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View Diary: Medical Error, Liability, and Murtha (322 comments)

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  •  Did Virginia Hospital Center have a Sepsis (1+ / 0-)
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    Protocol that meets national standards? Despite the cause, including a perforated intestine, aggressive early use of fluids, antibiotics, vasopressors, CVP monitoring, steroids for severe sepsis, glucose control and ventilator support decrease mortality. This requires a team approach involving ER, ICU, intensivists and other specialists. Twelve to 24 hours on this protocol often stabilizes septic patients enough to tolerate invasive procedures like an exploratory laparotomy. It is cost-effective, too.  
       My small community hospital meets and exceeds national standards for sepsis treatment. Many of our patients are 70+ with heart disease and diabetes.

    ....the only thing we have to fear is fear itself. FDR 1933

    by Tailspinterry on Wed Feb 10, 2010 at 01:25:04 PM PST

    •  not really relevant (0+ / 0-)

      The injury to Murtha was at the Bethesda Naval Hospital and it apparently went unnoticed and he went home. Only later, as I understand it, did his infection problem arise. The hospital he then went to was not the hospital where the injury occurred.

      If your intestine is nicked, or as was the case with my gallbladder surgery, my bile duct was nicked, you WILL get an infection. There's probably no two ways about it. This is not a clean area.

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