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Sepsis is the body’s overwhelming response to an infection. Almost any infection, whether bacterial, viral, or fungal in origin, can lead to sepsis. Sepsis is a life-threatening condition that requires urgent medical care to prevent tissue damage, organ damage, and death.
Sepsis is a leading cause of hospital mortality in the United States. There are an estimated 1.7 million adult sepsis hospitalizations annually, of which 350,000 result in hospital death or discharge to hospice.
According to the Centers for Disease Control and Prevention (CDC), most sepsis cases (nearly 87%) begin in the community and are transported to the hospital by emergency medical services (EMS) providers. Since sepsis can progress quickly and unpredictably, it is critical to recognize signs of sepsis and intervene early to help these patients. EMS providers play an essential role in early sepsis intervention.
The Sepsis Alliance Institute released a course this month covering the latest research on prehospital sepsis care. Research shows that when EMS providers are trained to recognize signs of sepsis and alert the hospital that sepsis is suspected when the patient is transferred to the emergency room, patients’ sepsis survival rates in the hospital are significantly improved.
Sepsis presentation is heterogeneous and can be tricky to identify in the field. The Centers for Disease Control and Prevention (CDC) provides an EMS Card with an at-a-glance list of the signs and symptoms of sepsis an EMS provider might see and the information that should be gathered from a patient to help determine whether sepsis should be suspected.
For more in-depth information on how to recognize signs and symptoms of sepsis in the prehospital setting, the CDC recommends the following three awareness courses for EMS from the Sepsis Alliance Institute:
EMS medical directors, coordinators, paramedics, EMTs, and anyone interested in the latest evidence on the impact of prehospital care of sepsis patients may also benefit from the Sepsis Alliance’s latest course, Prehospital Sepsis Care Research Update, 2023. The course is presented by an EMS Coordinator from the Ridgefield (Conn.) Fire Department. The presentation discusses several recently published papers that have reshaped the emergency medical community’s understanding of prehospital alerts as well as prehospital sepsis treatment with fluid administration and antibiotics.
Throughout September, the CDC encourages all healthcare professionals to educate patients, their loved ones and caregivers about how to protect themselves and prevent sepsis using the shareable educational materials in its Get Ahead of Sepsis awareness campaign. Use hashtag #SAM2023 on social media.
(Sources: CDC, Sepsis Alliance Institute)
First responders and emergency planners need access to realistic plume models and simulations when conducting radiological emergency preparedness activities.
The Department of Homeland Security (DHS) Science and Technology Directorate (S&T) funded the development of three new tools, available through the Federal Emergency Management Agency’s (FEMA’s) Interagency Modeling and Atmospheric Assessment Center (IMAAC), that offer emergency managers, first responders, and exercise coordinators several options to access plume models and interactive simulations for exercises, trainings, and emergency planning activities.
DHS S&T has just released a 3-page fact sheet summarizing these tools and how to access them: Obtaining Models and Simulations for Radiological/Nuclear Trainings and Exercises.
The three tools covered in the fact sheet are:
- RadResponder Simulation Tool.
- IMAAC Exercise Support.
- Consequence Management Website (CMWeb) Simulation Planning Scenario Tool.
The RadResponder Simulation Tool and IMAAC’s exercise support are available as part of FEMA’s CBRNResponder Network, which is managed by FEMA’s Office of Emerging Threats, formerly called the Chemical, Biological, Radiological and Nuclear (CBRN) Office. A CBRNResponder Network account is required to access these two tools.
CMweb is managed by the Department of Energy. It is a web-based, data dissemination application used to assist decision making during a radiological incident. The system provides a convenient method of sharing consequence management information, such as event status, plume model, deposition predictions, measurement data, and protective action recommendations. This tool can generate customized plume models (including briefing products), and the simulation files that can be uploaded to the RadResponder Simulation Tool. A CMWeb account is required to access the Simulation Planning Scenario Tool.
To learn more about these tools and how to request access, see DHS S&T’s fact sheet, Obtaining Models and Simulations for Radiological/Nuclear Trainings and Exercises, available on DHS’s website.
(Source: DHS S&T)
FEMA has announced this year’s Great ShakeOut earthquake drill, scheduled for Thursday, Oct. 19, at exactly 10:19 a.m. (local time for your region).
While earthquakes are more common in some areas of the United States than others, earthquakes can happen anywhere, and they can strike at any time with little warning.
The drill focuses on what to do when the ground shakes during an earthquake to stay safe and minimize injuries:
- DROP where you are, onto your hands and knees. This position protects you from being knocked down and reduces your chances of being hit by falling or flying objects.
- COVER your head and neck with one arm and hand.
- HOLD ON until the shaking stops.
The event is also an opportunity to educate the public about their local earthquake risk and what everyone can do to be more prepared. The California-based Earthquake County Alliance provides preparedness information, such as how to Secure Your Space by identifying hazards and securing moveable items in your home or workplace.
While the Great ShakeOut Earthquake Drill is an international effort, the drill is organized by Official ShakeOut Regions. Supporting instruction surrounding the drill is customized for the preparedness needs of each region. Therefore, the first step to getting better prepared is to register to participate in the drill. From there, you can access drill manuals, materials, and other resources appropriate for your audience and Official ShakeOut Region to get started. Resources supporting drill leaders are also available on the website for areas that fall outside of an Official ShakeOut Region.
FEMA encourages everyone to register, whether as an individual or as an organization, to be included in the millions participating and to receive useful information and guidance.
Visit ShakeOut.org to learn more about the drill, to see who is participating this year, and to register. Check out ShakeOut.org’s YouTube channel for even more educational resources. You can also text "ShakeOut" to 43362 to be added to the Great ShakeOut distribution list.
(Sources: FEMA, ShakeOut.org, United States Geological Survey)
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