Recently in Septic Shock and Third Degree Burns Category

April 24, 2012

Septic Shock and Third Degree Burns (part II)

Diagnosis of septic shock:

  • History and physical exam.
  • Observing characteristic symptoms.
  • Tests including blood tests, blood cultures ( may not become positive for several days after the blood has been taken), urine, sputum and spinal fluid test, organ function tests, X-ray, CT scan and others.

Treatment of septic shock:

  • Septic shock is a medical emergency, the treatment is started even before diagnosis through lab conformation.
  • Admission to the intensive care unit is essential.
  • Mechanical ventilation and oxygen administration.
  • Treatment of infection with antibiotics.
  • Intravenous fluids and medication administration to raise blood pressure and restore blood volume.
  • Support of organ dysfunction,
  • Surgery.

Out come of septic shock: the outcome depends on:

  • The age of the patient.
  • The underlying health condition of the patient.
  • The causative microorganism.
  • The number of organs that have failed as a result of the septic shock ( the lesser the better outcome).
  • The timing of the start of treatment (the sooner the better outcome) and the method of treatment.
Prevention of septic shock:

Although some causes can not be prevented, immediate treatment of bacterial infections, wounds or burns decrease the incidence of septic shock.

  • Take care of any infection that you get ( see wound infection) and contact your doctor or go to the emergency department if you develop symptoms of septic shock.
  • If you are taking care of a patient with burns in a hospital, contact the treating staff if you notice any symptom of septic shock on the patient.
  • If you are a care giver of a burned patient at home, contact the treating physician if you notice any symptoms of septic shock on the patient ( see burn wound care at home).
  • Due to the increase of elderly patients and the increase in the invasive medical procedures and devices along with the increase in immunocompromised patients in recent decades, the rate of death from septic shock has increased.

Kramer and Pollack, LLP; are VERY well versed in all aspects of representing burn injury victims. They have handled a multitude of burn injury cases ranging from hot water scald burns, to stove tipping cases to explosion cases. They are competent, experienced and very thorough

This information is not intended nor implied to be a substitute for professional medical advice; it should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. Call 911 for all medical emergencies.

April 18, 2012

Septic Shock and Third Degree Burns (part I)

One of the complications of severe burn injuries such as third degree burns is septic shock. Septic shock is a serious medical emergency that result from bacteremia ( bacteria in the bloodstream) leading to sepsis which is a systemic immune response to the bacterial toxins, this will lead to a dramatic drop in blood pressure leading to decrease tissue perfusion and decrease oxygen and nutrient supply to the tissues. Septic shock is the number one cause of death in intensive care units and the 13th most common cause of death in U.S (Parrillo, 1990 and US CDC). The mortality rate may reach up to 50%.

Septic shock can cause multiple organ dysfunction syndrome (multiple organ failure) including respiratory system failure and may cause death. Sepsis can be caused by other infectious microorganisms other than bacteria such as fungus and viruses. Septic shock occurs most often in children, elderly and immunocompromised individuals as their immune system is weakened and can't effectively with infection. Infection can be localized to a particular site but when the immune system is weakened or compromised, the infection can spread to the blood stream causing systemic infection, sepsis and septic shock.

Risk factors for septic shock may include:

  • Severe burns (second and third degree burns) and severe injuries.
  • Diabetes mellitus.
  • Aids.
  • Advanced cancer.
  • Pneumonia.
  • Genitourinary tract infections and diseases.
  • Liver cirrhosis.
  • Infections of the abdomen.
  • Indwelling catheters that are kept in place for a long time.
  • Patients using chemotherapy.
  • Prolonged use of antibiotics.
  • Recent surgery, organ transplant or medical procedure.
  • Recent infection.
  • Recent use of certain steroid medications.
Symptoms of septic shock:

Septic shock can affect any organ of the body, symptoms may include:

  • High temperature (fever) > 100.4 degree F or low temperature (hypothermia) < 96.8 degree F, chills.
  • Rapid heart rate (tachycardia) > 90 beats per minute.
  • Palpitation (awareness of the heart beats).
  • High respiratory rate ( hyperventilation) > 20 breaths per minute.
  • Low blood pressure.
  • Pale and cool body extremities.
  • Skin rash or discoloration.
  • Little or absent urine out put.
  • Shortness of breath.
  • Dizziness, lethargy, agitation, disorientation, confusion or coma.
  • Organ failure such as respiratory failure.
  • Gangrene that may lead to amputation.

This information is not intended nor implied to be a substitute for professional medical advice; it should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. Call 911 for all medical emergencies.

January 6, 2012

Severe Burns Can Cause Kidney Injury and Kidney Failure

Here is an informative article for anyone who suffers injuries from severe burns--not just soldiers who are burned in combat:

Many American soldiers who suffer burns during combat develop acute kidney injury--an abrupt or rapid decline in kidney function that is potentially deadly. That's the finding of a study that looked at acute kidney injury among 692 U.S. military casualties who were evacuated from Iraq and Afghanistan to burn units.

Using two different classification systems, the researchers found that rates of acute kidney injury were 24 percent and 30 percent among the casualties. What's more, those with acute kidney injury were much more likely to die than those without it. Death rates among patients with moderate forms of kidney problems were 21 to 33 percent, while severe forms of the condition were made the death rate a whopping 63 to 65 percent. In comparison, the death rate for patients who did not have acute kidney injury was 0.2 percent.

Among those with kidney injury, 58 percent were diagnosed when they were admitted to hospital, which suggests their injury was caused by combat-related factors. But here is a key statistic: Complications from hospitalization were the likely cause of acute kidney injury among the 18 percent of patients who developed the condition after the first week in the burn unit.

"Our research shows that if a wounded warrior develops kidney damage, he or she is at an increased risk of dying," Captain Ian Stewart, U.S. Air Force physician at the San Antonio Military Medical Center, Fort Sam Houston, said in a news release. "By preventing or modifying kidney injury, we may be able to improve survival in personnel with burns and/or other traumatic injury," he added.

The full study appeared online as of December 8 in the Clinical Journal of the American Society of Nephrology. For more information about the effect of burn injuries on the kidneys, visit the web site for the U.S. National Institute of Diabetes and Digestive and Kidney Diseases.

If you or someone you know does suffer any type of injury due to severe burns or smoke inhalation, you should call Kramer & Pollack LLP in Mineola, New York so that the personal injury attorneys in that firm can determine whether another party has legal liability for injuries suffered, and if the injured party has a solid legal case.

November 25, 2011

Oil Rig Explosion Injures Workers, Causing Severe Burns. Lawsuit Filed for Personal Injury Suffered

According to a recent article in the Bismarck Tribune in North Dakota, a lawsuit seeking compensation for pain, medical expense and loss of income was filed in Northwest District Court in Williston, ND against seven companies on behalf of three men who sustained second degree burns and third degree burns when an oil rig exploded in late July.

The workers, all from North Dakota, were bringing up drilling pipe on a rig for their employer, Cyclone Drilling Inc. when gas escaped the well, causing an explosion and fire. Andrew Rohr, 53, and Timothy Bergee, 53, were hospitalized for well over a month. The lawsuit says Rohr has burns over 60 percent of his body, also suffered septic shock and now has heart problems. Bergee has burns covering 80 percent of his body, and a compromised immune system has caused life-threatening pneumonia, the suit says. The third worker, Jeff Morton, 39, of Stark County, is being treated on an outpatient basis for significant burns to his arms, said their attorney, Robert Hilliard of Texas.

"These men have all been put through hell. Two of our clients have more than half of their bodies covered with burned flesh. The third has had his arms horribly burned," Hilliard said. "The bottom line is that six different companies failed to protect human lives [in order] to turn a buck."

The suit says the oil rig toppled during the blaze, and oil, gas and debris burned for several days. A specialized well fire control unit was brought in to control the fire.

The lawsuit names Continental Resources Inc., as operator, along with the well's majority owner Pride Energy Inc.; M-I SWACO Inc.; Noble Casing Inc.; Superior Well Services Inc.; Panther Pressure Testers; and Warrior Energy Services Corp.

Hilliard said resolution before trial is possible. In oil-industry cases, "juries all over the country, for injuries much less severe than these, have made awards for over $50 million," he noted.

The suit alleges that Continental Resources and Pride Energy rushed the operation, failed to prepare an adequate well plan, and failed to control down-hole conditions with mud and cement. The suit says Continental and Pride failed to ensure the rig had adequate blowout preventers to protect the workers. The suit also says that M-I SWACO failed to provide mud capable of holding pressure inside the drill hole, and failed to provide a properly trained mud engineer.

In drilling operations, drill mud is injected as counter pressure against gas and volatile compounds as the drill pipe is pulled up.

The suit also alleges that Noble Casing's pipe plan was negligently designed and that both Superior Well Services and Warrior Energy Services Corp. provided negligent cement programs for the well and the pipe used in the rig's drilling processes. The suit also alleges that Panther failed to properly test the well, or notify the drilling contractor that the collars around the pipe weren't completely closing.

The attorney said that Cyclone Drilling is not named in the suit because state law prohibits suing employers, who are covered under Workers Compensation, unless the employee is killed.

The suit seeks compensation for pain, medical expenses, mental anguish, loss of future earning capacity, physical impairment, disfigurement, and in Rohr's case, loss of spousal consortium. No specific dollar amount was named in the suit, and the companies had 20 days to respond.

Continental Resources' spokesman Brian Engel said the company acknowledges the tragic nature of the injuries suffered by the men, but had no comment on the lawsuit. He said that Continental is conducting its own investigation into the explosion and will report to OSHA, the federal health and safety regulator.

Engel noted that the well, which lies below the Bakken formation and is anticipated to be a top producer in this area of North Dakota, is "undergoing remediation."

If you or someone you know does suffer a severe burn injury or a smoke inhalation injury, you should call Kramer & Pollack LLP in Mineola, New York so that the personal injury attorneys in that firm can determine whether another party has legal liability for injuries suffered, and if the injured party has a solid legal case.