Day 50 - Sepsis Six (13/11/2017)

As all good days do, today started with a lecture on severe infections, specifically with a focus on sepsis. Obvious symptoms are things like fever, raised heart rate and confusion. This moved from a look at the ‘Sepsis Six’ escalation pathway to specifically examining the aetiology of lower respiratory tract infections. This lecture also revealed during X-ray analysis that the lungs seem to operate in distinct lobes, at least in so much as the lobes can operate independently if one becomes damaged. There was quite a striking scenario presented in which antibiotics could be given immediately without waiting for blood culture results – a real ‘best guess and hope it works’ event.

This was followed by the control of breathing and the pathology of respiratory failure. These talks brought together what we’ve learned so far about the mechanics of respiration and applied it to clinical situations, showing the sorts of considerations that emergency medicine specialists and anaesthetists would have to make in urgent cases.

CBL in the afternoon, an absolute wall of content to get through. Although we’d done a lot of the heavy lifting last week in getting the anatomy done, it took a long time to list out all the possible conditions we thought could be relevant and then working out how to distinguish between them. I think this time we fell victim to getting hung up on small details (I say we, I mean me). Giving a talk on arterial blood gases and acid/base conjugation at the start of the next session.

Also resigned from the science editing role with The Boar. Will expand upon that more in a future post – sad that it’s happened, but I think it was the right thing to do.