|World Sepsis Congress 2021|
The number 1 killer.
It is a sickness cause by serious infection (e.g. COVID-19, lung infection, flu).
Early recognisation save life because it is treatable and preventable.
Today is World Sepsis Day, 13 Sept 2020, aim to increase Sepsis awareness to public and healthcare provider.
Let us hand in hand make Malaysia and World
Malaysian Sepsis Alliance
& Edric Yip for the video editing
The registration is free
It involve 150 speakers with 55 countries all over the world.
Animal do have sepsis. Veterinarian are invited too!
Please go the link below and register early!
Date: 25 June 2020
Time: 10am to 12pm
Please register via this link for next week webinar (25 June 2020)
Just simply key in your ic number in staff/student id column if you are not our UKM staff.
This webinar is open and free for all. It is suitable for healthcare providers, doctors, GPs, nurses and assistant medical officers.
This is my previous week webinar on "Sepsis Identification". In case those who miss the session, you may watch it again at the link below.
The video was the recording of the previous session (18 June 2020). You may watch it before next week session. It is a continuum for next week webinar.
Thank you. Have a nice day.
Associate Professor Dr Tan Toh Leong
Senior Lecturer and Consultant Emergency Physician,
Hospital Canselor Tuanku Muhris, Pusat Perubatan UKM,
President of Malaysian Sepsis Alliance Society (MySepsis).
Some important info:
1. COVID-19 doesn't not behave like SARS. It behave more like a flu.
2. Fatality rate for COVID-19 still low (range from 0.8 for less than 65 year old to 15% only for elderly 80year old and above)
3. Transmission model not similar to SARS as they might transmit during asymptomatic period. But not to worry, if we got it, it will be like having a flu and recover later. No big deals
4. The COVID-19 plays 'hide and seek' behave like HIV (my own observation), that why some patient negative swab and later positive again.
5. The range of day from getting disease til symptoms present (average 11.4 days, outlier up 21 days)
6. Effective treatment include antivirus.
7. Elderly, chronic illness are high risk of morbidity & mortality (CARS and PIC syndrome group)
8. Second wave of remerge of disease will attack younger person less than 35 years old (SIRS and Cytokinase Storm)
Mitigation Phase should be activated now to delay the epidermic peak, so that the healthcare system can cope with the outbreak
What shall we all do now to protect you and your love one?
Listen carefully guys and gals. It is very very crucial now.
1. Do our own responsibility taking care of our own hygiene.
2. Wash you hand every 10- 15min if you are outside (a bit OCD is ok during this mitigation phase)
3. If you sick, only wear mask. Keep those mask for the sick.
4. Do not wear your self created mask, it danger other and yourself, especially when you are sick and you wear it, it won't filter and germ and may spread the germ more!
5. Stay away from public, mean stay home. SOCIAL DISTANCING.
6. Don't shake hand and kiss. Just saya a hi or salam gesture from far.
7. Keep all the eldeely at home and provide them enough food and drink during this period.
8. Avoid all Mass gathering event and travelling! No no celebration event. Postpone it if possible. Sorry for those wedding event.
9. If you are having symptom and no contact history, stay home and self monitor. 10 sec breath holding test is good as a tool for self monitoring. Mean, if you can hold a deep breath more than 10 sec, you should be ok.
10. If you have contact with any COVID-19 patient, and you are symptomatic , please come forward to hospital. If you do not have symptom, please call our KKM hotline (office hours) and doctoroncall (after office hour) for further instruction.
11. Stay Calm and Do not panic. We have enough resouces to control disease if we follow these guide 100%.
12. School Holiday mean STAY AT HOME.
13. Last but not least. DO NOT OVER BUYING! Just buy your family own needs. Left some for others. Our country have wide range financial backgroud citizen (especially B40). Our aim is to keep the market basic need (eg. groceries & toilettries) constantsly available in the market so that everyone can buy it. With the constants goods supply, the price of goods won't go up and constant supply is ensured. So nobody will panic.
*Not everyone has similar purchase power. We need to consider others who had financial constrain in this outbreak season.
Pray for all safety.
Assoc Prof Dr Tan Toh Leong
President of Malaysia Sepsis Alliance
Consultant Emergency Medicine UKM
LINK: Click here
Twice as many people are dying from sepsis worldwide than previously estimated, according to a groundbreaking study by an international team of scientists published in The Lancet today. Among them are a disproportionately high number of children in poor areas.
This study, the most comprehensive clinical study on sepsis to date, revealed 48.9 million cases of sepsis in 2017 and 11 million deaths. 1 in 5 deaths globally are associated with sepsis. Sepsis arises when the body’s response to an infection injures its own tissues and organs. It may lead to shock, multi-organ failure, and death – especially if not recognized early and treated promptly. For sepsis survivors, it can create lifelong disabilities and suffering.
It was found that about 85% of sepsis cases occurred in low- or middle-income countries – especially in Sub-Saharan Africa, the South Pacific islands, and South, East, and Southeast Asia. While sepsis incidence is higher among females than males, more than 40% of all cases are occurring in children under 5.
“I’ve worked in rural Uganda, and sepsis is what we saw every single day. Watching a baby die of a disease that could have been prevented with basic public health measures really sticks with you. I want to contribute to solving this tragedy, so I participate in research on sepsis. However, how can we know if we’re making progress if we don’t even know the size of the problem? If you look at any top 10 list of deaths globally, sepsis is not listed because it hasn’t been counted.”
— LEAD AUTHOR KRISTINA E. RUDD, M.D., M.P.H., ASSISTANT PROFESSOR AT PITT'S DEPARTMENT OF CRITICAL CARE MEDICINE
For their analysis, Rudd and colleagues leveraged the Global Burden of Disease Study, a comprehensive epidemiological analysis coordinated by the Institute for Health Metrics and Evaluation (IMHE) at the University of Washington School of Medicine. Previous global estimates for sepsis relied upon hospital databases from select middle- and high-income countries, making them severely limited and prone to overlooking the occurrence outside of the hospital, especially in low-income countries.
“We are alarmed to find sepsis deaths are much higher than previously estimated, especially as the condition is both preventable and treatable. We need renewed focus on sepsis prevention among newborns and on tackling antimicrobial resistance, an important driver of the condition.”
— SENIOR AUTHOR MOHSEN NAGHAVI, M.D., PH.D., M.P.H., PROFESSOR OF HEALTH METRICS SCIENCES AT IHME AT THE UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Although the number of cases are much higher than previously estimated, it is important to note that great international and collaborative work has been done worldwide in the past decades to fight sepsis. These efforts are conveyed in the study which examined annual sepsis incidence and mortality trends from 1990 to 2017. The study found that rates are actually decreasing. In 1990, there were an estimated 60.2 million sepsis cases and 15.7 million deaths, compared to the 48.9 million cases and 11 million deaths in 2017. However, the study highlights we still have a long way to go in the global fight against sepsis and we need to continue to build upon the work being done worldwide.
“This research confirms the urgent need for policymakers, healthcare providers, clinicians, and researchers to work together to implement robust national sepsis strategies, as called for in the 2017 WHO Resolution on Sepsis.”
— KONRAD REINHART, PRESIDENT GLOBAL SEPSIS ALLIANCE
This research was funded by The Bill & Melinda Gates Foundation, the National Institutes of Health (grants T32HL007287, T32HL007820, R35GM119519), the University of Pittsburgh, the British Columbia Children’s Hospital Foundation, the Wellcome Trust, and the Fleming Fund. Of the 23 authors that contributed to this paper, 4 are members of the Executive Committee of the Global Sepsis Alliance
E – Extreme shivering, muscle pain or fever
P – Passing no urine
S – Severe breathlessness
I – It feels like you’re going to die
S – Skin mottling or discoloured