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Short Notes on Sepsis 2018 - Dr Mark Burgin

27/02/18. Dr. Mark Burgin BM BCh (oxon) MRCGP considers the elements that should be included in a primer for clinical negligence and coroner cases involving sepsis.

Sepsis is any bacterial infection that has 2 symptoms of the Systemic Inflammatory Response Syndrome, and remains one of the most important causes of death in all ages.

Viral infection can be differentiated clinically from sepsis by response to paracetamol, course of the illness and how ill the patient looks, but not always.

The NICE guidelines suggest first, consider ‘this could be sepsis’ and second, performing the basic nursing observations (blood pressure, capillary refill, oxygen saturation, pulse, respiratory rate and temperature) called NEWS.

The technology for blood cultures has not improved since the 1960s and as a result few requests for blood cultures are made in general practice however this may change...

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