Hi josie Per hospital antibiotics great idea - Luton (outside london) hospital have made great progress with ambulance crews and as a result have excellent compliance with 6 interventions within an hour!
Margaret Mary PARRT Royal free nhs foundation trust >----Original Message---- >From: [email protected] >Date: 01/10/2013 0:54 >To: "Josie Gray"<[email protected]> >Cc: "sepsisgroups@lists. sepsisgroups.org"<[email protected]> >Subj: Re: [Sepsis Groups] Pre-hospital Antibiotic Administration > >Good idea, perhaps best for the sickest with the longest travel times. The >many logistic considerations might include degree of certainty of >diagnosis, drug allergy history, instant access to various antibiotics, >help with selection of antibiotics by an experienced physician, buy-in by >the receiving medical centers, compromise of culture results, adequacy of >IV access to handle antibiotics without compromise of fluid administration. > >Ron Elkin MD >California Pacific Medical Center >San Francisco > > >On Mon, Sep 30, 2013 at 4:31 AM, Josie Gray <[email protected]>wrote: > >> Hi there, >> >> I am a third year student Paramedic, studying at the University of >> Brighton. An assignment we have been given involves researching and >> suggesting an improvement our local ambulance service can make to improve >> patient care. >> >> I recently attended a male suffering signs of severe sepsis. He had been >> getting progressively worse following an untreated chest infection and had >> been in the condition we found him for around 3 hours before his wife >> decided to call an Ambulance. >> >> We initiated a fluid challenge and took him to A&E under a blue light >> priority. Along with all our regular checks. >> >> My thoughts from this were, had paramedics been allowed to give broad >> spectrum antibiotics, would this have been of benefit to the patient at all >> as apposed to receiving these in hospital, considering his potential to >> deteriorate rapidly? Our transport time being 20-25 minutes. And would this >> have given the hospital more time to complete other tasks required for this >> patient, e.g blood cultures, imaging etc and enable him to get the care he >> needs as quickly as possible? >> >> I would be very grateful for your opinion on this and if you would have >> any suggestions or recommendations I could research into, on what more the >> Ambulance service can do for this group of patients? >> >> Kind Regards, >> Josie Gray >> >> Third year student Paramedic, >> University of Brighton. >> _______________________________________________ >> Sepsisgroups mailing list >> [email protected] >> http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org >> >_______________________________________________ >Sepsisgroups mailing list >[email protected] >http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org > _______________________________________________ Sepsisgroups mailing list [email protected] http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org
