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Weekly Edition -  27 February 2015

 

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Clinical toolkit could save 12,500 lives a year, claim campaigners

CAMPAIGNERS claimed that a freely available toolkit could save the lives of 12,500 NHS patients in Britain each year who would otherwise die from sepsis, which affects 102,000 people annually leading to 37,000 fatalities. The #Sepsistoolkit campaign, launched on 23 February 2015, by NHS Change Day in partnership with the UK Sepsis Trust (sepsistrust.org), aims to establish the toolkits in every organisation in the NHS. Additionally, the campaign seeks to inform members of the public about the signs of sepsis. Full details of the campaign are available at:- ChangeDay.NHS.UK/Campaigns. Sepsis is a commonly occurring condition triggered by an infection.

In an attempt to overcome the infection, our bodies release a battery of chemicals and hormones causing inflammation, and send white blood cells to fight the invading organisms. When this response becomes uncontrolled, inflammation affects the entire body and can lead to organ failure, this is known as the sepsis syndrome.  Although many patients return to a normal life, those who survive the condition may experience longstanding physical effects, and some suffer from psychological difficulties resulting from their prolonged illness.  Early recognition and application of the 'Sepsis Six' interventions dramatically improves a patient's prospects.  More information for the public is available at:- SepsisTrust.org/info-for-the-public.

The signs of sepsis can be remembered with a simple acronym:-

Slurred Speech
Extreme shivering or muscle pain
Passing no urine (in a day)
Severe breathlessness
"I feel like I might die"
Skin mottled or discoloured

Those particularly at risk include:- the very young and old, pregnant women, long term steroid users. Anyone experiencing the signs of sepsis should attend A&E immediately.

Dr Ron Daniels, CEO of UK Sepsis Trust and Global Sepsis Alliance, said:- "A decade ago, I watched a young man die from sepsis. Opportunities to rescue him had been missed, and his family were left devastated by a condition they'd never heard of. That's why I've spent 10 years devoted to improving outcomes from sepsis, and why I founded the UK Sepsis Trust: a charity changing the lives of thousands of people every year. The reality is that survival can be a game of chance;- without the swift action of individual junior doctors, nurses, assistants and allied professionals, many of our supporters would not be here today. That's why achieving change in sepsis has to be a grass roots campaign, and why 'Know your Sepsis Toolkit' is essential to our successfully fulfilling our mission, a mission to save over 12,500 more lives every year. We are proud to be working in partnership with NHS Change Day."

Sepsis survivor Anna Coles recounts her own story:-

Anna writes:- "I'd been ill since the Monday. It started with a sore throat and loss of appetite, but progressed until I was so weak I could barely stand up. I thought I just had the 'flu, but then I started vomiting and by the Friday I was hallucinating and started to struggle for breath. My family insisted I see the G.P.  I was helped to the room, where I fainted and don't remember much from there, until I came round on the doctor's bed. The doctor said my rash was nothing to worry about, as she did the glass test and it disappeared, so couldn't be meningitis! The only thing that worried her was that my blood pressure was a touch low, so she sent me into hospital just to be sure.  In A&E, the doctors knew something was wrong, but couldn't seem to put their finger on it. Then, a junior anaesthetist who happened to be walking past saw me and was able to diagnose me quite quickly. He said that he had had a teenage girl in the week previous with exactly the same thing and that I was suffering with septic shock. I owe my life to this doctor."

Anna is now 26, and Mum to 4 year old Harry and 1 year old Sophie. Frighteningly, were it not for the prompt action of one junior doctor, Anna would have been a memory, Harry would have lost his Mummy and the world wouldn't have been graced with Sophie at all. Such is the fragility of humanity when faced with one of its biggest killers.

 

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