Hello,
We use the sepsis screen provided by the Surviving Sepsis Campaign. We
screen in all critical care areas once a shift on all of our patients. My
question is how long is an infection considered NEW? If the patient has
already been diagnosed on admission with an infection, would that still be
considered a NEW infection for screening purposes? Say a week later? 2 weeks
later?...
Thanks
Chelsea Bibelhauser
Clark Memorial Hospital
-----Original Message-----
From: [email protected]
[mailto:[email protected]] On Behalf Of
[email protected]
Sent: Wednesday, October 02, 2013 9:42 AM
To: [email protected]
Subject: Sepsisgroups Digest, Vol 77, Issue 6
Send Sepsisgroups mailing list submissions to
[email protected]
To subscribe or unsubscribe via the World Wide Web, visit
http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org
or, via email, send a message with subject or body 'help' to
[email protected]
You can reach the person managing the list at
[email protected]
When replying, please edit your Subject line so it is more specific
than "Re: Contents of Sepsisgroups digest..."
Today's Topics:
1. Re: Pre-hospital Antibiotic Administration ([email protected])
2. Re: fluid resuscitation in CHF or renal patients
([email protected])
3. Re: Sepsisgroups Digest, Vol 77, Issue 1
([email protected])
----------------------------------------------------------------------
Message: 1
Date: Tue, 1 Oct 2013 20:47:46 +0100 (BST)
From: "[email protected]" <[email protected]>
To: <[email protected]>, Josie Gray <[email protected]>
Cc: "[email protected]"
<[email protected]>
Subject: Re: [Sepsis Groups] Pre-hospital Antibiotic Administration
Message-ID:
<9347555.682621380656866942.JavaMail.defaultUser@defaultHost>
Content-Type: text/plain;charset="UTF-8"
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
>
------------------------------
Message: 2
Date: Tue, 1 Oct 2013 20:51:31 +0000
From: <[email protected]>
To: <[email protected]>, <[email protected]>
Cc: [email protected], [email protected]
Subject: Re: [Sepsis Groups] fluid resuscitation in CHF or renal
patients
Message-ID:
<[email protected]>
Content-Type: text/plain; charset="us-ascii"
No, they do not exclude. I tell our house staff that the patient will die of
Septic Shock WAY before they will die of fluid overload-so give the full
recommended amount, keep them from dying from Septic Shock, and worry about
taking the fluids off later!!! :)
Susan M. McKinney, RN
Clinical Quality Coordinator
For Sepsis
Clinical Documentation Specialist
Rapid City Regional Hospital
605-719-4428
605-484-7381
[email protected]
From: [email protected]
[mailto:[email protected]] On Behalf Of Tracey Helmick
Sent: Tuesday, October 01, 2013 12:41 PM
To: [email protected]
Cc: [email protected]; [email protected]
Subject: [Sepsis Groups] fluid resuscitation in CHF or renal patients
Our institution continues to monitor and assess our Sepsis patient data. We
are having difficulty meeting the new 30ml/kg recommendations for fluid
resuscitation. We are finding that some of our outliers are the patients with
CHF or renal failure. Is this a common barrier and if so, what are other
institutions doing to assure those patients are receiving adequate fluid
resuscitation without causing harm to the patient? Should we omit those
patients from our data collection?
Respectfully,
Tracey Helmick RN, CCRN
Meadville Medical Center
MMC Severe Sepsis Team Nurse Champion
[email protected]<mailto:[email protected]>
----------------------------------------------------------------------
Regional Health's mission is to provide and support health care excellence in
partnership with the communities we serve.
Note: The information contained in this message, including any attachments, may
be privileged, confidential, or protected from disclosure under state or
federal laws . If the reader of this message is not the intended recipient, or
an employee or agent responsible for delivering this message to the intended
recipient, you are hereby notified that any dissemination, distribution, or
copying of this communication is strictly prohibited. If you have received this
communication in error, please notify the Sender immediately by a "reply to
sender only" message and destroy all electronic or paper copies of the
communication, including any attachments.
-------------- next part --------------
An HTML attachment was scrubbed...
URL:
<http://lists.sepsisgroups.org/pipermail/sepsisgroups-sepsisgroups.org/attachments/20131001/3b8411b1/attachment-0001.htm>
------------------------------
Message: 3
Date: Tue, 1 Oct 2013 20:52:41 +0000
From: <[email protected]>
To: <[email protected]>, <[email protected]>,
<[email protected]>
Subject: Re: [Sepsis Groups] Sepsisgroups Digest, Vol 77, Issue 1
Message-ID:
<[email protected]>
Content-Type: text/plain; charset="us-ascii"
We use triage vital signs as time zero at our facility.
Susan M. McKinney, RN
Clinical Quality Coordinator for
Sepsis
Clinical Documentation Specialist
Rapid City Regional Hospital
605-719-4428
605-484-7381
[email protected]
-----Original Message-----
From: [email protected]
[mailto:[email protected]] On Behalf Of Miller, Kevin
- SFMH
Sent: Tuesday, October 01, 2013 12:44 PM
To: Robyn Haddock Crosswhite; [email protected]
Subject: Re: [Sepsis Groups] Sepsisgroups Digest, Vol 77, Issue 1
We use the lactate known time as time "zero", and require that antibiotics are
administered within 1 hour from lactate known time. We do point of care
testing for lactate levels.
Kevin P. Miller, RN, BSN
Manager, Risk Management
Saint Francis Memorial Hospital
Phone: (415) 353-6296
Fax: (415) 353-6177
Right Fax: (415) 591-6364
[email protected]
Confidentiality Notice: This message and any attachments are for the sole use
of the intended recipient(s) and may contain information that is legally
privileged and/or confidential. This message may also contain confidential
health information. If you are not the intended recipient or a person
responsible for delivering this message to an intended recipient, you are
hereby notified that any review, dissemination, distribution, or copying of
this communication is strictly prohibited. If you are not the intended
recipient or a person responsible for delivering this message to an intended
recipient, please contact the sender immediately by reply email and destroy all
copies of the original message. Confidential health information is protected by
state and federal law, including but not limited to, the Health Insurance
Portability and Accountability Act (HIPAA) of 1996 and related regulations.
-----Original Message-----
From: [email protected]
[mailto:[email protected]] On Behalf Of Robyn Haddock
Crosswhite
Sent: Monday, September 30, 2013 11:19 AM
To: [email protected]
Subject: Re: [Sepsis Groups] Sepsisgroups Digest, Vol 77, Issue 1
Do other hospitals follow the 3 hr sepsis bundle (ie lactate, antibiotics) or
do you check lactate levels as well as antibiotics within the first hour of
recognition?
Thanks
Robyn Crosswhite BSN, RN,CCRN
Nurse Educator Sepsis Coordinator
Medical Center Hospital
Odessa TX 79758
Sent from my iPhone
On Sep 30, 2013, at 9:59 AM, "[email protected]"
<[email protected]> wrote:
> Send Sepsisgroups mailing list submissions to
> [email protected]
>
> To subscribe or unsubscribe via the World Wide Web, visit
>
> http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.o
> rg
>
> or, via email, send a message with subject or body 'help' to
> [email protected]
>
> You can reach the person managing the list at
> [email protected]
>
> When replying, please edit your Subject line so it is more specific
> than "Re: Contents of Sepsisgroups digest..."
>
>
> Today's Topics:
>
> 1. Re: Sepsisgroups Digest, Vol 76, Issue 3 (Yash Javeri)
> 2. Pre-hospital Antibiotic Administration (Josie Gray)
> 3. Re: Where Does Severe Sepsis Belong? (Martha Mattson)
> 4. IMPRESS Study Update - November 7 right around the corner
> (Lori Harmon)
>
>
> ----------------------------------------------------------------------
>
> Message: 1
> Date: Sat, 28 Sep 2013 22:25:00 +0530
> From: Yash Javeri <[email protected]>
> To: "Rohrbach, Dawn" <[email protected]>
> Cc: "[email protected]"
> <[email protected]>
> Subject: Re: [Sepsis Groups] Sepsisgroups Digest, Vol 76, Issue 3
> Message-ID: <[email protected]>
> Content-Type: text/plain; charset=us-ascii
>
> Very valid point. To whom does the septic
> patient belong? Where should be a
> septic patient treated?
> The septic patient belongs to intensivist Ownership should be with ICU team.
> This will give them much deserved comprehensive care.
> They should be treated in ICU inclined to aggresive sepsis care
> On 28-Sep-2013, at 0:49, "Rohrbach, Dawn"
> <[email protected]> wrote:
>
>> We recommend admitting patients with a lactate> 3 to our ICU in our
>> facility. Most of the time this is the case. The other elements are only if
>> patient is ubstable.
>>
>> -----Original Message-----
>> From: [email protected]
>> [mailto:[email protected]] On Behalf Of
>> [email protected]
>> Sent: Friday, September 27, 2013 1:09 PM
>> To: [email protected]
>> Subject: Sepsisgroups Digest, Vol 76, Issue 3
>>
>> Send Sepsisgroups mailing list submissions to
>> [email protected]
>>
>> To subscribe or unsubscribe via the World Wide Web, visit
>>
>> http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.
>> org
>>
>> or, via email, send a message with subject or body 'help' to
>> [email protected]
>>
>> You can reach the person managing the list at
>> [email protected]
>>
>> When replying, please edit your Subject line so it is more specific
>> than "Re: Contents of Sepsisgroups digest..."
>>
>>
>> Today's Topics:
>>
>> 1. Re: Where Does Severe Sepsis Belong? (Jamie Roney)
>>
>>
>> ---------------------------------------------------------------------
>> -
>>
>> Message: 1
>> Date: Thu, 26 Sep 2013 16:05:06 -0500
>> From: Jamie Roney <[email protected]>
>> To: "Townsend, Sean, M.D." <[email protected]>,
>> "'[email protected]'"
>> <[email protected]>
>> Subject: Re: [Sepsis Groups] Where Does Severe Sepsis Belong?
>> Message-ID:
>>
>> <cb901ca1ec8d2340a5cc967135b59200013a5a2...@sjsnt-txmail01.stjoe.org>
>> Content-Type: text/plain; charset="us-ascii"
>>
>> Dr. Townsend,
>> Is there a sepsis specific risk/treatment stratification tool available to
>> assist in answering your question of placement in a possible lower level of
>> care? Or is there a tool to assist with septic patients who can be
>> discharged home versus admitted due to probable deterioration into severe
>> sepsis?
>>
>> Thank you,
>> Jamie
>>
>> Jamie Roney, BSN, RN-BC, BSHCM, CCRN
>> COVENANT HEALTH SEPSIS COORDINATOR
>> "Be a yardstick of quality. Some people aren't used to an environment
>> where excellence is expected." ~Steve Jobs
>>
>> 3615 19th Street, Lubbock, TX 79410
>> T: (806) 725-4689 C: (806) 773-1914
>> www.covenanthealth.org
>> ......................................................................................
>>
>>
>>
>> -----Original Message-----
>> From: [email protected]
>> [mailto:[email protected]] On Behalf Of Townsend,
>> Sean, M.D.
>> Sent: Friday, March 15, 2013 1:32 AM
>> To: '[email protected]'
>> Subject: [Sepsis Groups] Where Does Severe Sepsis Belong?
>>
>> It's been a long time since I've had to ask this question. I used to think I
>> knew the answer.
>>
>> Here it is: do all patients who meet severe sepsis criteria need to be
>> admitted to the ICU ?
>>
>> Examples:
>>
>> 1. Pneumonia, fever, tachycardia, INR 1.5.
>> 2. Cellulitis, leukocytosis, fever, creatinine 2.0.
>> 3. UTI, leukocytosis, fever, lactate 3.0.
>>
>> Where do people put these patients in reality? What mind of monitoring do
>> they deserve?
>>
>> By prevailing bundles, each gets lactate checked, blood cultures, broad
>> spectrum antibiotics. That's it. Good enough? Good enough for the floor?
>> Need the ICU? Why?
>>
>> Sean
>>
>>
>> Sean R. Townsend, M.D.
>> Vice President of Quality & Safety
>> California Pacific Medical Center
>> 2330 Clay Street, #301
>> San Francisco, CA 94115
>> email [email protected]
>> office (415) 600-5770
>> fax (415) 600-1541
>> _______________________________________________
>> Sepsisgroups mailing list
>> [email protected]
>> http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.
>> org
>>
>> Notice from St. Joseph Health System:
>> Please note that the information contained in this message may be privileged
>> and confidential and protected from disclosure.
>>
>>
>> ------------------------------
>>
>> _______________________________________________
>> Sepsisgroups mailing list
>> [email protected]
>> http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.
>> org
>>
>>
>> End of Sepsisgroups Digest, Vol 76, Issue 3
>> *******************************************
>>
>>
>> This message is intended for the sole use of the addressee, and may contain
>> information that is privileged, confidential and exempt from disclosure
>> under applicable law. If you are not the addressee you are hereby notified
>> that you may not use, copy, disclose, or distribute to anyone the message or
>> any information contained in the message. If you have received this message
>> in error, please immediately advise the sender by reply email and delete
>> this message.
>>
>> _______________________________________________
>> Sepsisgroups mailing list
>> [email protected]
>> http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.
>> org
>
>
> ------------------------------
>
> Message: 2
> Date: Mon, 30 Sep 2013 12:31:53 +0100
> From: Josie Gray <[email protected]>
> To: "[email protected]"
> <[email protected]>
> Subject: [Sepsis Groups] Pre-hospital Antibiotic Administration
> Message-ID: <[email protected]>
> Content-Type: text/plain; charset="us-ascii"
>
> 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.
>
> ------------------------------
>
> Message: 3
> Date: Sat, 28 Sep 2013 11:50:33 -0700
> From: "Martha Mattson" <[email protected]>
> To: "'Mary Draper'" <[email protected]>, "'Jamie Roney'"
> <[email protected]>
> Cc: [email protected]
> Subject: Re: [Sepsis Groups] Where Does Severe Sepsis Belong?
> Message-ID: <[email protected]>
> Content-Type: text/plain; charset="utf-8"
>
> I would think that one of the criteria for lower level care for those
> patients would be the ability to get q 2 hours vital signs for at least 24
> hours, and do serial lactates q 6 hours for 24 hours as well. If staffing or
> new technology in a step-down or telemetry would support this, then
> deterioration would be able to be picked up more quickly and it should be
> safe to admit the patient there, rather than ICU.
>
>
>
> Martie
>
> Martie Mattson, RN, MSN, CNS, CCRN(a)
>
> Critical Care Consultant and Educator
>
> <mailto:[email protected]> [email protected]
>
> (415) 412-2364
>
>
>
>
>
> From: [email protected]
> [mailto:[email protected]] On Behalf Of Mary
> Draper
> Sent: Friday, September 27, 2013 7:32 AM
> To: Jamie Roney
> Cc: [email protected]
> Subject: Re: [Sepsis Groups] Where Does Severe Sepsis Belong?
>
>
>
> If they are hemodynamically stable and have responded to fluids, they could
> go to a telemetry unit but those nurses have 4-5 patients and subtle changes
> leading to instability can get missed.
>
>
>
>
> Mary Draper RN BSN CCRN
>
> Quality Manager-Best Practice Support
>
> Quality Management Supervisor
>
> Office (925) 674-2045 <tel:(925)%20674-2045>
>
> Cell (925) 451-8792 <tel:(925)%20451-8792>
>
> Fax (925) 674-2373 <tel:(925)%20674-2373>
>
> <mailto:[email protected]> [email protected]
>
>
> On Sep 27, 2013, at 7:05 AM, "Jamie Roney" <[email protected]
> <mailto:[email protected]> > wrote:
>
> Dr. Townsend,
> Is there a sepsis specific risk/treatment stratification tool available to
> assist in answering your question of placement in a possible lower level of
> care? Or is there a tool to assist with septic patients who can be discharged
> home versus admitted due to probable deterioration into severe sepsis?
>
> Thank you,
> Jamie
>
> Jamie Roney, BSN, RN-BC, BSHCM, CCRN
> COVENANT HEALTH SEPSIS COORDINATOR
> "Be a yardstick of quality. Some people aren't used to an environment
> where excellence is expected." ~Steve Jobs
>
> 3615 19th Street, Lubbock, TX 79410
> T: (806) 725-4689 C: (806) 773-1914
> www.covenanthealth.org <http://www.covenanthealth.org>
> ......................................................................................
>
>
>
> -----Original Message-----
> From: [email protected]
> <mailto:[email protected]>
> [mailto:[email protected]] On Behalf Of Townsend,
> Sean, M.D.
> Sent: Friday, March 15, 2013 1:32 AM
> To: '[email protected]
> <mailto:[email protected]> '
> Subject: [Sepsis Groups] Where Does Severe Sepsis Belong?
>
> It's been a long time since I've had to ask this question. I used to think I
> knew the answer.
>
> Here it is: do all patients who meet severe sepsis criteria need to be
> admitted to the ICU ?
>
> Examples:
>
> 1. Pneumonia, fever, tachycardia, INR 1.5.
> 2. Cellulitis, leukocytosis, fever, creatinine 2.0.
> 3. UTI, leukocytosis, fever, lactate 3.0.
>
> Where do people put these patients in reality? What mind of monitoring do
> they deserve?
>
> By prevailing bundles, each gets lactate checked, blood cultures, broad
> spectrum antibiotics. That's it. Good enough? Good enough for the floor? Need
> the ICU? Why?
>
> Sean
>
>
> Sean R. Townsend, M.D.
> Vice President of Quality & Safety
> California Pacific Medical Center
> 2330 Clay Street, #301
> San Francisco, CA 94115
> email [email protected] <mailto:[email protected]>
> office (415) 600-5770
> fax (415) 600-1541
> _______________________________________________
> Sepsisgroups mailing list
> [email protected]
> <mailto:[email protected]>
> http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.o
> rg
>
> Notice from St. Joseph Health System:
> Please note that the information contained in this message may be privileged
> and confidential and protected from disclosure.
> _______________________________________________
> Sepsisgroups mailing list
> [email protected]
> <mailto:[email protected]>
> http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.o
> rg
>
> -------------- next part -------------- An HTML attachment was
> scrubbed...
> URL:
> <http://lists.sepsisgroups.org/pipermail/sepsisgroups-sepsisgroups.org
> /attachments/20130928/c77f892c/attachment-0001.htm>
>
> ------------------------------
>
> Message: 4
> Date: Mon, 30 Sep 2013 08:49:21 -0500
> From: Lori Harmon <[email protected]>
> To: "[email protected]"
> <[email protected]>
> Cc: Melissa Nielsen <[email protected]>
> Subject: [Sepsis Groups] IMPRESS Study Update - November 7 right
> around the corner
> Message-ID:
>
> <[email protected]>
> Content-Type: text/plain; charset="us-ascii"
>
> Colleagues,
>
> Dr. Rhodes has reported that there are now over 700 sites enrolled for the
> IMPRESS<http://impress-ssc.com/> study. You can see below the breadth of
> countries represented and the number from each. We are still striving for
> 1000 sites so if you can share this opportunity with your colleagues please
> do so.
>
> Count of Country
>
> Row Labels
>
> Total
>
> Argentina
>
> 3
>
> Australia
>
> 5
>
> Austria
>
> 3
>
> Bangladesh
>
> 2
>
> Belgium
>
> 23
>
> Bolivia
>
> 4
>
> Bosnia and Herzegovina
>
> 2
>
> Brasil
>
> 29
>
> Brunei
>
> 1
>
> Bulgaria
>
> 1
>
> Canada
>
> 9
>
> Chile
>
> 1
>
> China
>
> 16
>
> Colombia
>
> 6
>
> Croatia
>
> 3
>
> Cuba
>
> 1
>
> Cyprus
>
> 1
>
> Czech Repiblic
>
> 15
>
> Denmark
>
> 15
>
> Ecuador
>
> 6
>
> Egypt
>
> 5
>
> Estonia
>
> 1
>
> Finland
>
> 1
>
> France
>
> 9
>
> Georgia
>
> 1
>
> Germany
>
> 10
>
> Greece
>
> 14
>
> Guatemala
>
> 1
>
> Haiti
>
> 1
>
> Hungary
>
> 6
>
> Iceland
>
> 1
>
> India
>
> 53
>
> Indonesia
>
> 1
>
> Iran
>
> 5
>
> Ireland
>
> 3
>
> Israel
>
> 3
>
> Italy
>
> 25
>
> Japan
>
> 18
>
> Jordan
>
> 1
>
> Kenya
>
> 1
>
> Kuwait
>
> 1
>
> Lebanon
>
> 1
>
> Libya
>
> 2
>
> Lithuania
>
> 2
>
> Malawi
>
> 1
>
> Malaysia
>
> 6
>
> Malta
>
> 1
>
> Martinique
>
> 1
>
> Mexico
>
> 10
>
> Netherlands
>
> 15
>
> Nigeria
>
> 3
>
> Norway
>
> 1
>
> Oman
>
> 2
>
> Pakistan
>
> 2
>
> Peru
>
> 7
>
> Philippines
>
> 2
>
> Poland
>
> 10
>
> Portugal
>
> 9
>
> Puerto Rico
>
> 1
>
> Romania
>
> 3
>
> Russian Federation
>
> 15
>
> Saudi Arabia
>
> 10
>
> Serbia
>
> 3
>
> Singapore
>
> 5
>
> Slovakia
>
> 4
>
> Slovenia
>
> 2
>
> South Korea
>
> 5
>
> Spain
>
> 56
>
> Sri Lanka
>
> 1
>
> Sudan
>
> 4
>
> Sweden
>
> 6
>
> Switzerland
>
> 5
>
> Thailand
>
> 1
>
> Turkey
>
> 21
>
> UAE
>
> 4
>
> Uganda
>
> 1
>
> UK
>
> 94
>
> USA
>
> 115
>
> Grand Total
>
> 738
>
>
>
> Lori A. Harmon, RRT, MBA| Director, Program Development| Society of
> Critical Care Medicine
> 500 Midway Drive, Mount Prospect, IL 60056-5811 USA
> t: +1 847.493.6403 | f: +1 847.493.6428 | www.sccm.org
> www.facebook.com/SCCM1<http://www.facebook.com/SCCM1> |
> www.twitter.com/SCCM<http://www.twitter.com/SCCM> |
> www.youtube.com/SCCM500<http://www.youtube.com/SCCM500>
>
> -------------- next part -------------- An HTML attachment was
> scrubbed...
> URL:
> <http://lists.sepsisgroups.org/pipermail/sepsisgroups-sepsisgroups.org
> /attachments/20130930/b03fcaab/attachment.htm>
>
> ------------------------------
>
> _______________________________________________
> Sepsisgroups mailing list
> [email protected]
> http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.o
> rg
>
>
> End of Sepsisgroups Digest, Vol 77, Issue 1
> *******************************************
>
CONFIDENTIALITY NOTICE: The documents accompanying this email transmission
contain confidential information belonging to the sender that is legally
privileged. This information is intended only for the use of the individual or
entity named above. The authorized recipient of this information is prohibited
from disclosing this information to any other party and is required to destroy
the information after its stated need has been fulfilled. If you are not the
intended recipient, you are hereby notified that any disclosure, copying,
distribution, or action taken in reliance on the contents of these documents is
strictly prohibited. If you have received this email in error, please notify
the sender immediately to arrange for return of these documents.
_______________________________________________
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
----------------------------------------------------------------------
Regional Health's mission is to provide and support health care excellence in
partnership with the communities we serve.
Note: The information contained in this message, including any attachments, may
be privileged, confidential, or protected from disclosure under state or
federal laws . If the reader of this message is not the intended recipient, or
an employee or agent responsible for delivering this message to the intended
recipient, you are hereby notified that any dissemination, distribution, or
copying of this communication is strictly prohibited. If you have received this
communication in error, please notify the Sender immediately by a "reply to
sender only" message and destroy all electronic or paper copies of the
communication, including any attachments.
------------------------------
_______________________________________________
Sepsisgroups mailing list
[email protected]
http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org
End of Sepsisgroups Digest, Vol 77, Issue 6
*******************************************
7 minutes online can save your life! Log onto
www.clarkmemorial.org and click on HEARTaware.
This information is intended only for the use of the individual or entity named
above. The authorized recipient of this information is prohibited from
disclosing this information to any other party unless required to do so by law
or regulation. If you are not the intended recipient, you are hereby notified
that any disclosure, copying, distribution, or action taken based on the
contents of these documents is strictly prohibited by law. If you have received
this message in error, please notify the Clark Memorial Hospital Privacy
Officer at 812.283.2626.
_______________________________________________
Sepsisgroups mailing list
[email protected]
http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org
