keithdb2

Hello, I'm looking to get a handle on SIRS, sepsis, severe spesis, septic shock, DIC and MODS. Right now, I have a fairly rudimentary understanding of SIRS and sepsis. My Googe fu is failing me today and I can't find simple, introductory level explanations of these concepts. Anyone have links, documents, articles, videos or books they can recommend? Thanks Keith

I work in a small rural hospital in the EMS department. Our hospital runs the local EMS service and we are considered hospital employees. I've noticed when we go down to the ED to help during major traumas, codes, or critical patients, the room is always a cluster with 6 people running around. There's very little organization, things don't flow well and it's hard to keep tracking of who is supposed to do what and if its actually being done. When I worked in large cities and went to multiple hospitals, I often saw a large chart high on the wall of the trauma room at the head of the patient. It had a simple drawing of a bed with a patient on it and then different roles next to the bed. The charts were often labeled with "Primary nurse, secondary nurse, scribe" or "RN 1, RN 2, RT, ED Tech, MD, etc". Along with pictures of where people were supposed to stand, there was also a short list of jobs. Who was in charge of venous access, in charge of meds, in charge of compressions, etc. I think it kept the team working on critical patients organized and kept unneeded people out of the room. I want to find a copy (or several) of these charts/pictures/diagrams to show to our ED Director to see if we can implement it here. My Google-fu is failing me today. Anyone have copies of or links to this kind of diagram? Keith