Be Aware

coloradoemt

Forum Asst. Chief
Messages
616
Reaction score
2
Points
0
It seems mother nature is trying a new way to weed out the population....


Study: 'Superbug' Germ Kills 3 in Chicago
By ALICIA CHANG, AP Science Writer
2 hours ago

Three Chicago-area children have died of a toxic shock syndrome-like illness caused by a superbug they caught in the community and not in the hospital, where the germ is usually found.

The cases show that this already worrisome staph germ has become even more dangerous by acquiring the ability to cause this shock-like condition.

"There's a new kid on the block," said Dr. John Bartlett of Johns Hopkins University School of Medicine, referring to the added strength of the superbug known as methicillin-resistant staphylococcus aureus, or MRSA.

"The fact that there are three community-acquired staph aureus cases is really scary," continued Bartlett, an infectious disease specialist.

The Chicago deaths were described in Thursday's New England Journal of Medicine.

Health officials do not yet know how the drug-resistant staph causes this new syndrome, but it appears to be rare, said Dr. Clifford McDonald, an epidemiologist with the federal Centers for Disease Control and Prevention.

However, doctors should be on the lookout for shock-like cases caused by MRSA, said Dr. Robert Daum, a pediatrician at the University of Chicago who co-authored the study.

In 1999, drug-resistant staph infections killed four healthy children ranging in age from 1 to 13 years old in Minnesota and North Dakota. Since then, doctors have actively looked for such infections in their community.

In the cases reported in Thursday's medical journal, the baby and two toddlers who died were otherwise healthy before they were separately admitted to a Chicago hospital with pneumonia-like symptoms between 2000 and 2004. Doctors believe the children probably inhaled the germ.

The children died within a week of being hospitalized and autopsies showed they suffered from shock and bleeding in the adrenal gland. The infections were caused by MRSA, which is usually not associated with the syndrome.

Until recently, drug-resistant staph infections were limited to hospitals and other health care settings where they can spread to patients with open wounds and cause serious complications.

But infectious disease specialists say a growing number of community-acquired resistant staph infections have struck healthy people outside of hospitals in recent years.

Doctors in Los Angeles treated 14 people with necrotizing fasciitis, informally known as flesh-eating bacteria, caused by the resistant germ.

And in Corpus Christi, Texas, doctors have seen community-acquired resistant staph cases jump from 10 cases a year in the 1990s to more than 400 in 2003.

The first Chicago death occurred in 2000 when a 15-month-old girl was diagnosed with severe pneumonia. She died eight hours later. In 2003, a 9-month-old girl was hospitalized with fever and breathing problems. Her condition deteriorated and she died six days later. A year later, a 17-month-old boy was admitted with respiratory problems and died the next day.

In all three cases, the victims' conditions progressed from pneumonia to shock.

____

On the Net:

New England Journal: http://www.nejm.org
 
All these damn sick people... make me want to put on a class 3 & SCBA before I climb into the ambulance.
 
I just had a MRSA pt..... I made sure the strecher was wiped down afterwords, and that the BP cuff was also wiped..... not so much for me, but the next little old lady we transport..... that is NASTY!
 
Originally posted by MedicStudentJon@Sep 21 2005, 06:56 PM
I just had a MRSA pt..... I made sure the strecher was wiped down afterwords, and that the BP cuff was also wiped..... not so much for me, but the next little old lady we transport..... that is NASTY!
Ya know... I always clean the stretcher, the seats, the hand rails, and the tips & head of the scope...

But unless it is covered with blood or sweat, I never clean the BP cuffs. :huh:
 
My driver was suprised that I cleaned the strecher.... he asked "Why" I said "MRSA" he asked "when did we start doing this" My response was Never.... I do it, for the protection of the next patient......

:huh: He looked very confused

Jon :D
 
:blink: :blink: We always clean our stretchers, after every patient. I mop the floors and disinfect everything, BP cuffs, monitors, handrails, all of it. Then I spray disinfectant spray over everything just to be sure.

If I am the next patient in that ambulance, I wanna know for sure that it's clean.
 
WOW I am surprised that healthcare workers never clean equipment used by patients.... Maybe a study needs to be performed on how clean an healthcare enviroment our equipment is. I bet we would be shocked.. maybe we could teach EMT's about aseptic and cleanliness then, also the route how diseases and viruses as well as bacteria is transmitted.

C'mon guys you know to clean and disenfect ALL the equipment used after patient exposre. This not no news flash... This has to be done between each patient, no exceptions...

Be safe,
Ridryder 911
 
The 2004 Paramedic Class out of Springfield, MO did a swab test on the ambulance... found stuff that NO ONE wanted to know about.. front AND back... Just a reminder to always clean!!!
 
Originally posted by emtI@Sep 22 2005, 11:20 PM
:blink: :blink: We always clean our stretchers, after every patient. I mop the floors and disinfect everything, BP cuffs, monitors, handrails, all of it. Then I spray disinfectant spray over everything just to be sure.

If I am the next patient in that ambulance, I wanna know for sure that it's clean.
Good point, but we don't have the time!

Jon
 
I understand that some services are scary busy, but that's just scary. I don't wanna get in your truck if you're not cleaning between calls. It takes me maybe five minutes to do it. After we transfer patient care, one of us cleans the cot and equipment and the other does the truck. We carry all of our cleaning supplies on our truck. It's in our SOP's that everything will be disinfected between patients. That's just good practice all the way around for us.

If we are not clean and disinfected then we are not ready to be put back in service.

I don't know what that patient had his/her hands in or on, or what kind of life they live, nor do I care to. I just know that if they had something infectious on their person, and I DON'T clean up after the call, then I am responsible for what may transfer to the next patient, or to myself. There is some scary stuff out there nowadays.

If it happens to be me that is picked up next, I don't wanna be put on a cot that hadn't been disinfected after someone else bled/urinated/sweated or whatever on that cot.

And if I touched the patient, and then grabbed the handrail with the dirty bloody germy glove that I had on my hand, and then while putting the cot back touched that same handrail, I now have those germs on my hands. ICK.

And I don't know about you, but lots of my patients don't give me all of the pertinent info on their PMH, so who knows what anyone really has.

But that's just me.
 
We have a pretty good system, works when we're busy/not busy. Both of us take in the pt. The Medic stays in & transfers care/does paperwork, and the EMT goes out to the truck and cleans. We both always finish about the same time and go back to the station.
 
Originally posted by emtI@Sep 27 2005, 11:21 PM
I understand that some services are scary busy, but that's just scary. I don't wanna get in your truck if you're not cleaning between calls. It takes me maybe five minutes to do it. After we transfer patient care, one of us cleans the cot and equipment and the other does the truck. We carry all of our cleaning supplies on our truck. It's in our SOP's that everything will be disinfected between patients. That's just good practice all the way around for us.

If we are not clean and disinfected then we are not ready to be put back in service.

I don't know what that patient had his/her hands in or on, or what kind of life they live, nor do I care to. I just know that if they had something infectious on their person, and I DON'T clean up after the call, then I am responsible for what may transfer to the next patient, or to myself. There is some scary stuff out there nowadays.

If it happens to be me that is picked up next, I don't wanna be put on a cot that hadn't been disinfected after someone else bled/urinated/sweated or whatever on that cot.

And if I touched the patient, and then grabbed the handrail with the dirty bloody germy glove that I had on my hand, and then while putting the cot back touched that same handrail, I now have those germs on my hands. ICK.

And I don't know about you, but lots of my patients don't give me all of the pertinent info on their PMH, so who knows what anyone really has.

But that's just me.
I don't dissagree. I just wish I had a partner who felt the same way. It is hard to do all this on every call if you are doing it solo.

Jon
 
Originally posted by Wingnut@Sep 28 2005, 06:09 AM
We have a pretty good system, works when we're busy/not busy. Both of us take in the pt. The Medic stays in & transfers care/does paperwork, and the EMT goes out to the truck and cleans. We both always finish about the same time and go back to the station.
That's what we generally do. Once the PT is transferred from the gurney to the ER bed, the PT care person stays to do the transfer, and the driver takes the gurney out into the hall, strips the sheets, cleans it and makes it with clean sheets. The driver then takes it out to the rig, cleans the rig and gets it back in service.
 
Originally posted by MedicStudentJon@Sep 28 2005, 09:11 AM
I don't dissagree. I just wish I had a partner who felt the same way. It is hard to do all this on every call if you are doing it solo.

Jon

I completely understand that. I will admit, I am sometimes a bossy little one then, because I tell them what to do when they are standing there with their hands in their pockets looking at me, or when they are too busy chatting it up with the nurses to do what they are supposed to be doing!

I love my job, and I expect everyone I work with to hold up their end of the job too.
 
Back
Top