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The biggest killer you may not know | |
(35 minutes later) | |
"I flat-lined seven times, it was very uncertain for a long time whether I would make it," says Patrick Kane. | "I flat-lined seven times, it was very uncertain for a long time whether I would make it," says Patrick Kane. |
He nearly died from a condition that kills more people in the UK each year than bowel, breast and prostate cancer combined. | He nearly died from a condition that kills more people in the UK each year than bowel, breast and prostate cancer combined. |
Patrick was just nine months old when one morning he became poorly, floppy and "generally unresponsive". | Patrick was just nine months old when one morning he became poorly, floppy and "generally unresponsive". |
The family GP said he just needed Calpol, but Patrick's mother was still concerned and took him to hospital. | The family GP said he just needed Calpol, but Patrick's mother was still concerned and took him to hospital. |
But on the journey things got rapidly worse. | But on the journey things got rapidly worse. |
"It really was a sudden thing... upon arrival I had multiple organ failure," he says. | "It really was a sudden thing... upon arrival I had multiple organ failure," he says. |
Patrick spent three and a half months in St Mary's hospital in London, lost his right leg below the knee, his left arm and fingers on his right hand. | Patrick spent three and a half months in St Mary's hospital in London, lost his right leg below the knee, his left arm and fingers on his right hand. |
The 19-year-old is now studying biochemistry at university in Edinburgh. | The 19-year-old is now studying biochemistry at university in Edinburgh. |
What he had was sepsis. | What he had was sepsis. |
"Either you know someone who's had sepsis, or you've never heard of it," Patrick tells the BBC. | "Either you know someone who's had sepsis, or you've never heard of it," Patrick tells the BBC. |
What is sepsis? | What is sepsis? |
Sepsis is triggered by infections, but is actually a problem with our own immune system going into overdrive. | Sepsis is triggered by infections, but is actually a problem with our own immune system going into overdrive. |
It starts with an infection that can come from anywhere - even a contaminated cut or insect bite. | It starts with an infection that can come from anywhere - even a contaminated cut or insect bite. |
Normally, your immune system kicks in to fight the infection and stop it spreading. | Normally, your immune system kicks in to fight the infection and stop it spreading. |
But if the infection manages to spread quickly round the body, then the immune system will launch a massive immune response to fight it. | But if the infection manages to spread quickly round the body, then the immune system will launch a massive immune response to fight it. |
This can also be a problem as the immune response can have catastrophic effects on the body, leading to septic shock, organ failure and even death. | This can also be a problem as the immune response can have catastrophic effects on the body, leading to septic shock, organ failure and even death. |
In the UK, there are 44,000 deaths from the condition each year. | In the UK, there are 44,000 deaths from the condition each year. |
What are the symptoms? | What are the symptoms? |
The UK Sepsis Trust lists six symptoms be aware of: | The UK Sepsis Trust lists six symptoms be aware of: |
Symptoms in young children include: | Symptoms in young children include: |
Patrick says "there's no magic symptom" but people need to be asking "could this be sepsis?" | Patrick says "there's no magic symptom" but people need to be asking "could this be sepsis?" |
Is anything being done about sepsis? | Is anything being done about sepsis? |
The NHS is doing more than it used to, but still not enough. | |
A report in 2015 said four in 10 patients being admitted to accident and emergency units were not being reviewed quickly enough and uncovered delays in giving antibiotics in nearly a third of cases. | |
The National Institute for Health and Care Excellence - which advises doctors on best practice - is coming up with new rules. | The National Institute for Health and Care Excellence - which advises doctors on best practice - is coming up with new rules. |
Prof Gillian Leng, the organisation's deputy chief executive, says: "We know from recent case reviews that there are inconsistencies in how people's symptoms are assessed in different settings. | Prof Gillian Leng, the organisation's deputy chief executive, says: "We know from recent case reviews that there are inconsistencies in how people's symptoms are assessed in different settings. |
"More can be done to provide rapid treatment." | "More can be done to provide rapid treatment." |
The organisation says patients should be assessed rapidly and those with life-threatening sepsis should be treated within one hour. | The organisation says patients should be assessed rapidly and those with life-threatening sepsis should be treated within one hour. |
Previous guidance said doctors and other healthcare staff must treat sepsis with the same urgency as a suspected heart attack. | Previous guidance said doctors and other healthcare staff must treat sepsis with the same urgency as a suspected heart attack. |
Health Secretary Jeremy Hunt said there was a "relentless drive" to raise awareness. | Health Secretary Jeremy Hunt said there was a "relentless drive" to raise awareness. |