Medical City Healthcare - September 10, 2018

Sepsis was previously thought to be a form of blood poisoning, but doctors now know this life-threatening condition is the body's overwhelming immune response to an infection it already has. According to the CDC, more than 1.7 million Americans get sepsis annually and about 270,000 die. Former President George H.W. Bush, 93, contracted sepsis following bouts of pneumonia. Muhammad Ali died from septic shock, the most severe stage of sepsis.

Sepsis has made news recently, in part because of increased awareness and tracking, but also because people with chronic medical conditions and weakened immune systems are living longer. They are among those at highest risk for sepsis, in addition to infants, young children, seniors and people with severe burns or wounds. However, anyone of any age and health status can get sepsis, even from something as simple as a bug bite, according to Dorie Murray, RN, sepsis coordinator at Medical City North Hills.

Diseases that can lead to sepsis. 

Sepsis has typically been linked to bacterial infections, but it can be caused by any type of infection, including viral and fungal. The most likely causes of sepsis include:

  • Pneumonia, including as a secondary infection of flu and RSV

"This past January, we had 12 severe sepsis and septic shock cases," said Nurse Murray. "Eight of those were caused by the flu."

  • Abdominal infections, including appendicitis and kidney infections
  • Urinary tract infections (UTI)
  • Bloodstream infections (septicemia or bacteremia)

Sepsis symptoms.

Like heart attack and stroke, sepsis must be caught and treated quickly. According to Nurse Murray, every hour that a septic patient goes without antibiotics, their chance of death increases nearly eight percent. Because many of the symptoms of sepsis are the same for many other conditions, it can be hard to recognize in its early stages. If someone has an infection that's not getting better or a wound that won't heal, accompanied by the following symptoms, head to your nearest ER.

  • Rapid heart rate
  • Shortness of breath; rapid, shallow breathing
  • Fever, shivers, feeling very cold
  • Confusion or disorientation
  • Clammy, sweaty, pale skin
  • Extreme pain or discomfort

Sepsis prevention.

Here are some steps you can take to prevent sepsis:

  • Manage chronic conditions; keep appointments for checkups and take your medications as directed by your doctor
  • Stay current on recommended vaccines; everyone six months of age and older should get an annual flu shot
  • Scrub germs off by washing your hands
  • Keep cuts clean, dry and covered until healed

To help decrease sepsis deaths in North Texas, Medical City North Hills has partnered with the North Richland Hills Fire Department to administer life-saving sepsis treatment in the field. The hospital staff trains paramedics to recognize the symptoms of sepsis and deliver antibiotics to patients immediately, while they are on the way to the hospital. The one-year-old program, called Code Sepsis, has already saved dozens of lives, including that of seventy-eight-year-old Joyce Shore. Shore had been unable to move off of her couch for four days and credits North Richland Hills paramedics for identifying septic shock and saving her life.

For fast, emergency care when you need it most, look to one of our many Medical City ER locations across North Texas. With average wait times posted online, if you do have an emergency, you can spend less time waiting and more time on the moments that matter most.

Find a fast Medical City ER near you or visit Medical City Virtual Care for non-emergency medical treatment from your computer or smartphone.

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Revised 2/5/2019

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