Question

A 57 year old man presents to a small rural hospital with fever, hypotension and suspected septic shock secondary to pneumonia. There is a significant delay before retrieval to a tertiary centre will be available. Which of the following is the most appropriate immediate management in this rural setting?

Accepted Answer

Commence fluid resuscitation and broad spectrum intravenous antibiotics, with early contact of retrieval services

Answer

Wait for retrieval before starting treatment

Answer

Administer only oral antibiotics while waiting

Answer

Transfer by private vehicle to tertiary centre

Answer

No blood cultures should be taken in rural settings

Practice question