CME on Challenging Sepsis stresses on the importance of correct strategy for management

During the CME, the crowd sat in rapt attention listening to Dr Swatantra Mishra, head of Critical Care Services, MPH, talk about how severe sepsis and septic shock is a major problem worldwide.

He discussed in detail about those at risk and pointed out that people whose immune systems are not functioning well because of an illness or because of medical treatments that weaken the immune system were more prone to develop sepsis. However, he cautioned that even healthy people could suffer from sepsis.

Dr Mishra, said:

"One of the main obstacles in treating sepsis is the delay in diagnosis and subsequent management. Moreover the management is not uniform and as a result of which we have different results from different ICUs."

He stressed on the various evidence based management strategies available and their positive effect on the patients survival especially with issues pertaining to patient management like fluid resuscitation, role of early goal directed therapy, role of and choice of antibiotic therapy, protocol for rapid diagnosis of infection and its management.

He also touched upon the usage of restricted blood administration strategies, and the current recommendation regarding Activated recombinant human protein C and the importance of a standardised, protocolised management on the outcome of septic shock, such as is practiced in MPH.

Gerard Strong, Hospital Director, MPH avered, "The message to take home really is that if we follow the standardised evidence based guidelines for the management of severe sepsis/septic shock, the mortality and LOS of the patient can be improved. What we need more than technology is the correct strategy for management and that is what Dr Mishra's CME was all about."

Muscat Private Hospital is Muscat's premier private medical facility. Strategically located in Baushar, the Hospital provides first-class out-patient and in-patient facilities and all the diagnostic and treatment capabilities of an acute care hospital, including CT and MRI. The CT scan is a 64 slice volume CT which has capability for CT Cardiac Angiography, CT Colonoscopy, Lung Imaging, and Neurological Imaging. Our new range of services includes Women's Health Services, Executive Health Screening, Critical Care Unit and ER, making the hospital a one-stop shop, convenient and accessible to our patients. The hospital is the first facility in Oman to provide cardiac surgery services. The hospital is managed by UME Group, an international hospital management group with more than 27 years experience in the Middle East and the UK.