| Autor: |
Chen IH; Department of Internal Medicine, Pingtung Branch of Kaohsiung Armed Forces General Hospital, Pingtung 90092, Taiwan.; Department of Business Management, National Sun Yat-Sen University, Kaohsiung 80424, Taiwan.; Institute of Medical Science and Technology, National Sun Yat-Sen University, Kaohsiung 80424, Taiwan., Fong CM; Department of Business Management, National Sun Yat-Sen University, Kaohsiung 80424, Taiwan., Chang HS; International Master of Business Administration, National Taichung University of Education, Taichung 40359, Taiwan., Lin JH; Department of Internal Medicine, Kaohsiung Armed Forces General Hospital, Kaohsiung 80284, Taiwan. |
| Abstrakt: |
The fatality rate of scrub typhus infection with septic shock is quite high if timely and correct diagnosis and treatment are not obtained. There are few studies in the literature on the subject of holding TRM conferences to discuss the condition and reach a consensus on treatment. A TRM conference has the significance of early intervention by the medical team and consensus on therapy from the medical doctors and family members. We report the case of scrub typhus infection with septic shock. On the day the patient was hospitalized, the medical team held a TRM conference and invited family members to attend. We found that the eschar on the patient may be related to scrub typhus, which was later confirmed by a positive Weil-Felix test and PCR analysis. Under the consensus treatment, the patient's condition improved considerably within the next day. The most significant difference between the TRM conference and the clinical specialist's consultation is that it can quickly narrow the cognitive gap between doctors and family members and reach a consensus on the patient's therapy strategy, truly avoid medical disputes, and effectively share the stress of attending physician. In this case report, we highlight the significance of the TRM conference. |
