[Home] [Headlines] [Latest Articles] [Latest Comments] [Post] [Sign-in] [Mail] [Setup] [Help]
Status: Not Logged In; Sign In
|
Health See other Health Articles Title: Doctor gives blood for Ebola-infected Dallas nurse Yahoo... DALLAS (AP) — A Dallas nurse who caught Ebola while treating a Liberian patient who died of the disease has received a plasma transfusion donated by a doctor who beat the virus. Related Stories Health officials urge hospitals to 'think Ebola' Associated Press CDC urges all US hospitals to 'think Ebola' Associated Press About 70 hospital staffers cared for Ebola patient Associated Press CDC: Protocol breach in treating Ebola patient Associated Press News Guide: Officials review Ebola procedures Associated Press Ebola has killed more than 4,000 people in an outbreak the World Health Organization has called "the most severe, acute health emergency seen in modern times." Federal health officials say they are ramping up training for medical workers who deal with the infected. Nurse Nina Pham was among about 70 staff members at Texas Health Presbyterian Hospital who cared for Thomas Eric Duncan, according to medical records. They drew his blood, put tubes down his throat and wiped up his diarrhea. They analyzed his urine and wiped saliva from his lips, even after he had lost consciousness. The 26-year-old nurse was in his room often, from the day he was placed in intensive care until the day before he died. Pham and other health care workers wore protective gear, including gowns, gloves, masks and face shields — and sometimes full-body suits — when caring for Duncan, but Pham became the first person to contract the disease within the United States. Duncan died on Wednesday. On Monday night, members of the church that Pham's family attends held a special Mass for her in Fort Worth. Rev. Jim Khoi, of the Our Lady of Fatima Church, said Pham's mother told him the nurse had received a transfusion that could save her life. Dallas Mayor: Ebola Nurse a 'hero' Play video Dallas Mayor: Ebola Nurse a 'hero' "Her mom says that she got the blood from the gentleman, a very good guy. I don't know his name but he's very devoted and a very good guy from somewhere," Khoi said. Jeremy Blume, a spokesman for the nonprofit medical mission group Samaritan's Purse, confirmed that the plasma donation came from Kent Brantly, the first American to return to the U.S. from Liberia to be treated for Ebola. Brantly received an experimental treatment and fought off the virus, and has donated blood for transfusions for three others, including Pham. "He's a doctor. That's what he's there to do. That's his heart," Blume said. Brantly said in a recent speech that he also offered his blood for Duncan, but that their blood types didn't match. Khoi said Pham's mother assured him the nurse was comfortable and "doing well," and that the two women had been able to talk via Skype. CDC Director Urges Hospitals to 'Think Ebola&# … Play video CDC Director Urges Hospitals to 'Think Ebola&# … Pham had been monitoring her own temperature and went to the hospital Friday night with a low fever. She was in isolation and in stable condition, health officials said. Since she tested positive for the disease, public-health authorities have intensified their monitoring of other hospital workers who cared for Duncan. Centers for Disease Control and Prevention Director Tom Frieden said he would not be surprised if more fall ill because Ebola patients become more contagious as the disease progresses. Pham's name appears frequently throughout the hundreds of pages of medical records provided to The Associated Press by Duncan's family. They show she was in his room Oct. 7, the day before he died. Her notes describe nurses going in and out of Duncan's room wearing protective gear to treat him and to mop the floor with bleach. View gallery This 2010 photo provided by tcu360.com, the yearbook … This 2010 photo provided by tcu360.com, the yearbook of Texas Christian University, shows Nina Pham, … She also notes how she and other nurses ensured Duncan's "privacy and comfort," and provided "emotional support." Frieden has said a breach of protocol led to the nurse's infection, but officials are not sure what went wrong. Pham has not been able to point to any specific breach. The CDC is monitoring all hospital workers who treated Duncan and planned to "double down" on training and outreach on how to safely treat Ebola patients, Frieden said. He could not provide a number of health care workers under surveillance. Health officials have relied on a "self-monitoring" system when it comes to U.S. health care workers who care for isolated Ebola patients. They expect workers to report any potential exposures to the virus and watch themselves for symptoms. Besides the workers, health officials continue to track 48 people who were in contact with Duncan before he was admitted to the hospital and placed in isolation. They are monitoring one person the nurse was in contact with while she was in an infectious state. View gallery Protect Environmental workers move disposal barrels … Protect Environmental workers move disposal barrels to a staging area outside the apartment of a hea … None has exhibited symptoms, Frieden said. Among the things the CDC will investigate is how the workers took off protective gear, because removing it incorrectly can lead to contamination. Investigators will also look at dialysis and intubation — the insertion of a breathing tube in a patient's airway. Both procedures have the potential to spread the virus. Duncan, who arrived in the U.S. from Liberia Sept. 20, first sought medical care for fever and abdominal pain Sept. 25. He told a nurse he had traveled from Africa, but he was sent home. He returned Sept. 28 and was placed in isolation because of suspected Ebola. Officials said there was a dog in the nurse's apartment that has been removed to an undisclosed location for monitoring and care. They do not believe the pet shows any signs of Ebola. A dog belonging to an infected Spanish nurse was euthanized, drawing thousands of complaints. Ebola has killed more than 4,000 people, mostly in the West African countries of Liberia, Sierra Leone and Guinea, according to WHO figures published last week. ___ Schmall reported from Fort Worth, Texas. Associated Press writers Mike Stobbe in New York, Martha Mendoza and Maud Beelman in Dallas and Tammy Webber in Chicago also contributed to this report. Poster Comment: There has been a significant and welcome increase in neighborhood medical clinics in recent years. I'd urge a policy change to have hospitals/doctors refer patients to them where necessary and pratical instead of to Home Care as is automatically done now. This would mean more clinic use and help ensure they remain in the community. This would also be more cost eficient than a travelling home care nurse who most likely spends more time on the road than with patients. The road travel adds to traffic volumes which constitute a health hazard to many who reside along major trafic arteries. http://www.sciencedaily.com/releases/2014/10/141013190616.htm Yakimabelle Yeah, the CDC gave her a protocol to be used in a room that lacked the special changing area, the showers, the respirator, the special air filtration, and the negative pressure that Level 4 treatment units have. Then the CDC blames her for becoming infected when she was working on a unit that by definition is not designed for treating Level 4 pathogen infections. I've prayed for her, and I've prayed for Dr. Brantly. I suggest that the Dr. Frieden consider shutting his mouth until he has something valid to say. To first insist there is no real risk, to then blame the nurse for her infection, and then to suddenly announce that he would not be surprised if more fall ill because Ebola patients become more contagious as the disease progresses demonstrates to any thinking person that he has either been lying to us in support of a political agenda or that the CDC has no idea of what to do. Neither of these scenarios inspire faith in our government to do anything to protect or help us.42-1 [Debbie] I have worked as a nurse for more than 20 years. Caring for a patient in isolation is usually done to the point of excellence, or at least that's what I've experienced and seen. In other words, I think my sister nurse did everything she possibly knew to do, and my heart is breaking for her. 'Gowning up' is a tedious process that takes time...making sure every piece is put on exactly right. Checking and double checking that the suit is secure and without flaw. It's possible other nurses helped her dress, to make sure she was wearing what she should and it was put on correctly. She definitely knew how dangerous and deadly the virus is, so there would have been no shortcuts. After caring for the patient, the de-gowning is just as maticulous; one piece at a time, using techniques we've been taught by infection control, and then proper disposal. So how does this happen? I'm still shaking my head and trying to figure it out. Does the protective gear stop it or not? I'm really starting to think it could be airborne. Please...to the CDC and President...Stop all travel to and from infected areas of the world, seal our borders, and bring our Soldiers home! 69-2 MICHAEL K I hope the transfusion is of some help to Pham. One thing that is important to remember is that intensive care and unlimited bodies and hospital resources in the West may lower the traditional Ebola death rate of 55-65% of victims into the 30% or lower range, with a caveat. The caveat is if the numbers go up sharply, by people continuing to fly out of African nations where it is epidemic or the virus becomes airborne and crosses borders easily, then you won't have the resources. No more experimental drug supply, no 46 doctors and nurses actively treating one patient in one whole hospital wing set aside for one patient - with another 100 devoted to hospital and victim home cleanup, supporting and enforcing quarantine. Caution seems to dictate the world supporting the 3 African nations that are the source - but also banning travel by citizens in any of those countries out of those countries. [Hey Yall] Duncan first sought medical care for fever and abdominal pain Sept. 25 and the hospital sent him home. He returned Sept. 28 and was placed in isolation because of suspected Ebola. This means that Duncan had 3 days to spread the virus in town and the hospital before he was put in isolation. I bet his 2nd visit to the hospital was pretty routine--waiting in the waiting room, having a nurse seat him and take his temp, etc. Everyone in the hospital could, by interaction with each other, be walking time bombs. 13-1 MoMo... There was an article recently about a woman in Liberia who successfully nursed 3 family members without contracting the disease. One family member did pass away, but the other two lived. She wore 5 pairs of gloves, and essentially covered her entire body in layers of plastic garbage bags. For example, she wore several pairs of socks, then a garbage bag, then boots, then a garbage bag over the boots. Full body protection seems to be essential, with a number of layers of it. [That Guy] Ebola, virus Zaire strain – August 2014 "This outbreak is moving faster than our efforts to control it," Margaret Chan, chief of the World Health Organization Timeline: Day 1- Exposure Day 1 to 9: Incubation: Usually 4 to 9 days, up to 21 days On the 5th to 7th or 10th to 12th day after exposure - flu like symptoms and profound weakness, 8th to 10th or 13th to 16th day after exposure - Vomiting, diarrhea, nausea, low blood pressure, headaches, anemia 11th to 12th or 17th to 18th day after exposure - Confusion, internal and or external bleeding, coma On the 13th or on the 19th day after exposure - Death Fatality rates: 1) 90% with no medical care; 2) 60 currently with supportive care Symptoms: Flu-like symptoms, malaria-like symptoms, profound weakness, fever, sore throat, muscle pains, vomiting, diarrhea, nausea, low blood pressure, headaches, anemia, rashes, decreased functioning of the liver and kidneys, confusion, internal bleeding, bleeding from the gums, eyes, ears, #$%$ and genitals, coma, death Infection Routes: Exposure with 1) Contact (touching) infected meats (i.e. pigs, bat or primate) 2) Contact (touching) the SKIN of an infected person 2) Infected human’s bodily fluids, semen, saliva, vomit and/or diarrhea, 3) Contact with items and or equipments that have been contaminated with the virus. Virus Survival Outside the Body: Couple of days, at room temperature What taking place in the body: *Ebola virus invades body's cells and replicates. It then burst out the body cells with produced protein called ebolavirus glycoprotein, and activates cytokines. *Ebolavirus glycoprotein then attaches to the cells on the inside of the blood vessels, which increases permeability of the blood vessels. *Hemorrhagic symptoms: The virus cause the infected person’s blood to leak out of his/hers vessels (whether they see the leakage or not). *Ebola virus blocks the signaling to white blood cells (Neutrophils). Ebola travels on immune cells to other parts of the body, like the liver, kidney, spleen and brain *The body’s cytokines causes an inflammatory (flu-like) response [That Guy] On August 4, 2014, Centers for Disease Control and Prevention (CDC) hosted a special hour-long Twitter chat to answer questions about the 2014 Ebola outbreak in West Africa with EMSWorld- Emergency Medical Service, a site for EMT and Paramedics: (See Ems world article 11616877): *Q: If someone with Ebola coughs blood or vomits, can those droplets infect those unprotected in a close range? CDC’s Answer: “YES! Droplet spread may be possible if a person is standing very close.” *Q: How long can the Ebola virus survive outside the body? A: It varies a lot (temperature, humidity, pH, etc.), but Ebola can survive for one to two days outside the body. Post Comment Private Reply Ignore Thread Top • Page Up • Full Thread • Page Down • Bottom/Latest
#1. To: Tatarewicz (#0)
Brantly will soon be bled-out.
“The most dangerous man to any government is the man who is able to think things out... without regard to the prevailing superstitions and taboos. Almost inevitably he comes to the conclusion that the government he lives under is dishonest, insane, intolerable.” ~ H. L. Mencken
|
||
|
[Home]
[Headlines]
[Latest Articles]
[Latest Comments]
[Post]
[Sign-in]
[Mail]
[Setup]
[Help]
|
||