. Have your relative caretaker observe and take notes. Hospitals can kill you. Malpractice is rampant. Misdiagnosis or failure to diagnose, wrong medication doses, many other mistakes.
Thanks for the info, I've always thought it was an infection in the blood
That's septicaemia. Sepsis is an excessive immune response (ieg cytokine storm) to an infectioin.
@@saganspirit Thanks!
It’s caused by a systemic infection and your immune systems attempt to protect you.
Profound dehydration presents as sepsis.... and goes untreated and made worse!!!!
Lets talk Sepsis . It is the certain physiological changes we see caused by the infection. Take infection away, no sepsis. The toxins released by the bacteria cause your blood vessels to dilate causing low blood pressure or shock, the toxins also cause your temperature to rise by changing the hypothalamic regulatory system, bacteria make your blood more acidic as the bacteria metabolise nutrients in the blood, causing acidosis in the blood in the form of Co2 . The body tries to compensate by releasing the c02 via increased respiratory rate. The two secondary reaction the body has is the increased breathing and change in heart rate as the low blood pressure is sensed by the body which means poor oxygen delivery or poor perfusion, and ramps up the heart rate to compensate. Then you have to count for the fact of the body’s ability to fight the infection. Hows the immune system? Is it dented by life long smoking or diabetes? Are the blood vessels elastic or have they been hampered by poor eating habits and hypertension. Are the kidneys ok to clear the blood? Or have they been damaged by ibuprofen and poor hydration ? What about the heart? Can it handle this increased volume ? Have you been exercising? Or is the heart sick to begin with. And of course when we get sick everyone lies around in bed complaining of their aches and pains but if you lay in bed, you dont move your lungs allowing for more infections to settle in. Suddenly what started as a simple cut , in an unhealthy individual turns out as bactemia- bacteria in blood then sepsis followed by , secondary infection, pneumonia, acute kidney injury, cardiac heart failure , and we wont get into what it does to your brain, clots to your lungs, liver damage from the medication, and don’t forget the gut. All while we hope your adrenal glands are holding on. So when a person is in sepsis, we understand that it is an infection causing those things. Your body fights back in some ways in others it goes first the ride . Take infection away , you dont have this simple sepsis.
"Understanding your no-men-clay-ture"
best comment ever