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HardInfectious DiseasesMeningococcal septicaemiauk-plab-1

A 19-year-old university student presents with fever, headache and myalgia. In the emergency department she becomes drowsy and a purpuric rash appears on her trunk and legs. BP is 86/52 mmHg, pulse 122 beats per minute. You suspect meningococcal septicaemia. What is the most appropriate immediate management in the community or pre-hospital setting if transfer to hospital will be delayed?

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